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膀胱疼痛综合征(BPS):治疗策略与管理方法的全面综述

Bladder Pain Syndrome (BPS): A Comprehensive Review of Treatment Strategies and Management Approaches.

作者信息

Cacciatore Loris, Territo Angelo, Minore Antonio, Testa Antonio, Mantica Guglielmo, Esperto Francesco

机构信息

Department of Urology, Fondazione Policlinico Universitario Campus Bio-Medico Di Roma, Rome, Italy.

Department of Urology, Fundació Puigvert, Autonoma University of Barcelona, Barcelona, Spain.

出版信息

Res Rep Urol. 2024 Oct 26;16:273-282. doi: 10.2147/RRU.S387749. eCollection 2024.

Abstract

Bladder pain Syndrome presents a multifaceted challenge in contemporary urological practice, marked by LUTS, negative behavioural, sexual, or emotional experiences, and the potential for sexual dysfunction. We meticulously explored the existing literature of conservative, non-invasive and invasive interventions, aiming to provide clinicians with a nuanced understanding of available options for comprehensive BPS management. We delve into the effectiveness and safety profiles from behavioural approaches through lifestyle changes and physical therapy, to oral or intravesical medications, until the definitive surgical treatment. The best option evaluated is the involvement of a multidisciplinary team, including urologists, urotherapists, gynaecologists, pain specialists, primary care physicians and psychologists, educating those patients regarding the condition and its chronic course and tailoring the perfect treatment for each person. Despite this, BPS remains a challenge for urologists. Indeed, our objective is to contribute to the evolving landscape of BPS management, fostering informed decision-making and personalized care for individuals grappling with this challenging condition.

摘要

膀胱疼痛综合征在当代泌尿外科实践中呈现出多方面的挑战,其特征为下尿路症状、负面的行为、性或情感体验以及性功能障碍的可能性。我们精心研究了保守、非侵入性和侵入性干预的现有文献,旨在为临床医生提供对膀胱疼痛综合征综合管理可用选项的细致理解。我们深入探讨了从行为方法(通过生活方式改变和物理治疗)到口服或膀胱内用药,直至确定性手术治疗的有效性和安全性概况。评估出的最佳选择是多学科团队的参与,该团队包括泌尿科医生、尿流治疗师、妇科医生、疼痛专家、初级保健医生和心理学家,向这些患者传授有关该病症及其慢性病程的知识,并为每个人量身定制完美的治疗方案。尽管如此,膀胱疼痛综合征对泌尿科医生来说仍然是一项挑战。的确,我们的目标是为膀胱疼痛综合征管理的不断发展贡献力量,促进对患有这种具有挑战性病症的个人进行明智的决策和个性化护理。

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