Bernstein A M, Philips H C, Linden W, Fenster H
Department of Mental Health Sciences, Hahnemann University, Philadelphia, Pennsylvania.
J Behav Med. 1992 Jun;15(3):299-312. doi: 10.1007/BF00845358.
This is a preliminary investigation into a recently defined urological disorder occurring in a subgroup of women with "urethral syndrome" suggestive of pelvic floor muscular (PFM) dysfunction. Symptoms include straining to void, urgency, frequency, hesitation, incontinence and/or retention, and subpubic pain. Finding neither bladder nor urological abnormalities, urologists may consider these women emotionally unstable without organic cause for their symptoms. However, their distress may be a consequence rather than a cause of their voiding problems. Sixteen female urological patients were matched with 16 asymptomatic controls to investigate PFM functioning, psychological status, and symptomatology. Results showed heterogeneity of symptomatology and little elevation of depression or anxiety when comparing patients with controls. Hypotheses of muscular abnormality were confirmed. Patients evidence poor control over testing and relaxing PFM, elevations of PFM activity under various conditions, and chronic pain as a prominent symptom. Treatment approaches specifically designed to address PFM dysfunction are discussed.
这是一项针对最近定义的一种泌尿系统疾病的初步调查，该疾病发生在一组患有提示盆底肌肉（PFM）功能障碍的“尿道综合征”的女性亚组中。症状包括排尿费力、尿急、尿频、排尿犹豫、尿失禁和/或尿潴留，以及耻骨下疼痛。泌尿科医生在未发现膀胱及泌尿系统异常的情况下，可能会认为这些女性情绪不稳定，其症状无器质性病因。然而，她们的痛苦可能是排尿问题的结果而非原因。16名女性泌尿系统患者与16名无症状对照者进行匹配，以研究PFM功能、心理状态和症状表现。结果显示症状表现存在异质性，与对照组相比，抑郁或焦虑几乎没有升高。肌肉异常的假设得到证实。患者表现出对测试和放松PFM控制不佳、在各种情况下PFM活动增强，以及慢性疼痛是突出症状。文中讨论了专门针对解决PFM功能障碍的治疗方法。
