We have located links that may give you full text access.
The cotton swab test. Receiver-operating characteristic curves.
Journal of Reproductive Medicine 1995 January
The purpose of this prospective, cohort study was to perform a receiver-operating characteristic (ROC) analysis of the cotton swab test and its ability to predict stress incontinence. The study was performed in a tertiary care gynecologic urology clinic over a period of 3.5 years. Two hundred sixty-three women presenting with the complaint of urinary incontinence formed the basis of the cohort. Subjects were classified as having genuine stress urinary incontinence or incontinence secondary to another factor following urodynamic testing. The cotton swab test was performed as part of the standard urogynecologic assessment. Measurement was made of the resting, straining and calculated resultant change in angle. ROC curves were calculated for each of the angles measured. The resultant ROC curves demonstrated that straining angle has the best discriminatory power in the diagnosis of genuine stress urinary incontinence. The optimum cut-off point for this discrimination is a deflection of 40 degrees from the horizontal, with a resultant sensitivity of 83%. Despite the diagnostic trend, the sensitivity of the straining angle does not allow one to confidently make a diagnosis of genuine stress urinary incontinence without a confirmatory evaluation. The test, however, can be beneficial in the counseling and triage of women with lower urinary tract complaints.
Full text links
Related Resources
Trending Papers
The 'Ten Commandments' for the 2023 European Society of Cardiology guidelines for the management of endocarditis.European Heart Journal 2024 April 18
Challenges in Septic Shock: From New Hemodynamics to Blood Purification Therapies.Journal of Personalized Medicine 2024 Februrary 4
A Guide to the Use of Vasopressors and Inotropes for Patients in Shock.Journal of Intensive Care Medicine 2024 April 14
Prevention and treatment of ischaemic and haemorrhagic stroke in people with diabetes mellitus: a focus on glucose control and comorbidities.Diabetologia 2024 April 17
Diagnosis and Management of Cardiac Sarcoidosis: A Scientific Statement From the American Heart Association.Circulation 2024 April 19
Eosinophilic Esophagitis: Clinical Pearls for Primary Care Providers and Gastroenterologists.Mayo Clinic Proceedings 2024 April
Essential thrombocythaemia: A contemporary approach with new drugs on the horizon.British Journal of Haematology 2024 April 9
Get seemless 1-tap access through your institution/university
For the best experience, use the Read mobile app
All material on this website is protected by copyright, Copyright © 1994-2024 by WebMD LLC.
This website also contains material copyrighted by 3rd parties.
By using this service, you agree to our terms of use and privacy policy.
Your Privacy Choices
You can now claim free CME credits for this literature searchClaim now
Get seemless 1-tap access through your institution/university
For the best experience, use the Read mobile app