Division of Urology, Section of Voiding Dysfunction, Neuro-Urology, Female Urology, Pelvic Reconstruction & Urodynamics, University of Medicine and Dentistry of New Jersey-Robert Wood Johnson Medical School, New Brunswick, NJ 08901, USA.
Curr Urol Rep. 2011 Oct;12(5):377-80. doi: 10.1007/s11934-011-0207-z.
Voiding dysfunction in the female patient significantly affects the patient's quality of life. The condition is poorly understood, has varied etiology and clinical presentation, and lacks standard definitions with no consensus on diagnostic criteria. It consists of a constellation of symptoms involving both phases of the micturition cycle. Appropriate diagnosis and treatment of female lower urinary tract symptoms (LUTS) is of paramount importance. However, the differentiation of female LUTS into various syndromes is currently controversial. This article comprehensively reviews the commonly encountered female non-neurogenic LUTS (overactive bladder, interstitial cystitis, and painful bladder syndrome); discusses the contemporary management of these syndromes; and emphasizes a syndromic approach to the condition.
女性排尿功能障碍显著影响患者的生活质量。该疾病发病机制和临床表现多样,病因尚不明确,缺乏标准定义,诊断标准也未达成共识。它由涉及排尿周期两个阶段的一系列症状组成。适当诊断和治疗女性下尿路症状(LUTS)至关重要。然而,目前女性 LUTS 分为各种综合征仍存在争议。本文全面回顾了常见的女性非神经源性 LUTS(膀胱过度活动症、间质性膀胱炎和膀胱疼痛综合征);讨论了这些综合征的当代管理方法;并强调了该疾病的综合征方法。