Urethral pain syndrome and its management.
Kaur H, Arunkalaivanan AS.
North Staffordshire University Hospital, Stoke-on-Trent, United Kingdom.
Urethral pain syndrome is occurrence of persistent or recurrent episodic urethral pain usually on voiding with daytime frequency and nocturia, in the absence of proven infection or other obvious pathology. This is a condition of uncertain etiology. The objective of this article is to review etiology, diagnosis, and management of urethral pain syndrome. Since there is paucity of information on randomized trials, search of published literature has been made using keywords such as “urethral pain syndrome”, “painful bladder syndrome”, “urethral stenosis”, and “lower urinary tract symptoms”. Urethral pain syndrome is a disease of ambiguous etiology. Diagnosis is mainly based upon symptoms, and investigations are aimed to exclude other conditions affecting lower urinary tract. Various modalities of treatment including antibiotics, alpha-blockers, acupuncture, and laser therapy have been proved successful. Psychological support is very important in this group of women. Management requires multidisciplinary approach, and treatment at its best is by trial and error. TARGET AUDIENCE: Obstetricians & Gynecologists, Family Physicians. LEARNING OBJECTIVES: After completion of this article, the reader should be able to explain that the urethral pain syndrome (UPS) has specific signs and symptoms without specific responses to a variety of treatment options and recall that treatment may require a multidisciplinary approach and a lot of sensitivity by the physician.
|Urol Nefrol (Mosk). 1999 Mar-Apr;(2):28-9.|
Effect of low-intensity laser therapy on urinary tract function
[Article in Russian]
The paper reports the results of the study of low-intensity infrared laser radiation effects on partial kidney functions. The course of the laser radiation resulted in improved blood supply to the kidney in 57.9% of the cases. Stimulation of the secretion and urodynamics was registered in 63.1 and 79% of the cases, respectively. Positive changes were also noted in diuresis, nitrogen-excretory and concentration functions of the kidneys.
Proc. 2nd Congress World Assn for Laser Therapy, Kansas City, September 1998
Endolymphatic laser therapy in management of acute nonspecific epididymitis.
Gomberg V G et al.
The effect of different approaches for laser therapy of acute nonspecific epididymitis was studied by Gomberg.
In a previous study by Reznikov , transscrotal HeNe irradiation had proved beneficial. Gomberg compared transscrotal, endolymphatic and laser acupuncture for the treatment of a group of 28 patients. The endolymphatic treatment was performed via a small quartz fiber, inserted into the regional lymphatic node, 0.15 J in total. The transdermal dose was maximum 2.7 J. Laserpuncture (Hegu and Zusanli) was performed using a miximum of 30 J per point. The clinical outcome as well as the polymorphoneucleocyte/lymphocyte index, main population and subpopulations of lymphocytes were evaluated. Endolymphatic irradiation was found to be more efficient than trans-scrotal laser therpay. The former required 4 procedures each with an interval of 24 hours, whereas trans-scrotal irradiation required 1-3 days longer. Laser acupuncture was not effective.
|Urol Nefrol (Mosk). 1996 Sep-Oct;(5):10-4.|
Magnetic-laser therapy in inflammatory and posttraumatic lesions of the urinary system
[Article in Russian]
Loran OB, Kaprin AD, Gazimagomedov GA.
The authors discuss disputable problem of renal and ureteral tissue after trauma or inflammation. These cause irreversible morphological changes in the tissue. Poor results of the standard therapy urged the authors to try magnetic-laser therapy in urological clinic. The technique has been developed on experimental animal models. The resultant morphological characteristics of ureteral wall and parenchyma support the validity of magnetic-laser therapy in urological practice.