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Related Experiment Videos

The urethral syndrome: a controlled evaluation

I Nazareth1, M B King

  • 1Dept Primary Health Care, University College London Medical School, Whittington Hospital, U.K.

Journal of Psychosomatic Research
|October 1, 1993
PubMed
Summary
This summary is machine-generated.

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Psychological and menstrual symptoms influence women seeking medical help for urinary tract symptoms, irrespective of infection. This study found no evidence supporting an

Area of Science:

  • Urology
  • Psychosomatic Medicine
  • General Practice

Background:

  • Psychological factors are often considered significant in women with urinary tract symptoms (UTSS).
  • The concept of 'irritable urethral syndrome' has been proposed for UTSS without infection, analogous to irritable bowel syndrome.
  • The role of psychological and menstrual factors in UTSS requires further controlled investigation.

Purpose of the Study:

  • To investigate the association between psychological and menstrual factors and urinary tract symptoms in women presenting to family practice.
  • To compare psychological and menstrual profiles of women with and without demonstrable urinary tract infections.
  • To evaluate the evidence for an 'irritable urethral syndrome'.

Main Methods:

  • A controlled study involving women presenting with urinary symptoms and a comparison group attending for contraceptive advice.

Related Experiment Videos

  • Structured interviews were used to assess psychological and menstrual factors.
  • Urine cultures were performed to identify significant bacterial infections.

    • Main Results:

    • Women with urinary tract symptoms exhibited higher mean scores on psychological and menstrual measures compared to the control group.
    • These differences persisted regardless of whether a significant bacterial infection was detected.
    • No evidence was found to support the existence of an 'irritable urethral syndrome' as a distinct entity driven by psychological factors.

    Conclusions:

    • Psychological and menstrual symptoms appear to be significant determinants for women seeking medical attention for urinary symptoms.
    • The presence of infection does not negate the influence of psychological and menstrual factors on symptom presentation.
    • The concept of 'irritable urethral syndrome' lacks empirical support from this study.