最近审阅: 24 十月 2020
最近更新: 13 三月 2019

小结

定义

病史和体格检查

关键诊断因素

  • 存在的危险因素
  • 饮食或压力触发
  • 尿急
  • 尿频
  • 尿失禁
  • 夜尿
  • 排尿困难
  • 盆底疼痛
  • 性交疼痛
  • 症状在经期会加重
  • 尿道疼痛
  • 膀胱颈疼痛
  • 耻骨弓上疼痛
  • 提肛肌疼痛
  • 放置双腔管后的疼痛

其他诊断因素

  • 纤维肌痛
  • 外阴前庭炎
  • 外阴痛
  • 系统性红斑狼疮的特征
  • 偏头痛
  • 风湿性关节炎的表现
  • 慢性疲劳综合征的表现
  • 过敏
  • 性/家庭暴力
  • 阴囊或肛门的疼痛

危险因素

  • 20到60岁
  • 女性
  • 白种人
  • 阳性家族史
  • 性虐待或家庭暴力

诊断性检查

首要检查

  • 高倍镜的尿检和培养
  • 阴道涂片
  • 排尿日记
  • 尿液细胞学检查
更多 首要检查

需考虑的检查

  • 膀胱镜下水扩张
  • 膀胱活检
更多 需考虑的检查

新兴检查

  • 应激蛋白基因试验
  • 尿反增殖因子
  • 尿神经生长因子
更多 新兴检查

治疗流程

撰稿人

Professor and Chairman

Department of Urology

Oakland University William Beaumont School of Medicine

Chair

Department of Urology

Beaumont Health System

Royal Oak

MI

利益声明

KMP declares that he has worked as a consultant for Taris, Inc and Amphora Medical, and as a consultant and equity owner for StimGuard.

Urology Fellow

Department of Urology

Beaumont Health

Royal Oak

MI

利益声明

LT declares that she has no competing interests.

Dr Kenneth M. Peters and Dr Lauren Tennyson would like to gratefully acknowledge Dr Natalie Gaines, Dr Serge P. Marinkovic, Dr Robert Moldwin, Dr Stuart L. Stanton, Dr Lisa M. Gillen, Dr Christina Marinkovic, and Dr Michael Ehlert, the previous contributors to this topic. NG, SPM, RM, SLS, LMG, CM, and ME declare that they have no competing interests.

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Assistant Professor

Director of Female Urology and Urodynamics

University of Minnesota

Minneapolis

MN

利益声明

NN declares that she has no competing interests.

Urologist

Touro Medical Office

New Orleans

LA

利益声明

NB declares that he has no competing interests.

Professor of Medicine

Department of Clinical Physiology

Division of Medicine

Whittington Campus

University College London Medical School

London

UK

利益声明

JML declares that he has no competing interests.

Director

The Urogynecology Center

Overland Park

KS

利益声明

CB declares that he has no competing interests.

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