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Voiding dysfunction in the female patient: is the "syndrome" paradigm valid?
Hari Siva G R Tunuguntla1, Renuka Tunuguntla, Joseph Barone
1Division of Urology, Section of Voiding Dysfunction, Neuro-Urology, Female Urology, Pelvic Reconstruction & Urodynamics, University of Medicine and Dentistry of New Jersey-Robert Wood Johnson Medical School, New Brunswick, NJ 08901, USA. tunuguha@umdnj.edu
Current Urology Reports
|July 6, 2011
Summary
Female voiding dysfunction, or lower urinary tract symptoms (LUTS), impacts quality of life but lacks clear definitions. This review covers common LUTS syndromes and their management.
Area of Science:
- Urology
- Gynecology
- Women's Health
Background:
- Voiding dysfunction significantly impacts female quality of life.
- The etiology, presentation, and diagnostic criteria for female lower urinary tract symptoms (LUTS) are poorly understood and lack consensus.
- LUTS involve symptoms affecting both phases of the micturition cycle.
Purpose of the Study:
- To comprehensively review common non-neurogenic female LUTS, including overactive bladder, interstitial cystitis, and painful bladder syndrome.
- To discuss contemporary management strategies for these female LUTS syndromes.
- To emphasize a syndromic approach for diagnosing and treating female LUTS.
Main Methods:
- Literature review of commonly encountered female non-neurogenic LUTS.
- Analysis of current diagnostic and management approaches.
- Emphasis on a syndromic classification and treatment strategy.
Main Results:
- Female LUTS encompass a range of conditions with varied causes and symptoms.
- Current differentiation of LUTS into specific syndromes remains controversial.
- A syndromic approach is proposed for better management.
Conclusions:
- Effective diagnosis and treatment of female LUTS are crucial for improving patient quality of life.
- Standardized definitions and diagnostic criteria for female LUTS are needed.
- A comprehensive, syndromic approach to female LUTS management is recommended.
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