Bladder neck elevation test

The bladder neck elevation test is an auxiliary examination method for checking whether the bladder detrusor function is normal. One of the causes of tension urinary incontinence is that the posterior urethral support tissue is weakened, the bladder neck is moved down, and the posterior horn of the urethra disappears. When the abdominal pressure increases, the bladder wall that is further moved down pulls the urethral sphincter to open it, causing urinary incontinence. . Raise the bladder neck and reconstruct the posterior horn of the urethra to treat urinary incontinence. In this test, the bladder neck was raised to observe the presence or absence of urinary incontinence to determine whether there was a posterior urethra sagging. Basic Information Specialist classification: urinary examination classification: other examinations Applicable gender: whether men and women apply fasting: not fasting Tips: Maintain a normal diet and sleep. Normal value There is a negative result when the cough is squirting or overflowing. Clinical significance Abnormal results: no coughing or overflow of urine is a positive result when coughing. It is used to diagnose the cause of female urinary incontinence. 1. The positive indication is tension urinary incontinence, and the patient has a posterior urethra. 2. The positive tester suggests that the surgical treatment of the urethra after the elevation is good. People who need to be examined: female urinary incontinence, positive test. Negative results may be diseases: urinary incontinence, stress urinary incontinence, neurogenic bladder precautions Taboo before the test: maintain a normal diet and sleep. Requirements for examination: If the finger presses the urethra during the test, a false positive may occur. Inspection process 1. This test was performed on the basis of positive urinary incontinence induction test. 2. The patient took the bladder lithotomy position and routinely disinfected the vulva. 3. The examiner inserts the middle finger and the index finger into the vagina, the fingertips face the anterior wall of the vagina, the fingertips are located on both sides of the junction of the bladder and urethra, and the bladder neck is raised upwards and upwards, and the urethra is not pressed. 4. The patient is forced to cough and observe whether the urine is squirting or overflowing. Not suitable for the crowd Inappropriate people: This test is forbidden in acute urethritis, cystitis, and vaginal infections. Adverse reactions and risks Nothing.

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