Irritable Bladder or Urethral Syndrome

Irritable Bladder (Urethral Syndrome): Test and Diagnosis

2nd-order laboratory parameters – depending on the results of the history, physical examination, and obligatory laboratory parameters – for differential diagnostic clarification. Small blood count Inflammatory parameters – CRP (C-reactive protein) or ESR (erythrocyte sedimentation rate). Urine status (rapid test for: nitrite, protein, hemoglobin, erythrocytes, leukocytes) incl. sediment, if necessary urine culture (pathogen detection and … Irritable Bladder (Urethral Syndrome): Test and Diagnosis

Irritable Bladder (Urethral Syndrome): Drug Therapy

Therapeutic target Improvement of symptomatology, i.e., primarily an improvement in urgency-frequency symptomatology (“urgency frequency”). Therapy recommendations For pain management of chronic pelvic pain syndrome (CPPS): see the table below. Spasmolytics, alpha sympathomimetics if necessary. Another therapeutic option is intravesical injection of botulinum toxin A (BTXA); indications: neuropathic bladder; overactive bladder (OAB)Overall success rate in OAB … Irritable Bladder (Urethral Syndrome): Drug Therapy

Irritable Bladder (Urethral Syndrome): Medical History

Medical history (history of illness) represents an important component in the diagnosis of urethral syndrome (irritable bladder). Family history Is there a frequent occurrence of urogenital system diseases in your family? Social history Current medical history/systemic history (somatic and psychological complaints). What complaints have you noticed? How long have these changes existed? Do you suffer … Irritable Bladder (Urethral Syndrome): Medical History

Irritable Bladder (Urethral Syndrome): Or something else? Differential Diagnosis

Infectious and parasitic diseases (A00-B99). Chlamydia Gonococcus Genital herpes Cardiovascular system (I00-I99) Apoplexy (stroke) Musculoskeletal system and connective tissue (M00-M99). Disc hernia (herniated disc). Neoplasms – tumor diseases (C00-D48) Neoplasms/neoplasms (including carcinoma in situ), urethral papillomas. Psyche – Nervous System (F00-F99; G00-G99). Cauda equina syndrome – this is a cross-sectional syndrome at the level of … Irritable Bladder (Urethral Syndrome): Or something else? Differential Diagnosis

Irritable Bladder (Urethral Syndrome): Examination

A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body weight, height; further: Inspection (viewing). Skin and mucous membranes Palpation (palpation) of the abdomen (abdominal) (tenderness?, knocking pain?, coughing pain?, defensive tension?, hernial orifices?, renal bearing knocking pain?) [Leading symptom: diffuse lower abdominal pain.] … Irritable Bladder (Urethral Syndrome): Examination

Irritable Bladder (Urethral Syndrome): Diagnostic Tests

Optional medical device diagnostics – depending on the results of the history, physical examination, and obligatory laboratory parameters – for differential diagnostic clarification. Uroflowmetry (urine flow measurement) – procedure for the objective determination of bladder emptying disorders (determination of the outflowing urine volume per unit time) [detrusor sphincter externus dyscoordination? or significantly excessive maximum flow … Irritable Bladder (Urethral Syndrome): Diagnostic Tests

Irritable Bladder (Urethral Syndrome): Symptoms, Complaints, Signs

The following symptoms and complaints may indicate urethral syndrome (irritable bladder): In irritable bladder, the main symptom is urgency. Leading symptoms Pollakisuria – urge to urinate frequently without increased urination. Nocturia – urination at night Tenesmus – painful spastic urge to urinate Pain in the urethra and/or pelvic area; intermittent or chronic (miction-independent/independent of urination). … Irritable Bladder (Urethral Syndrome): Symptoms, Complaints, Signs

Irritable Bladder (Urethral Syndrome): Causes

Pathogenesis (development of disease) Urethral syndrome (irritable bladder) probably involves disturbances in the autonomic nervous system. The associated symptoms are one of the possible manifestations of chronic pelvic pain syndrome (CPPS). Detrusor-sphincter dyssynergia (DSD; bladder dysfunction characterized by impaired interaction of the anatomic structures involved in bladder emptying) is discussed. Furthermore, inflammatory cell infiltrates are … Irritable Bladder (Urethral Syndrome): Causes

Irritable Bladder (Urethral Syndrome): Therapy

General measures Avoidance of psychosocial stress: Bullying Mental conflicts Stress Psychotherapy If necessary, accompanying psychotherapy Detailed information on psychosomatics (including stress management) can be obtained from us. Complementary treatment methods Transcutaneous electrical nerve stimulation (TENS) – electromedical stimulation current therapy for pain treatment due tochronic pelvic pain syndrome (CPPS).