Development of dysuria with secondary amenorrhea in young women as a result of anorexia
IUGA Academy. Shelkovnikova N. Jun 30, 2018; 212934; 492 Topic: Pelvic Pain
Nataliia Shelkovnikova Shelkovnikova
Nataliia Shelkovnikova Shelkovnikova

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492

Development of dysuria with secondary amenorrhea in young women as a result of anorexia

Shelkovnikova, NS1

1: Institut

Topicality: Damage of bladder mucosa (glucosaminoglycan urothelium layer) is considered one of the main causes of a sustained dysuria in women. Despite a rather great diversity of urology nature pathologies going along with frequent urination as a result of urothelium destruction, the cause of this disease might be connected to rare gynecology illnesses.

Study goal: to improve tests results and treatment of patients suffering from sustained urination disorders.

Study methods and materials: study examines 31 women aged 19-26 (mean age 22,5 ±3.5 years) suffering from sustained urination during 18 months that were repeatedly and unsuccessfully treated for overactive bladder and chronic cystitis and were diagnosed with secondary amenorrhea. The patients had a complete urogynecology examination: bimanual vaginal examination, STD tests, urine culture test, genital organs ultrasound investigation with CDI, urodynamic study, hormone study with Arcus 1230 florameter, urethrocystoscopy with morphological study of the bladder mucosa.

Results: the study reveals a rare cause of sustained urination disorders in young female patients of reproductive age. Development of secondary amenorrhea is caused by body weight loss for “cosmetic” reasons with subsequent urogenital atrophy and sustained urination disorders.

Conclusions: the morphological study of the bladder mucosa is the key to the diagnosis. It helps to reveal the real cause of dysuria, urogenital atrophy of the bladder mucosa with the secondary amenorrhea and to determine future course of sustained dysuria etiopathogenic treatment in young women. The treatment is often effective when the patients are properly and timely diagnosed before the development of irreversible changes.

Disclosure:

Work supported by industry: no.

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