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Diagnosis of Chronic Fatigue Syndrome
Published in Jay A. Goldstein, Chronic Fatigue Syndromes, 2020
The urethral syndrome in women is also more common in CFS. The causes of this disorder are numerous and include various kinds of inflammation, from chlamydia to interstitial cystitis. “Detrusor dyssynergia” is often found. It is treated with anticholinergic antispasmodics, alpha blockers (as in prostatodynia), and calcium channel blockers. A few patients will have intractable detrusor hyperflexia with incontinence. Such patients could be considered for intravesical capsaicin.10 There may be tenderness of the muscles of the urogenital diaphragm, which would include the ischiocavernosus and the bulbocavernosus. These muscles are rarely examined, but could respond to the same sorts of trigger point elimination techniques as are used elsewhere.
Diagnosis and Management of Female Urethral Stricture Disease
Published in Linda Cardozo, Staskin David, Textbook of Female Urology and Urogynecology - Two-Volume Set, 2017
ConservAtive options for mAnAgement of femAle urethrAl strictures include self-cAtheterizAtion or urethrAl dilAtion. selfcAtheterizAtion involves teAching the pAtient how to perform intermittent cAtheterizAtion At vArious intervAls bAsed on the degree And timing of scArring. If A stricture is diAgnosed eArly, self-cAtheterizAtion cAn likely be initiAted without requiring urethrAl dilAtions or surgicAl therApies. The pAtient should be followed At regulAr intervAls to ensure no problems with or worsening symptoms between cAtheterizAtions. If A pAtient fAils intermittent self-cAtheterizAtions or elects to hAve more definitive therApy, A discussion regArding other conservAtive And surgicAl options should be initiAted with the pAtient. urethrAl dilAtion gAined rApid populArity in the 1960s when it wAs proposed to dilAte A "contrAction ring" noted in the urethrAs of young girls up to 32–45 French [14]. This notion As A treAtment for "urethrAl syndrome" in those with recurrent Urinary trAct infections And chronic urethritis subsequently expAnded. since then, studies hAve demonstrAted thAt in the Absence of A true stricture, urethrAl dilAtion does little in the wAy of helping with Urinary symptoms of frequency And urgency [15,16]. In generAl, emerging literAture AdvocAtes AgAinst the use of urethrAl dilAtion in the Absence of A true urethrAl stricture. This chAnge in mAnAgement trends is reflected in surveys given to prActicing urologists, with those trAined within the 10 yeArs prior to 1999 considering dilAtion to be As lArgely unsuccessful,
The kidneys, urinary tract and prostate
Published in Kevin G Burnand, John Black, Steven A Corbett, William EG Thomas, Norman L Browse, Browse’s Introduction to the Symptoms & Signs of Surgical Disease, 2014
Kevin G Burnand, John Black, Steven A Corbett, William EG Thomas, Norman L Browse
Many females with the symptoms of recurrent cystitis never have bacteria demonstrated in the urine. This collection of symptoms is termed the urethral syndrome. Its cause is unknown and its management difficult.
The use of Mechanical Diagnosis and Therapy (MDT) in patients with lower urinary tract symptoms (LUTS): case series
Published in Physiotherapy Theory and Practice, 2019
A 45-year-old male was referred by his urologist with a diagnosis of painful urethral syndrome. He complained of 3 years of intermittent dysuria which was associated with an intermittent and weak urinary stream and feelings of incomplete emptying. He also complained of increased daily frequency of about 10–12 times and nocturia 5–6 times. There was also increased bowel movement frequency of about four to five times per day. He had undergone several medical investigations, including cystoscopy and imaging studies. Urinary infections, benign prostate hypertrophy, and malignancies had all been ruled out. His past medical history included a vasectomy 3 years earlier. Working as a nurse’s assistant in a hospital, his daily routine involved the repeated lifting and transferring of patients. He reported that feelings of low back “discomfort and fatigue” at the end of the day were common. He was active and went to the gym regularly. He noticed that he had lost some strength recently in his right leg when doing weight training. His initial NIH-CPSI was 19.
The prevention of urinary tract infections in aged care residents through the use of cranberry products: a critical analysis of the literature
Published in Contemporary Nurse, 2022
Jane E. Bartlett, Anita De Bellis
A positive urine culture of titres >100,000/ml indicates a UTI and the microorganisms may be viral, such as cytomegalovirus or bacterial, for example, Escherichia coli, Klebsiella, proteus, staphylococcus or streptococcus (Chernecky & Berger, 2013). Clinical manifestations include urination frequency, cloudy urine, haematuria and pyuria. UTIs consist of cystitis, urethral syndrome and pyelonephritis. Women are 50 times more likely to develop this infection than men, as the shorter urethra in women allows bacteria to ascend into the bladder more easily. Infections may be symptomatic in 30% of women and the incidence of acute uncomplicated UTIs is 7% in women over 65 years (Jepson et al., 2012).