Avtor/Urednik		Barbič, Matija
Naslov		Diagnostika urinske inkontinence danes
Prevedeni naslov		Diagnosis of urinary incontinence today
Tip		članek
Vir		Zdrav Vestn
Vol. in št.		Letnik 72, št. Suppl 2
Leto izdaje		2003
Obseg		str. II-157-61
Jezik		slo
Abstrakt		Background. The aim of this paper is to present a modern approach to the patient with female urinary incontinence, the emphasis being given to diagnostic procedures applied at the University Medical Centre Ljubljana. History taking and clinical examination are of key importance; they serve as the basis for further examinations and procedures. After bacteriological and biochemical tests of urine, the diagnosis of urinary incontinence is confirmed by a one-hourpad test. In tertiary centres, however, urodynamic tests are used to assess the ability of lower urinary tract to collect, void, and prevent involuntary loss of urine. In more complicated cases urodynamic tests are combined with visual examinations (video cystourethrography and ultrasound). In the diagnostic procedures additional functional examinations are sometimes implemented (measurement of urethral electric conductance, ambulatory cystometry), and in certain cases electromyographic measurements of the pelvic jloor muscles. Conclusions. The diagnosis of urinary incontinence is a complex and technically demanding process, additionally aggravated by the fact that most intimate segments of human anatomy are involved.
Izvleček		Izhodišča. V članku želimo prikazati sodoben pristop do bolnice z urinsko inkontinenco, s poudarkom na preiskavah, ki jih izvajamo v Kliničnem centru v Ljubljani. Anamneza in klinični pregled sta ključna usmerjevalca nadaljnjih preiskav in postopkov. Po opravljenih bakterioloških in biokemičnih preiskavah urina potrdimo urinsko inkontinenco z "enournim testom z vložkom", v terciarnih centrih pa z urodinamskimi preiskavami ocenjujemo sposobnost spodnjih sečil za zbiranje, odvajanje in preprečevanje nenadziranega odtekanja urina. V zahtevnejših primerih urodinamske meritve kombiniramo z vizualnimi preiskavami (videocistouretrografija in ultrazvok). Diagnostiko včasih dopolnimo tudi z dodatnimi funkcionalnimi preiskavami (merjenje električne prevodnosti uretre, ambulantna cistometrija), v nekaterih primerih pa z elektromiografskimi meritvami na mišicah medeničnega dna. Zaključki. Diagnostika urinske inkontinence je kompleksen in tehnično zahteven proces, ki ga omejuje tudi dejstvo, da posegamo v bolnikov najintimnejši del. Končna diagnoza zahteva upoštevanje anamnestičnih in kliničnih podatkov ter pravilno vrednotenje rezultatov različnih preiskav.
Deskriptorji		URINARY INCONTINENCE MEDICAL HISTORY TAKING PHYSICAL EXAMINATION URINALYSIS URODYNAMICS