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Urinlekkasje ved stress: Diagnostikk

Innhold i artikkelen

Diagnosen stilles på grunnlag av den typiske sykehistorien. Lekkasjen melder seg ved fysisk aktivitet og tunge tak, ved løping eller hopping. Lekkasje ved hoste eller nysing er også typisk. En gynekologisk undersøkelse kan være normal. Etter overgangsalderen kan det imidlertid oppstå tegn til østrogenmangel i form av tynnere slimhinner, og/eller fremfall av skjede eller livmor.

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For å kartlegge typen urinlekkasje kan det være lurt om du fører en liste over vannlatingen , for eksempel over ett eller flere døgn.

I de fleste tilfeller foretar allmennlegen de nødvendige vurderinger med sykehistorie, underlivsundersøkelse og kontroll av urin. Diagnosen er da vanligvis åpenbar, og allmennlegen kan iverksette behandling uten videre utredning. Unntaksvis, dersom det er usikkerhet om diagnosen, eller behandlingen ikke hjelper, kan det være aktuelt å henvise deg til grundigere undersøkelser, eventuelt en urodynamisk undersøkelse. 

En urodynamisk undersøkelse brukes til å avklare hvor bra musklene i blæren, og spesielt lukkemuskelen, virker. Undersøkelsen viser hvor stor blærekapasiteten din er, det vil si hvor mye urin blæren kan romme, og den viser hvor god kontroll du har over urinblæren ved forskjellig fyllingsgrad. Undersøkelsen forteller også om blæren fyller og tømmer seg på normal måte.

Vil du vite mer

Dette dokumentet er basert på det profesjonelle dokumentet Stressinkontinens . Referanselisten for dette dokumentet vises nedenfor

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