Hsieh Ching-Hung, Su Tsung-Hsien
Department of Obstetrics and Gynecology, Clinic of Fu Jen Catholic University, Taipei, Taiwan.
School of Medicine, Fu Jen Catholic University, Taipei, Taiwan.
J Obstet Gynaecol Res. 2017 Jan;43(1):8-15. doi: 10.1111/jog.13197.
The purpose of this paper is to discuss the differential diagnosis of the underlying etiologies of urinary frequency and the treatment strategies for urinary frequency in women. Urinary frequency is a symptom, a sign, and a condition of uncertainty and of multifactorial cause. Common causes of urinary frequency include psychosocial, medical, sexual, urological, gynecologic, endocrine, and pharmacological in origin. Hence, treatment of symptoms and possible cures need a high-level plan or strategy to overcome the multifactorial etiology. Proper investigation of the chief complaint, history and physical examinations, is needed to evaluate urinary frequency. Pregnancy test, wet smear, urinalysis, midstream urine culture, frequency-volume charts, cystourethroscopy, urodynamics, and genitourinary imaging are the basic routine of office investigations. These tools promote the accuracy of the differential diagnosis of the underlying cause of urinary frequency. It is then often helpful to adopt an algorithmic approach to the management of this complaint. Treatment of urinary frequency might be empirical, and it remains a clinical challenge to gynecologists. To cure the disease, it is important to listen to the patient and consider the condition in all its aspects and use proven techniques.
本文旨在探讨尿频潜在病因的鉴别诊断以及女性尿频的治疗策略。尿频是一种症状、体征，是一种存在不确定性且病因多因素的情况。尿频的常见病因包括心理社会因素、医学因素、性因素、泌尿学因素、妇科因素、内分泌因素和药理学因素。因此，症状治疗和可能的治愈需要一个高层次的计划或策略来克服多因素病因。需要对主要诉求、病史和体格检查进行适当调查，以评估尿频情况。妊娠试验、湿涂片检查、尿液分析、中段尿培养、频率 - 尿量图表、膀胱尿道镜检查、尿动力学检查和泌尿生殖系统成像检查是门诊检查的基本常规项目。这些工具可提高对尿频潜在病因鉴别诊断的准确性。然后，采用算法方法处理该诉求通常会有所帮助。尿频的治疗可能是经验性的，这对妇科医生来说仍然是一项临床挑战。为治愈该疾病，倾听患者意见并全面考虑病情并使用经证实的技术非常重要。
