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1.
Urologiia ; (5): 150-154, 2019 Dec.
Article in Russian | MEDLINE | ID: mdl-31808652

ABSTRACT

The symptoms of genitourinary syndrome of menopause are considered as typical for late menopausal period. However, these symptoms are increasingly diagnosed in perimenopausal and early menopausal period. Women seldom seek medical care, since autonomic menopausal symptoms are usually more bothersome. In many cases, doctors are not sure in necessity of any hormonal replacement. Moreover, a confusion still exists between systemic hormone replacement therapy (HRT) and local estrogen preparations. Besides moisturizers and local intravaginal estrogens, novel treatment modalities have emerged that extend therapeutic armamentarium.


Subject(s)
Atrophy/therapy , Menopause , Sexual Dysfunction, Physiological/therapy , Vagina/pathology , Vaginal Diseases/therapy , Vulva/pathology , Atrophy/diagnosis , Atrophy/etiology , Consensus , Female , Humans , Lubricants/therapeutic use , United Kingdom
2.
Urologiia ; (4): 163-167, 2019 Sep.
Article in Russian | MEDLINE | ID: mdl-31535824

ABSTRACT

In clinical practice, urologist often has to treat women who have various forms of dysuria that do not have a pathomorphological substrate and manifest by various types of urinary disturbances and pathological sensations in the urinary tract. The relevance of this topic can be explained by the increasing prevalence of dysuria, its recurrent nature and insufficient efficiency of routine urotherapy, including the use of an extensive armamentarium of drugs and interventions, as well as by pronounced discomfort and a significant decrease in the quality of life and working capacity in the socially active adult patients. Despite a steady growing of interest in this problem, most researchers use a variety of questionnaires and evaluation methods and receive extremely unreliable data that do not contribute to an understanding of the serious psychourological problem of a particular patient with dysuria. In this article, such cases are discussed from the perspective of an interdisciplinary approach using the qualification apparatus of modern psychosomatic medicine and relying on the clinical experience of leading specialists in the field of urology and psychosomatics. The introduction of a comprehensive multidisciplinary approach into clinical practice will contribute to adequate referring, timely provision of specialized care, a reduction of medical costs and an increase in the quality of life in a large group of patients with dysuria.


Subject(s)
Dysuria , Urology , Adult , Female , Humans , Quality of Life , Surveys and Questionnaires
3.
Urologiia ; (1): 131-136, 2019 Apr.
Article in Russian | MEDLINE | ID: mdl-31184031

ABSTRACT

In this publication a summary of the published manuscript "Good Urodynamic Practices and Terms 2016: Urodynamics, uroflowmetry, cystometry, and pressure-flow study" developed by a working group under the guidance of the Standardization Steering Committee of International Continence Society (ICS)1 is presented. The members of the working group were: Werner Schaefer, Gunnar Lose, Howard B. Goldman, Michael Guralnick, Sharon Eustice, Tamara Dickinson, Hashim Hashim and Peter F.W.M Rosier.


Subject(s)
Terminology as Topic , Urodynamics , Urologic Surgical Procedures , Consensus , Pressure
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