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."
General
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