Are psychological comorbidities important in the aetiology of lower urinary tract dysfunction—ICI‐RS 2018?

Abstract

Aims To review studies on the comorbid psychological symptoms and disorders in patients with lower urinary tract disorders (LUTD) over the life‐span, to analyse how they contribute toward the aetiology of LUTD and to discuss optimal service implementation. Materials and Methods A review of relevant literature was conducted and presented during the ICI‐RS meeting in 2018. Open questions and future directions were discussed. Results On the basis of current research, there is overwhelming evidence in all age groups that psychological comorbidities are more common in patients with LUTD. Vice versa, patients with psychiatric disorders have higher rates of LUTD. The types of LUTDs and psychiatric disorders are heterogeneous. Complex aetiological models best explain specific associations of comorbidity. Irrespective of aetiology, it is advisable to address both urological and psychological issues in patients of all age groups with LUTD. Conclusions Psychological symptoms and disorders play a decisive role in the development of LUTD in all age groups and need to be considered in the assessment and treatment of LUTD.

Depression, anxiety, and stress in women with urinary incontinence with or without myofascial dysfunction in the pelvic floor muscles: A cross‐sectional study

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Qualitative analysis of treatment needs in interstitial cystitis/bladder pain syndrome: Implications for intervention

“…Recent calls to action from national societies reflect a similar sentiment from providers managing benign urologic disease. 49 Therefore, an optimal treatment approach could address physiological contributors to IC/BPS and simultaneously attune to patient cognitions, emotions, and behaviors that may impact symptoms and functional status. Regarding pain, psychological and environmental factors modulate nociception and treatment response and vice versa.…”

Prevalence and Associated Factors of Urinary Incontinence among Chinese Adolescents in Henan Province: A Cross-Sectional Survey

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