[Chronic pollakiuria: cystectomy or psychotherapy]

Area of Science:

• Urology
• Psychosomatic Medicine

Context:

• Persistent unexplained urological complaints are prevalent in clinical practice.
• Psychological factors significantly influence urological conditions, and their neglect can lead to inadequate treatment.
• A comprehensive assessment of mental and psychological functions is crucial alongside medical diagnostics, particularly before invasive procedures.

Purpose:

• To highlight the importance of interdisciplinary collaboration in managing urological complaints with potential psychosomatic components.
• To illustrate, using a case study of chronic pollakiuria, the necessity of evidence-based, guideline-oriented treatment.
• To explore the role of psychosomatic medicine in urology, focusing on somatoform disorders and symptoms like pollakiuria and overactive bladder.

Summary:

• A case of a young woman seeking cystectomy for chronic pollakiuria, despite lacking a medical indication for surgery, underscores the need for integrated diagnostics.
• The patient's distress and desire for bladder removal contrasted with the absence of surgical necessity, emphasizing the principle of proportionality.
• The paper provides insights into psychosomatic medicine, somatoform disorders in urology, and specific symptoms such as pollakiuria and overactive bladder.

Impact:

• Timely and simultaneous medical and psychosocial diagnostics are vital for successful treatment outcomes in patients with non-specific physical complaints.
• The study offers practical treatment recommendations for managing somatoform complaints within clinical urological practice.
• Emphasizes the need for a holistic approach, integrating psychological evaluation with urological care to improve patient management and treatment efficacy.