The 5 Minute Urology Consult 3rd Ed.

Q-TIP TEST

DESCRIPTION The Q-tip test is useful to evaluate the urethral axis and evidence of hypermobility in the evaluation of urinary incontinence in the female. A cotton-tipped applicator is advanced per urethra to the level of the bladder neck and observed for changes in angle during straining maneuvers. Hypermobility suggests that a bladder neck suspension may restore continence.

REFERENCE

Dupont MC, Albo ME, Raz S, et al. Diagnosis of stress urinary incontinence. Urol Clin N Am. 1996;23(3):407–415.

QUAKEL CORPORAL SHUNT

DESCRIPTION Used for the treatment of priapism. Through a scrotal-perineal approach, a longitudinal incision is made in the outer bulbar urethra (making sure not to completely traverse and injure the urethra), and a parallel incision is made in the corporal body. After irrigating stagnant corporal blood, these 2 incisions are anastomosed.

REFERENCE

Thomas AJ. Surgery for priapism. In: Novick AC, Streem SB, Pontes JE, eds. Stewart’s Operative Urology. Baltimore, MD: Williams & Wilkins; 1989:826–832.



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