The anticipation of seeing and having to manage patients suffering from sensory disorders of the urinary tract brings dismay and foreboding to the urologist. This stems from his experience of the time that these patients take up, both at the stage of initial interview and subsequently during numerous consultations over periods of months and years. This and the largely unsatisfactory response to various forms of therapy in the past are reason enough for this bold attempt to define with objectivity the notoriously subjective disorders of interstitial cystitis, urethral syndrome and prostatodynia. In writing this book the principal aim of the authors has been to define these three entities concisely and to describe the investigaยญ tional methods which are required to establish the diagnosis in each case. The importance of this cannot be overestimated since, when the label of one or other of these conditions is attached to a patient, further objective consideration of the case is-endangered. The casual attribution of these sensory diagnoses to inappropriate cases is already on record as having dulled clinical awareness and led to oversight of progressive disease and its sometimes avoidable conseยญ quences
CONTENT
Section 1 Basic Considerations -- 1 Introduction and Definitions -- 2 Normal Sensation of the Lower Urinary Tract -- 3 Diagnostic Criteria of the Hypersensitive Disorders -- 4 Examination and Investigation of Sensory Patients -- Section 2 Interstitial Cystitis -- 5 Historical Perspective -- 6 Clinical Symptom Complex -- 7 Morphological Studies of the Bladder Wall in Interstitial Cystitis -- 8 Treatment of Interstitial Cystitis -- Section 3 The Urethral Syndrome -- 9 Historical Reviewโ{128}{148}Confusions in Definition -- 10 Microbiology of the Female Urethra and Adjacent Areas -- 11 Urethral Syndromeโ{128}{148}Clinical Features -- 12 Structure of the Trigone and Urethra in the Urethral Syndrome -- 13 Urethral Syndromeโ{128}{148}Urodynamic Studies -- 14 Treatment of the Urethral Syndrome -- Section 4 Prostatodynia -- 15 Inflammatory Prostatic Disease -- 16 Prostatodyniaโ{128}{148}Clinical Aspects -- 17 Prostatodynia and Anxious Bladderโ{128}{148}Urodynamic Aspects -- 18 Application of Psychological and Psychophysiological Methods in Prostatodynia -- 19 Treatment of Prostatodynia and the Psychogenic Voiding Disorders
