Localization of the urge to void in patients with painful bladder syndrome
Localization of the urge to void in patients with painful bladder syndrome
复制标题
DOI：
10.1002/nau.20177
复制
发表时间：
2005-01-01
影响因子：
2
通讯作者：
Brubaker, L
中科院分区：
文献类型：
--
作者：
FitzGerald, MP;Kenton, KS;Brubaker, L
目的：我们的目的是描述痛性膀胱综合征(PBS)患者和对照组的尿急或膀胱不适的位置。方法：有症状的PBS患者、膀胱过度活动症(OAB)综合征、压力性尿失禁(SUI)患者和无症状对照组被要求在体图上指出他们的尿急/紧迫感/不适的位置。结果：我们给出了30名PBS患者、25名OAB患者、15名SUI患者和15名无症状对照的研究结果。在无症状的受试者和有SUI的受试者中，排便冲动仅局限于耻骨上区域。超过一半(53%)的PBS患者和少数(20%)OAB患者将他们的尿液、紧迫感/不适同时定位于耻骨上和外阴/尿路位置。一些PBS患者的尿液也局限于其他身体部位，包括腰背部、臀部上部和侧面、下腹部和大腿上部。结论：在大多数PBS患者和一些OAB患者中，膀胱不适或紧迫感的主诉可能指的是除耻骨上外的其他部位的感觉。广泛感觉的病因可能包括膀胱感觉转介的皮肤体扩大，和/或存在相关的躯体异常。
Aims: Our aim was to describe the location of urinary urgency or bladder discomfort in patients with painful bladder syndrome (PBS) and controls. Methods: Patients with symptomatic diagnoses of PBS, overactive bladder (OAB) syndrome, stress urinary incontinence (SUI), and asymptomatic controls were asked to indicate the location of their urinary urge/urgency/discomfort on a body map. Results: We present results for 30 PBS patients, 25 OAB patients, 15 SUI patients, and 15 asymptomatic controls. In asymptomatic subjects and those with SUI, the urge to void was localized to the suprapubic region only. More than half (53%) of patients with PBS and a minority (20%) of those with OAB localized their urinary, urgency/discomfort to both suprapubic and vulvar/urethral locations. Some patients with PBS also localized their urinary, discomfort to other body sites including low back, upper and lateral buttocks, lower abdomen, and upper thighs. Conclusions: In most patients with PBS and some with OAB, complaints of bladder discomfort or urgency may refer to sensations that are localized at sites other than suprapubic. The etiology of widespread sensation may include an expansion of dermatomes of referral of bladder sensation, and/or the presence of associated somatic abnormalities.