Аннотация:
In clinical practice, urologist often has to treat women who have various forms of dysuria that do not have a pathomorphological substrate and manifest by various types of urinary disturbances and pathological sensations in the urinary tract. The relevance of this topic can be explained by the increasing prevalence of dysuria, its recurrent nature and insufficient efficiency of routine urotherapy, including the use of an extensive armamentarium of drugs and interventions, as well as by pronounced discomfort and a significant decrease in the quality of life and working capacity in the socially active adult patients. Despite a steady growing of interest in this problem, most researchers use a variety of questionnaires and evaluation methods and receive extremely unreliable data that do not contribute to an understanding of the serious psychourological problem of a particular patient with dysuria. In this article, such cases are discussed from the perspective of an interdisciplinary approach using the qualification apparatus of modern psychosomatic medicine and relying on the clinical experience of leading specialists in the field of urology and psychosomatics. The introduction of a comprehensive multidisciplinary approach into clinical practice will contribute to adequate referring, timely provision of specialized care, a reduction of medical costs and an increase in the quality of life in a large group of patients with dysuria.
Dorozhenok I.Y. I Yu
Gadgieva Z.K.
Grigoryan V.A.
Shvidkaya A.S.
FGAOU VO I.M. Sechenov First Moscow State Medical University of Minzdrav of Russia, Moscow, Russia.
FGBNU Scientific center of mental health, Moscow, Russia.
Psyhosomatic aspects of dysuria in women from the perspective of an interdisciplinary approach
Текст визуальный электронный
Urologiia (Moscow, Russia : 1999)
№ 4 С. 163-167
2019
anxiety disorders
dysuria
interstitial cystitis
nosogenic reactions
painful bladder syndrome
paruresis
psychosomatic
psychourology
sociophoby
somatoform disorder
urinary bladder neurosis
urinary panic attacks
Статья
Adult M01.060.116
Взрослые M01.060.116
Dysuria C23.888.942.343.274
Дизурия C23.888.942.343.274
Female
Женский
Humans B01.050.150.900.649.313.988.400.112.400.400
Человек B01.050.150.900.649.313.988.400.112.400.400
Quality of Life I01.800 K01.752.400.750 N06.850.505.400.425.837
Качество жизни I01.800 K01.752.400.750 N06.850.505.400.425.837
Surveys and Questionnaires E05.318.308.980 N05.715.360.300.800 N06.850.520.308.980
Опросы и анкетирование E05.318.308.980 N05.715.360.300.800 N06.850.520.308.980
Urology H02.403.810.860
Урология H02.403.810.860
Journal Article V02.600
Журнальная статья V02.600
In clinical practice, urologist often has to treat women who have various forms of dysuria that do not have a pathomorphological substrate and manifest by various types of urinary disturbances and pathological sensations in the urinary tract. The relevance of this topic can be explained by the increasing prevalence of dysuria, its recurrent nature and insufficient efficiency of routine urotherapy, including the use of an extensive armamentarium of drugs and interventions, as well as by pronounced discomfort and a significant decrease in the quality of life and working capacity in the socially active adult patients. Despite a steady growing of interest in this problem, most researchers use a variety of questionnaires and evaluation methods and receive extremely unreliable data that do not contribute to an understanding of the serious psychourological problem of a particular patient with dysuria. In this article, such cases are discussed from the perspective of an interdisciplinary approach using the qualification apparatus of modern psychosomatic medicine and relying on the clinical experience of leading specialists in the field of urology and psychosomatics. The introduction of a comprehensive multidisciplinary approach into clinical practice will contribute to adequate referring, timely provision of specialized care, a reduction of medical costs and an increase in the quality of life in a large group of patients with dysuria.