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 the cauda equina (anatomical structure located within the spine in a sac of hard meninges (dura mater) and the arachnoid mater adjacent to it on the inside); this leads to damage to the nerve fibers below the conus medullaris (name for the conical, caudal end of the spinal cord), which is accompanied by flaccid paresis (paralysis) of the legs, often with urinary bladder and rectal dysfunction.
  • Detrusor-sphincter dyssynergia – micturition disorder (disorder of urination) caused by failure of the bladder sphincter (sphincter) to relax.
  • Parkinson’s disease (so-called: shaking paralysis or tremor paralysis) – is a slowly progressive neurological disease.
  • Multiple sclerosis – neurological disease that leads to multiple damage to the central nervous system due to a chronic inflammatory responsePsychosomatic complaints.

Genitourinary system (kidneys, urinary tract – sex organs) (N00-N99).

  • Bladder outlet stenosis (bladder outlet stenosis).
  • Bladder stones
  • Urethral caruncle – nodule of loose connective tissue with tortuous or dilated blood vessels in the urethra area.
  • Urethral stricture (high-grade narrowing of the urethra).
  • Interstitial cystitis (interstitial cystitis, IC; synonym: Hunner’s cystitis; painful bladder syndrome (PBS)) – predominantly in women occurring bladder inflammation of unclear etiology with fibrosis of the bladder muscles, urge incontinence (irritable bladder or overactive (hyperactive) bladder) and development of a shrinking bladder; diagnosis confirmed by: Urethrocystoscopy and biopsy for histology and molecular diagnostics of specific cell proteins.
  • Colpitis (vaginitis)
  • Prostatitis (prostatitis)
  • Trigonitis – inflammation of the bladder in the area of the urinary bladder triangle or bladder triangle (English bladder trigone).
  • Overactive bladder (engl. overactive bladder, OAB).
  • Urethritis (inflammation of the urethra)
  • Vulvitis – inflammation of the external genitalia.
  • Cystitis, infectious (inflammation of the urinary bladder).
  • Cystocele – protrusion of the urinary bladder into the anterior vaginal wall.

Further