| Herbbypebef | Дата: Среда, 04.12.2013, 14:01 | Сообщение # 1 |
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| How is urinary incontinence diagnosed? A bladder diary - the GP (general practitioner, primary care physician) or urologist (a doctor specialized in diseases of female urinary organs and male urinary tract and sex organs) may ask the patient to record how much he/she drinks, when urination occurs, how much urine is produced, whether there was an urge to urinate, and the number of episodes of incontinence. Physical exam - the doctor may examine a woman's vagina and check the strength of her pelvic floor muscles. If the patient is male the doctor may examine his rectum to determine whether the prostate gland is enlarged. A sample of urine is collected and sent to a laboratory where it is checked for signs of infection and abnormalities. Blood test - a blood test can reveal details about substances linked to causes of incontinence. PVR (postvoid residual) measurement - this measures how much urine is left in the bladder after the person has finished urinating. The patient urinates into a container which measures how much urine was expelled.
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Then, either with a catheter or ultrasound the doctor measures how much urine remained in the bladder. Pelvic ultrasound - the doctor may wish to look at other parts of the urinary tract or genitals. Stress test - the patient will be asked to apply sudden pressure - he/she may be asked to cough - while the doctor looks out for loss of urine. Urodynamic testing - a catheter is inserted via the urethra into the bladder, and the bladder is filled with water. A monitor determines how much pressure the bladder and urinary sphincter muscle can withstand. Cystogram - this is an X-ray procedure to visualize the bladder. A catheter is inserted into the bladder via the urethra. A fluid containing a special dye goes through the catheter into the bladder. As the patient urinates the dye shows up in the X-ray images.
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