Persistent dysuria in women: etiological diagnostics and treatment
| Autor: | Salman Kh. Al-Shukri, I V Kuz'min, Yuriy A Ignashov, Margarita N. Slesarevskaya |
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| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Urinary bladder business.industry media_common.quotation_subject Urinary system Urination disorder Interstitial cystitis Chronic Cystitis urologic and male genital diseases medicine.disease Urination Frequent urination female genital diseases and pregnancy complications medicine.anatomical_structure Internal medicine medicine Dysuria medicine.symptom business media_common |
| Zdroj: | Urology reports (St. - Petersburg). 11:195-204 |
| ISSN: | 2687-1416 2225-9074 |
| DOI: | 10.17816/uroved81948 |
| Popis: | INTRODUCTION: Dysuria is a painful urination combined with its frequency and/or difficulty. Dysuria is observed in many urological diseases and is one of the most common reasons for treatment for urological cause. AIM: The aim of the study is to identify the etiological factors of dysuria in women and to evaluate a personalized approach to their treatment. MATERIALS AND METHODS: We analyzed the data of 368 women with chronical cystitis. The inclusion criteria for the study were the presence of dysuria (painful and frequent urination more than 8 times a day with or without difficulty), the prescription of urination disorders over one year old and age 18 and over. All patients underwent a comprehensive urological examination to identify the causes of urinary disorders. RESULTS: The Bacterial cystitis was confirmed only in 78 (21.2%) patients among all 368 women. In the remaining 290 (78.8%) patients, the causes of persistent dysuria were other diseases: bladder leukoplakia in 154 (41.8%), bladder pain syndrome/interstitial cystitis in 38 (10.3%), viral cystitis in 34 (9.3%), paraurethral formations in 29 (7.9%), neurogenic urinary dysfunction bladder in 25 (6.8%), urethral pain syndrome in 5 (1.4%) patients. Dysuria was also caused by postradiation cystitis (2 patients), secondary stones in the urinary bladder (2 patients), and one patient had extragenital endometriosis. CONCLUSIONS: The variety of reasons for the development of persistent dysuria in women requires careful examination of patients. Treatment should be carried out only after accurate verification of the diagnosis. |
| Databáze: | OpenAIRE |
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