Kennedy Colleen M, Nygaard Ingrid E, Bradley Catherine S, Galask Rudolph P
Department of Obstetrics and Gynecology, University of Iowa, Iowa City, USA.
J Reprod Med. 2007 Dec;52(12):1073-8.
To compare the prevalence of painful bladder syndrome, recurrent urinary tract infections, urinary leakage and irritable bowel syndrome between women with specific vulvar disorders and controls.
Women with a primary diagnosis of vulvar intraepithelial neoplasia (dysplasia), vulvar vestibulitis (vestibulitis), contact vulvitis, atrophic vulvovaginitis, lichen simplex, lichen sclerosus and lichen planus, were compared to women presenting for annual examinations.
As compared to controls, painful bladder syndrome was more prevalent among subjects with dysplasia, vestibulitis and contact vulvitis; a history of recurrent urinary tract infection was more prevalent among subjects with contact vulvitis; and urinary incontinence was less prevalent in subjects with lichen sclerosus. Irritable bowel syndrome was more prevalent among subjects with dysplasia, vestibulitis, lichen sclerosus, lichen planus and lichen simplex than controls.
The prevalence of bladder and irritable bowel symptoms varies between vulvar disorders.
比较患有特定外阴疾病的女性与对照组之间膀胱疼痛综合征、复发性尿路感染、尿失禁和肠易激综合征的患病率。
将初步诊断为外阴上皮内瘤变（发育异常）、外阴前庭炎（前庭炎）、接触性外阴炎、萎缩性外阴阴道炎、单纯性苔藓、硬化性苔藓和扁平苔藓的女性与进行年度检查的女性进行比较。
与对照组相比，膀胱疼痛综合征在发育异常、前庭炎和接触性外阴炎患者中更为普遍；复发性尿路感染病史在接触性外阴炎患者中更为普遍；硬化性苔藓患者中尿失禁的患病率较低。发育异常、前庭炎、硬化性苔藓、扁平苔藓和单纯性苔藓患者的肠易激综合征比对照组更为普遍。
膀胱和肠易激症状的患病率在外阴疾病之间有所不同。
