患有慢性腰痛的男性下尿道症状:一个横截面研究
Leila Rouached1, Kheireddine Mourad Dali2, Selma Bouden1
1Rheumatology department, Charles Nicolle Hospital, Tunis, Tunisia; Faculty of Medicine of Tunis, Tunis El Manar University, Tunis, Tunisia.
The French journal of urology
|January 8, 2026
概括
低尿路症状 (LUTS) 在慢性腰痛 (CLBP) 的男性中很常见. 焦虑和勃起功能障碍 (ED) 是该人群中LUTS的独立预测因素.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 安德罗学与人类学
- 疼痛医学 医学 疼痛医学
背景情况:
- 慢性腰部疼痛 (CLBP) 影响了成年男性人口的很大一部分.
- 较低的尿路症状 (LUTS) 越来越多地在患有CLBP的男性中被认可.
- 需要进一步调查CLBP,LUTS和相关因素之间的关系.
研究的目的:
- 为了确定患有CLBP的男性患者中LUTS的患病率和严重程度.
- 在患有CLBP的男性中确定与LUTS相关的因素.
- 探索LUTS,心理困扰和勃起功能之间的相关性.
主要方法:
- 对101名患有CLBP的男性进行了横截面研究.
- 经过验证的调查问卷评估了CLBP残疾 (ODI,LSDI),焦虑/抑郁 (HADS),睡眠质量 (PSQI),LUTS (IPSS,QOL) 和勃起功能 (IIEF-5).
- 使用统计分析,包括单变量和多变量逻辑回归,以确定 LUTS 的预测因素.
主要成果:
- 66.3%的CLBP男性报告中度至严重的LUTS (IPSS>7).
- 勃起功能障碍 (ED) 在83%的参与者中普遍存在.
- 在多变量分析中,焦虑和ED被确定为LUTS的独立预测因素.
结论:
- 在患有CLBP的男性中经常观察到LUTS.
- 在这组患者中,焦虑和ED与LUTS有显著的关联.
- 这些发现凸显了对患有CLBP的男性进行LUTS,焦虑和ED查的重要性.
相关概念视频
01:30Urinary Tract Infection III: Diagnostic Studies and Interprofessional Care
246
A healthcare provider can diagnose a urinary tract infection (UTI) through several methods:Medical History and Symptoms: The provider will take a detailed medical history and ask about symptoms such as frequent urination, burning sensation during urination, and lower abdominal pain.Urinalysis: A clean-catch urine sample is collected in a sterile container and tested for the presence of bacteria, white blood cells (leukocytes), nitrites, blood, and protein. The presence of leukocytes and...
246
01:20Disorders of the Male Reproductive System
3.9K
Men's health issues are increasingly recognized as significant, with several conditions posing common threats. Among these, testicular cancer is especially prevalent in younger men, particularly those aged 20 to 35 years. The disease often manifests as a painless mass in the testicles, sometimes accompanied by a sensation of heaviness or a dull ache.
Prostate disorders are another major concern. These conditions can impair urinary flow due to the prostate's location around the urethra....
Prostate disorders are another major concern. These conditions can impair urinary flow due to the prostate's location around the urethra....
3.9K
01:21Nursing Assessment of the Genitourinary System I: Health History
372
The genitourinary system is critical to maintaining fluid balance, waste elimination, and reproductive function. Nurses play a vital role in assessing this system, beginning with a thorough health history. This process involves gathering patient information, identifying risk factors, and recognizing symptoms of genitourinary disorders. Early detection is vital for timely interventions and management.1. Gathering Patient InformationA complete health history includes the patient’s personal,...
372
01:26Urinary Tract Calculi II: Pathophysiology and Clinical Manifestations
363
Renal calculi, commonly termed kidney stones, are crystalline solid masses that form in the kidneys but can occur at any point within the urinary system, encompassing the kidneys, ureters, bladder, and urethra.The pathophysiology of renal stones involves several key factors: supersaturation of the urine with stone-forming constituents, changes in urine pH, a decrease in urine volume, and the presence of substances that promote or inhibit stone formation.Supersaturation of Urine: This is the...
363
01:28Urinary Tract Calculi V: Nursing Management
262
AssessmentSubjective Data: Obtain a detailed health history, including any recent or chronic urinary tract infections, periods of immobilization, previous episodes of renal calculi, and medical conditions such as gout, benign prostatic hyperplasia, or hyperparathyroidism. Review the medication history for drugs that may influence stone formation, including allopurinol, analgesics, loop diuretics, or thiazide diuretics. Document the use of long-term indwelling catheters and any past surgical...
262
01:28Acute Pyelonephritis II: Diagnostic Studies and Management
305
Introduction:For diagnosing acute pyelonephritis, a comprehensive patient history is collected to identify symptoms such as dysuria, frequent or urgent urination, flank pain, or costovertebral angle (CVA) tenderness that may suggest a kidney infection.Physical ExaminationDuring the physical examination, CVA tenderness is assessed. This involves gentle percussion over the costovertebral angle, where tenderness often indicates a kidney infection.Diagnostic TestsUrinalysis: Used to identify white...
305