Urgeinkontinens hos kvinner
Sist revidert:
Sist revidert av:Silje Folven Barlindhaug
Definisjon:
Plutselig og sterk vannlatingstrang som ofte fører til større volum av urinlekkasje
Forekomst:
Ren urge-inkontinens utgjør 10-15% av pasientene med inkontinens
Symptomer:
Plutselig og sterk vannlatingstrang som ofte fører til urinekkasje
Funn:
Klinisk undersøkelse er som regel normal
Diagnostikk:
Tilleggsundersøkelser er vanligvis ikke påkrevd
Behandling:
Blære- og bekkenbunnstrening, ev. spasmolytika eller lokalbehandling med østrogen
- Nasjonal kompetansetjeneste for inkontinens og bekkenbunnsykdom - nettside
- Svenningsen R. et al. Urininkontinens. Norsk gynekologisk forening Veileder i gynekologi (2021). Sist oppdatert 12. februar 2021. www.legeforeningen.no
- Ebbesen MH, Hunskaar S, Rortveit G, Hannestad YS. Prevalence, incidence and remission of urinary incontinence in women: longitudinal data from the Norwegian HUNT study (EPINCONT). BMC Urol. 2013 May 30;13:27. PMID: 23721491 PubMed
- O'Halloran T, Bell RJ, Robinson PJ, Davis SR. Urinary incontinence in young nulligravid women: A cross-sectional analysis. Ann Intern Med 2012; 157: 87-93. Annals of Internal Medicine
- Aoki Y, Brown HW, Brubaker L, et al. Urinary incontinence in women. Nat Rev Dis Primers. 2017 Jul 6; 3: 17042. www.ncbi.nlm.nih.gov
- Khullar V, Sexton CC, Thompson CL, et al. The relationship between BMI and urinary incontinence subgroups: results from EpiLUTS. Neurourol Urodyn 2014; 33(4):392-399. PMID: 23780904 PubMed
- Qassem A, Dallas P, Forciea MA, et al. Nonsurgical management of urinary incontinence in women: A clinical practice guideline from the American College of Physicians. Ann Intern Med 2014; 161: 429-40. doi:10.7326/M13-2410 DOI
- Todhunter-Brown A, Hazelton C, Campbell P, et al. Conservative interventions for treating urinary incontinence in women: an Overview of Cochrane systematic reviews. Cochrane Database Syst Rev. 2022 Sep 2;9:CD012337. doi: 10.1002/14651858.CD012337.pub2. The Cochrane Library
- Balk EM, Rofeberg VN, Adam GP et al. Pharmacologic and Nonpharmacologic Treatments for Urinary Incontinence in Women: A Systematic Review and Network Meta-analysis of Clinical Outcomes. Ann Intern Med. 2019 Apr 2;170(7):465-479. Epub 2019 Mar 19. PMID: 30884526.
- Hagen S, Elders A, Stratton S, et al. Effectiveness of pelvic floor muscle training with and without electromyographic biofeedback for urinary incontinence in women: multicentre randomised controlled trial. BMJ 2020. doi:10.1136/bmj.m3719 DOI
- Kelleher C, Hakimi Z, Zur R et al. Efficacy and Tolerability of Mirabegron Compared with Antimuscarinic Monotherapy or Combination Therapies for Overactive Bladder: A Systematic Review and Network Meta-analysis. Eur Urol. 2018 Sep;74(3):324-333. Epub 2018 Apr 23. PMID: 29699858. PubMed
- Rai BP, Cody JD, Alhasso A, Stewart L. Anticholinergic drugs versus non-drug active therapies for non-neurogenic overactive bladder syndrome in adults. Cochrane Database of Systematic Reviews 2012, Issue 12. Art. No.: CD003193. DOI: 10.1002/14651858.CD003193.pub4. DOI
- Samuelsson E, Odeberg J, Stenzelius K, et al. Effect of pharmacological treatment for urinary incontinence in the elderly and frail elderly: A systematic review. Geriatr Gerontol Int. 2015;15:521-34. doi: 10.1111/ggi.12451 DOI
- Novara G, Galfano A, Secco S, et al. A systematic review and metaanalysis of randomized controlled trials with antimuscarinic drugs for overactive bladder. Eur Urol. 2008;54:740–764. PMID: 18632201. PubMed
- Cody JD, Jacobs ML, Richardson K, Moehrer B, Hextall A. Oestrogen therapy for urinary incontinence in post-menopausal women. Cochrane Database of Systematic Reviews 2012, Issue 10. Art. No.: CD001405. DOI: 10.1002/14651858.CD001405.pub3. DOI
- Duthie JB, Vincent M, Herbison GP, Wilson DI, Wilson D. Botulinum toxin injections for adults with overactive bladder syndrome. Cochrane Database of Systematic Reviews 2011, Issue 12. Art. No.: CD005493. DOI: 10.1002/14651858.CD005493.pub3. The Cochrane Library
- Visco AG, Brubaker L, Richter HE, et al. Anticholinergic Therapy vs. OnabotulinumtoxinA for Urgency Urinary Incontinence. N Engl J Med. 2012 Oct 4. pmid: 23036134. PubMed
- Lukacz ES. Female urinary incontinence: Treatment. UpToDate, last updated Jan 04, 2023. UpToDate
- Wallace SA, Roe B, Williams K, Palmer M. Bladder training for urinary incontinence in adults. Cochrane Database of Systematic Reviews 2004, Issue 1. Art. No.: CD001308. DOI: 10.1002/14651858.CD001308.pub2. DOI
- Silje Folven Barlindhaug, spesialist allmennmedisin, redaktør NEL
Tidligere fagmedarbeidere
- Guri Rørtveit, spesialist i allmennmedisin, stipendiat ved Institutt for samfunnsmedisinske fag, Universitetet i Bergen
- Arnfinn Seim, førsteamanuensis i allmennmedisin, Institutt for samfunnsmedisinske fag, NTNU