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Urethral Syndrome
Syndrome Urethral

Presentation

This paper reports on a controlled study of psychological and menstrual problems in women presenting in family practice with urinary symptoms. Women were assessed by structured interview. [ncbi.nlm.nih.gov]

Features 20 all new case presentations with expert commentary. [books.google.com]

An inexpensive and simple dietary approach is presented for the treatment of prostatitis and the urethral syndrome. [journals.lww.com]

Entire Body System

  • Plethora

    Abstract The cause of the female urethral syndrome has previously been obscure, as it has been associated by definition with a lack of objective findings but a plethora of subjective complaints of retropubic pressure, dyspareunia, urinary frequency, and [ncbi.nlm.nih.gov]

    The cause of the female urethral syndrome has previously been obscure, as it has been associated by definition with a lack of objective findings but a plethora of subjective complaints of retropubic pressure, dyspareunia, urinary frequency, and dysuria [wdxcyber.com]

Musculoskeletal

  • Myofascial Trigger Point

    Pelvic floor myofascial trigger points: manual therapy for interstitial cystitis and the urgency-frequency syndrome. J Urol. 2001 Dec. 166(6):2226-31. [Medline]. Wesselmann U, Burnett AL, Heinberg LJ. The urogenital and rectal pain syndromes. [emedicine.com]

    Musculoskeletal dysfunctions caused by IBS, constipation, and the other bowel disorders can be treated with physical therapy through releasing myofascial trigger points in the abdomen, back, gluteals, and pelvic floor, and re-education of these muscle [beyondbasicsphysicaltherapy.com]

Psychiatrical

  • Suggestibility

    Both infective causes (such as lactobacilli and sexually-transmitted pathogens) and non-infective causes (such as trauma, allergies, anatomical features and co-existing medical conditions) have been suggested as causes and are discussed. [ncbi.nlm.nih.gov]

    The health of the mucosal tissues should be noted; dry, thin, pale mucosa suggests atrophy, which is usually hormonal in origin. [emedicine.medscape.com]

Urogenital

  • Dysuria

    Abstract Dysuria remains one of the most common symptoms experienced by adult women. In the past, women with dysuria were generally classified as having cystitis or the acute urethral syndrome based on results of quantitative urine cultures. [ncbi.nlm.nih.gov]

    Urethral syndrome, or frequency-dysuria syndrome, is characterized by frequency, dysuria and suprapubic discomfort without any objective finding of urological abnormalities or infection. [fmcpaware.org]

    Background Urethral syndrome was originally described as urinary frequency and dysuria without demonstrable infection. [emedicine.com]

    Synonym: abacterial cystitis Urethral syndrome describes lower urinary tract symptoms (urinary frequency, urgency, dysuria, and suprapubic discomfort) but no recognised urinary pathogen cultured from urine or any other objective finding of urological [patient.info]

Workup

The chapters present detailed, methodical guidelines f or the workup of the patient with chronic pelvic pain and for the diag nosis and treatment of the many disorders that cause pelvic discomfort. [books.google.com]

See Presentation, DDx, and Workup. The goal of treatment in urethral syndrome is to relieve the discomfort and urinary frequency. This often involves a trial-and-error approach that uses behavioral, dietary, and medical therapy. [emedicine.com]

Microbiology

  • Gram-Positive Rods

    In healthy females only gram-positive rods were found whereas US patients also harbored streptococci. Patients with IC presented also with Enterobacteriae and anaerobic bacteria. [ncbi.nlm.nih.gov]

Other Pathologies

  • Lymphocytic Infiltrate

    The remarkable histological lesions were rupture of elastic fibers in the submucosa and the vascular wall, and a decrease of acid mucopolysaccharides in each layer of the urethra, accompanied by lymphocytic infiltration. [ncbi.nlm.nih.gov]

Cystoscopy

  • Squamous Metaplasia of the Bladder

    MATERIALS AND METHODS: Between January 1997 and December 2003, 62 consecutive women with the urethral syndrome and squamous metaplasia of the bladder neck-trigone, who were refractory to drugs, were randomly assigned to treatment with end-firing (group [ncbi.nlm.nih.gov]

Treatment

Abstract Various methods of treatment, other than antibiotic therapy, have been proposed for the treatment of female urethral syndrome; however, the results of these treatment methods are disappointing, due perhaps to the use of the wrong treatment approach [ncbi.nlm.nih.gov]

[…] yes no Disclaimer: This article is for information only and should not be used for the diagnosis or treatment of medical conditions. [patient.info]

Prognosis

We believe that satisfactory results could be obtained in female urethral syndrome, which has shown poor prognosis until now, by appropriately combining treatment methods, which include the use of external sphincter relaxants, biofeedback therapy and [ncbi.nlm.nih.gov]

Expectations (prognosis) In the majority of cases, the cause of the urethritis can be found and treatment will be given. [2womenshealth.com]

Etiology

[…] organism from suprapubic aspirates from four of 15 women with AUS of unknown etiology. [ncbi.nlm.nih.gov]

Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. [icd10coded.com]

In urethral syndrome, the etiology is unknown. Historically, urethral stenosis (narrowing) was thought to be the cause of urethral syndrome. [fmcpaware.org]

Epidemiology

Use of the term urethral syndrome is now controversial as there are no agreed diagnostic criteria and there is an overlap with other diagnoses - eg, interstitial cystitis. [ 1 ] Epidemiology Urethral syndrome is thought to affect about 1 in 4 of all adult [patient.info]

Author Affiliations From the Department of Medicine, University of Washington School of Medicine; the Department of Epidemiology, University of Washington School of Public Health and Community Medicine; Hall Health Center, University of Washington; and [nejm.org]

Epidemiology The exact incidence of urethral syndrome is unknown because of a lack of consensus in diagnosis. [emedicine.com]

Pathophysiology

Etiology and Pathophysiology The etiology of urethral syndrome is unknown. Historically, urethral stenosis was believed to cause urethral syndrome. [emedicine.com]

Gregg CR and PP Toskes, “Enteric Bacterial Flora and Small Bowel Bacterial Overgrowth Syndrome”, in Sleisenger and Fordtran (eds), Gastrointestinal and Liver Disease: Pathophysiology, Diagnosis, Management, Vol. 2, 7th Edition, Philadelphia: Saunders, [nwhn.org]

Prevention

Prevention Drinking plenty of water each day can help prevent urethritis. Women who have symptoms that occur within 24 hours of sexual intercourse should always urinate immediately after having intercourse. [2womenshealth.com]

Seite 290 - Antibiotic prophylaxis for the prevention of bacterial infections in cirrhotic patients with gastrointestinal bleeding: A meta-analysis. Hepatology 1999; 29: 1655-61 6. ‎ [books.google.de]

These can provide relief and help prevent your symptoms from returning. [healthline.com]

If you are a woman who has reached menopause and you are not taking estrogen, prescription estrogen vaginal cream may help prevent tissue thinning and dryness. [hhma.org]

If position properly, it will let the girly bits have a space to to breathe, preventing compression, heat build up, and excess moisture (remember that we are talking about a part of the body that is lubricious). [cyclemaven.wordpress.com]

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