{"id":656410,"date":"2014-10-02T00:00:00","date_gmt":"2014-10-02T00:00:00","guid":{"rendered":"https:\/\/stg-hemmetsjournal-stage.kinsta.cloud\/hemmetsjournal\/artiklar\/experterna\/20141001\/kan-man-operera-urinlackage\/"},"modified":"2016-05-15T18:27:56","modified_gmt":"2016-05-15T18:27:56","slug":"kan-man-operera-urinlackage","status":"publish","type":"post","link":"https:\/\/stage.hemtrevligt.se\/hemmetsjournal\/artiklar\/experterna\/20141002\/kan-man-operera-urinlackage\/","title":{"rendered":"Kan man operera urinl\u00e4ckage?"},"content":{"rendered":"<div>\n<div>\n<p>Jag har problem med urinl\u00e4ckage. \u00c4r det m\u00f6jligt att operera detta p\u00e5 n\u00e5got s\u00e4tt?<\/p>\n<\/p><\/div>\n<\/div>\n<div><strong>Gynekolog Kristina Billberg svarar:<\/strong><\/p>\n<div>\n<p>Det finns tv\u00e5 olika typer av urinl\u00e4ckage varav den ena g\u00e5r att operera men inte den andra.<\/p>\n<p>\u2002Anstr\u00e4ngningsl\u00e4ckage betyder att man l\u00e4cker vid anstr\u00e4ngning d\u00e4r man \u00f6kar buktrycket vid exempelvis nysning, hosta, hopp eller jogging. Oftast kommer det bara en liten skv\u00e4tt men om bl\u00e5san \u00e4r full kan det l\u00e4cka lite mer. Denna typ av l\u00e4ckage beror p\u00e5 en rent anatomisk f\u00f6r\u00e4ndring i kvinnas underliv d\u00e4r urinr\u00f6ret halkat ner. Anst\u00e4ngningsl\u00e4ckage g\u00e5r att operera. Det \u00e4r ett litet, enkelt och relativt riskfritt ingrepp som g\u00f6rs i dagkirurgi.<\/p>\n<p>\u2002Operationen kallas TVT och g\u00e5r ut p\u00e5 att man l\u00e4gger ett band runt urinr\u00f6ret via ett litet snitt inuti slidan. Bandet dras sedan bakom blygdbenet och ut via huden p\u00e5 buken och lyfter d\u00e5 upp urinr\u00f6ret igen. Nio av tio som g\u00f6r denna operation blir helt bra eller mycket f\u00f6rb\u00e4ttrad.<\/p>\n<p>\u2002Den andra typen av urinl\u00e4ckage kallas tr\u00e4ngningsl\u00e4ckage och f\u00f6reg\u00e5s alltid av att man k\u00e4nner tr\u00e4ngningar, k\u00e4nner sig kissn\u00f6dig, men kan inte stoppa bl\u00e5sans sammandragningar utan den t\u00f6mmer sig ofrivilligt innan man hinner till toaletten. Har man denna typ av urinl\u00e4ckage kommer det oftast st\u00f6rre m\u00e4ngder urin n\u00e4r man l\u00e4cker. M\u00e5nga f\u00f6rs\u00f6ker f\u00f6rebygga problemet genom att springa p\u00e5 toaletten s\u00e5 fort minsta tr\u00e4ngning upptr\u00e4der vilket leder fram till att bl\u00e5san blir mindre och man f\u00e5r successivt urintr\u00e4ngningar vid allt mindre bl\u00e5sfyllnad. Denna typ av l\u00e4ckage beror p\u00e5 \u00f6veraktivitet av bl\u00e5sans nerver och muskler.<\/p>\n<p>\u2002Behandlingen inneb\u00e4r framf\u00f6r allt b\u00e4ckenbottentr\u00e4ning och bl\u00e5str\u00e4ning som syftar till att l\u00e4ra sig kontrollera och styra sina muskler och nerver i b\u00e4ckenbotten men ocks\u00e5 till att t\u00e4nja ut bl\u00e5san s\u00e5 den rymmer st\u00f6rre volymer urin. Det \u00e4r oftast en sjukgymnast eller uroterapeut som f\u00f6rmedlar den h\u00e4r typen av behandling.<\/p>\n<p>\u2002Man kan ibland ha god nytta av en l\u00e4kemedelsbehandling med tabletter som hj\u00e4lper till att slappna av muskulaturen i bl\u00e5san s\u00e5 att tr\u00e4ngningarna minskar. Oftast f\u00f6rs\u00e4mras tr\u00e4ngningsl\u00e4ckage drastiskt av en urinv\u00e4gsinfektion, s\u00e5 det \u00e4r viktigt att h\u00e5lla koll p\u00e5 eventuell f\u00f6rekomst av bakterier i urinen.<\/p>\n<p>\u2002Jag tycker du ska v\u00e4nda dig till din husl\u00e4kare i f\u00f6rsta hand f\u00f6r att starta en utredning ang\u00e5ende ditt urinl\u00e4ckage. Visar det sig att du har den typen av urinl\u00e4ckage d\u00e4r man kan f\u00e5 hj\u00e4lp av en operation kan du f\u00e5 en remiss till den gynekologiska enhet som utf\u00f6r operationerna. Ibland g\u00f6rs utredningen av en gynekolog p\u00e5 kvinnokliniken. P\u00e5 din v\u00e5rdcentral kan de hj\u00e4lpa dig med information om hur den h\u00e4r typen av problem utreds p\u00e5 just din ort.<\/p>\n<p>\u2002Urinl\u00e4ckage \u00e4r ett vanligt och mycket besv\u00e4rande symptom, s\u00e5 jag tycker absolut du ska ta tag i det! Det finns hj\u00e4lp att f\u00e5 oberoende av vilken typ du har.<\/p>\n<\/p><\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Jag har problem med urinl\u00e4ckage. \u00c4r det m\u00f6jligt att operera detta p\u00e5 n\u00e5got s\u00e4tt? Gynekolog Kristina Billberg svarar: Det finns tv\u00e5 olika typer av urinl\u00e4ckage&#8230;<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ep_exclude_from_search":false,"_FSMCFIC_featured_image_caption":"","_FSMCFIC_featured_image_nocaption":"","_FSMCFIC_featured_image_hide":"","footnotes":""},"categories":[136],"tags":[142],"class_list":["post-656410","post","type-post","status-publish","format-standard","hentry","category-experterna","tag-gynekologen"],"acf":[],"publishpress_future_action":{"enabled":false,"date":"2026-04-14 11:56:03","action":"change-status","newStatus":"draft","terms":[],"taxonomy":"category","extraData":[]},"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"_links":{"self":[{"href":"https:\/\/stage.hemtrevligt.se\/hemmetsjournal\/wp-json\/wp\/v2\/posts\/656410","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/stage.hemtrevligt.se\/hemmetsjournal\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/stage.hemtrevligt.se\/hemmetsjournal\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/stage.hemtrevligt.se\/hemmetsjournal\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/stage.hemtrevligt.se\/hemmetsjournal\/wp-json\/wp\/v2\/comments?post=656410"}],"version-history":[{"count":0,"href":"https:\/\/stage.hemtrevligt.se\/hemmetsjournal\/wp-json\/wp\/v2\/posts\/656410\/revisions"}],"wp:attachment":[{"href":"https:\/\/stage.hemtrevligt.se\/hemmetsjournal\/wp-json\/wp\/v2\/media?parent=656410"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/stage.hemtrevligt.se\/hemmetsjournal\/wp-json\/wp\/v2\/categories?post=656410"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/stage.hemtrevligt.se\/hemmetsjournal\/wp-json\/wp\/v2\/tags?post=656410"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}