Clinical Observation of the Irritation Symptoms on Female Urinary Tract

Youn, Jeng Mock; Wang, Cheng Soon

Abstract

In general, the irritation symptoms of the female lower urinary tract such as frequency, dysuria, urgency, supra-pubic discomfortness and back pain are not uncommon urological, obstetric and gynecological, and psychological problems in female. These irritation symptoms are more frequently developed in female than male, because these symptoms can be occurred not only from the inflammatory and organic disorders of the lower urinary tract in female, but pregnancy, delivery and psychosomatic syndrome. In order to be helpful in determining the etiology. Diagnosis management and treatment of the patient, who are suffered from urinary frequency, urgency, dysuria, suprapubic discomfortness and back pain, author studied the clinical observation of 580 patients who are visited in out patient clinic and 55 patients who are admitted to the urologic department with lower urinary tract irritation symptoms. Total 580 patients are analyzed according to the age distribution, past history, chief complaints, laboratory results, and cystoscopic findings. The results of this study are summarized as follows. 1. The age distribution revealed 476 cases (80.2%) in between 16 and 45 years old. 63 cases(10.8) in postmenopausal, 21 cases(3.6%) in under 15 years old, and 20 cases (3.4%) in over 60 years old, among the total 580 cages. 2. The most common past history was 127 cases (68.8%) of cystitis. 27 case (14.5%) of gynecological operation. 3. The most common chief complaints were 262 cases (45.1%) of urinary frequency. (19. 1%) of dysuria, 90 cases (15. 5%) of hematuria. 4. There were 175 cases (30%) of pyuria, 116 cases (30%) of microscopic hematuria,43 cases (7.4%) of bacteriuria. 5. Endoscopic findings revealed 28 cases (32.1%) of trabeculation, 20 cases (22.9%) of hyperemia and congested trigone with highest incidence of urinary frequency. 6. Distribution of the underlying disease in inpatients were 12 cases (21.8%) of pyelonephritis, 12 cases(2l. 8%) of urethral stricture. 8 cases(I4. 5%) of stone, an 7 cases (12.7%) of urethral caruncle. 7. Results of treatment. I) 246 cases (42. 4%). under the impression of urethral syndrome, were treated with medical and psychological methods, the majority of cases were improved the symptoms 2) 47 cases (8. 1%) with underlying diseases were treated with operation, almost cases were imp_ roved. 3) 12 cases of urethral stricture were treated with internal urethrotomy, 1I cases were relieved the symptoms. 4) 16 cases of mild urethral stricture were treated by dilatation with sound and antimicrobial agents application into the urethra, 12 cases were relieved the symptoms.