{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,10,3]],"date-time":"2023-10-03T08:42:58Z","timestamp":1696322578786},"reference-count":18,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2017,5,26]],"date-time":"2017-05-26T00:00:00Z","timestamp":1495756800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Int J of Urology"],"published-print":{"date-parts":[[2017,7]]},"abstract":"Objectives<\/jats:title>To introduce a new, simple, non\u2010invasive test to quantify urethral hypermobility.<\/jats:p><\/jats:sec>Methods<\/jats:title>We reviewed data of women with urinary incontinence who were examined at the Department for General Gynaecology and Urogynaecology, Clinic for Gynaecology and Perinatology, Maribor, Slovenia, between October 2010 and March 2014. Patients\u2019 age, diagnosis, results of the Q\u2010tip test and Pelvic Organ Prolapse Quantification measurements were collected. In addition, a new parameter was defined as anterior compartment descent, a midline distance between the external urethral meatus and maximum descent of the anterior vaginal wall when performed the Valsalva maneuver. Statistical analysis was performed with spss<\/jats:sc> software using the Mann\u2013Whitney test, correlation, regression and receiver operating characteristic curve analysis. The analysis was also carried out separately for patients with anterior compartment prolapse stage 0 or I.<\/jats:p><\/jats:sec>Results<\/jats:title>A total of 472 women were included, 323 of them with anterior compartment prolapse<\/jats:styled-content> stage 0 or I. Women with urethral hypermobility<\/jats:styled-content> had significantly higher anterior compartment descent<\/jats:styled-content> values than patients without urethral hypermobility<\/jats:styled-content> (3.7 cm vs<\/jats:italic> 2.6 cm, P<\/jats:italic> < 0.001). A moderate correlation was found between anterior compartment descent<\/jats:styled-content> and the Q\u2010tip test (Spearman's rho = 0.55, P<\/jats:italic> < 0.001). Age and anterior compartment descent<\/jats:styled-content> were identified as independent variables for the presence of urethral hypermobility<\/jats:styled-content>. When the cut\u2010off value is set at 3.5 cm, anterior compartment descent<\/jats:styled-content> represents a test for urethral hypermobility<\/jats:styled-content> assessment with sensitivity of 65.2%, specificity of 88.6%, positive predictive value of 97.0% and negative predictive value of 30.7%. Anterior compartment descent<\/jats:styled-content> values were also significantly higher in patients with anterior compartment prolapse<\/jats:styled-content> stage 0 or I (3.4 \u00b1 0.7 cm vs<\/jats:italic> 2.6 \u00b1 0.7 cm, P<\/jats:italic> < 0.001).<\/jats:p><\/jats:sec>Conclusions<\/jats:title>The anterior compartment descent<\/jats:styled-content> could be a valuable tool for the assessment of urethral hypermobility<\/jats:styled-content>. Further effort should be directed into the standardization of the technique, determination of the normal range of anterior compartment descent<\/jats:styled-content>, and its intra\u2010 and interobserver reliability.<\/jats:p><\/jats:sec>","DOI":"10.1111\/iju.13370","type":"journal-article","created":{"date-parts":[[2017,5,27]],"date-time":"2017-05-27T04:46:47Z","timestamp":1495860407000},"page":"548-552","source":"Crossref","is-referenced-by-count":2,"title":["Anterior compartment descent: A new measure in the assessment of urethral hypermobility in women with urinary incontinence"],"prefix":"10.1111","volume":"24","author":[{"given":"Tamara","family":"Serdin\u0161ek","sequence":"first","affiliation":[{"name":"Department for General Gynaecology and Urogynaecology Clinic for Gynaecology and Perinatology University Medical Centre Maribor Maribor Slovenia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Igor","family":"But","sequence":"additional","affiliation":[{"name":"Department for General Gynaecology and Urogynaecology Clinic for Gynaecology and Perinatology University Medical Centre Maribor Maribor Slovenia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,5,26]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2006.05.030"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000267190.09976.81"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-010-1316-9"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-008-0671-2"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/0029-7844(95)93705-5"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2012.02.015"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2006.06.064"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.ju.0000152323.78869.93"},{"key":"e_1_2_7_10_1","first-page":"662","article-title":"Effect of genital prolapse on assessment of bladder neck mobility by the Q\u2010tip test","author":"Pollak JT","year":"2001","journal-title":"Obstet. 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