Kaur Hervinder, Arunkalaivanan Angamuthu S
North Staffordshire University Hospital, Stoke-on-Trent, United Kingdom.
Obstet Gynecol Surv. 2007 May;62(5):348-51; quiz 353-4. doi: 10.1097/01.ogx.0000261645.12099.2a.
Urethral pain syndrome is occurrence of persistent or recurrent episodic urethral pain usually on voiding with daytime frequency and nocturia, in the absence of proven infection or other obvious pathology. This is a condition of uncertain etiology. The objective of this article is to review etiology, diagnosis, and management of urethral pain syndrome. Since there is paucity of information on randomized trials, search of published literature has been made using keywords such as "urethral pain syndrome", "painful bladder syndrome", "urethral stenosis", and "lower urinary tract symptoms". Urethral pain syndrome is a disease of ambiguous etiology. Diagnosis is mainly based upon symptoms, and investigations are aimed to exclude other conditions affecting lower urinary tract. Various modalities of treatment including antibiotics, alpha-blockers, acupuncture, and laser therapy have been proved successful. Psychological support is very important in this group of women. Management requires multidisciplinary approach, and treatment at its best is by trial and error.
Obstetricians & Gynecologists, Family Physicians.
After completion of this article, the reader should be able to explain that the urethral pain syndrome (UPS) has specific signs and symptoms without specific responses to a variety of treatment options and recall that treatment may require a multidisciplinary approach and a lot of sensitivity by the physician.
尿道疼痛综合征是指在无已证实的感染或其他明显病理状况下，通常在排尿时出现持续或反复发作的尿道疼痛，并伴有白天尿频和夜尿症。这是一种病因不明的病症。本文的目的是综述尿道疼痛综合征的病因、诊断和治疗。由于关于随机试验的信息匮乏，我们使用了“尿道疼痛综合征”、“膀胱疼痛综合征”、“尿道狭窄”和“下尿路症状”等关键词在已发表的文献中进行检索。尿道疼痛综合征是一种病因不明的疾病。诊断主要基于症状，检查旨在排除影响下尿路的其他病症。包括抗生素、α受体阻滞剂、针灸和激光治疗在内的各种治疗方式已被证明是有效的。心理支持在这组女性患者中非常重要。治疗需要多学科方法，最佳治疗方式是反复试验。
妇产科医生、家庭医生。
阅读本文后，读者应能够解释尿道疼痛综合征（UPS）有特定的体征和症状，对多种治疗选择无特定反应，并记住治疗可能需要多学科方法，且医生要有高度的敏感性。
