Sensory Disorders of the Bladder and Urethra

1. Front Matter

   Pages i-xiv

   PDF

2. Basic Considerations

   1. Front Matter

      Pages 1-1

      PDF

   2. Introduction and Definitions

      • N. J. R. George

      Pages 3-5

   3. Normal Sensation of the Lower Urinary Tract

      • N. J. R. George, J. S. Dixon

      Pages 7-16

   4. Diagnostic Criteria of the Hypersensitive Disorders

      • N. J. R. George

      Pages 17-29

   5. Examination and Investigation of Sensory Patients

      • N. J. R. George, P. H. Powell

      Pages 31-43

3. Interstitial Cystitis

   1. Front Matter

      Pages 45-45

      PDF

   2. Historical Perspective

      • R. J. Barnard

      Pages 47-48

   3. Clinical Symptom Complex

      • T. Hald, M. Holm-Bentzen

      Pages 49-62

   4. Morphological Studies of the Bladder Wall in Interstitial Cystitis

      • J. S. Dixon, T. Hald

      Pages 63-71

   5. Treatment of Interstitial Cystitis

      • T. Hald, R. J. Barnard, M. Holm-Bentzen

      Pages 73-78

4. The Urethral Syndrome

   1. Front Matter

      Pages 79-79

      PDF

   2. Historical Review—Confusions in Definition

      • C. A. C. Charlton

      Pages 81-83

   3. Microbiology of the Female Urethra and Adjacent Areas

      • S. J. Richmond

      Pages 85-89

   4. Urethral Syndrome—Clinical Features

      • N. J. R. George

      Pages 91-102

   5. Structure of the Trigone and Urethra in the Urethral Syndrome

      • J. S. Dixon

      Pages 103-106

   6. Urethral Syndrome—Urodynamic Studies

      • N. J. R. George

      Pages 107-111

   7. Treatment of the Urethral Syndrome

      • M. Tasker

      Pages 113-121

5. Prostatodynia

   1. Front Matter

      Pages 123-123

      PDF

   2. Inflammatory Prostatic Disease

      • P. J. C. Brooman

      Pages 125-137

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 investiga­ 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 conse­ quences.

• Urethra
• diagnosis
• infection
• interview
• patients
• pharmacology
• therapy

• University Hospital of South Manchester, Manchester, England

  N. J. R. George

• Medical School, University of Manchester, Manchester, England

  J. A. Gosling

Policies and ethics