Symptoms and features of treatment of cystalgia in women

Cystalgia is a common urological disease that is often detected in women of reproductive age. This pathology is characterized by urination disorders, most often accompanied by pain.

With a disease such as cystalgia, symptoms in women may be different, but there are no signs of an inflammatory process.

If measures are not taken to treat the disease, it becomes chronic and provokes the development of various complications.

Cystalgia

Women should know what cystalgia is and what consequences this bladder pathology can lead to. Most often, the disease affects women aged 20-50 years, but it is possible that it can be detected in men and children.

With cystalgia, the patient complains of pain in the lower abdomen and problems with urination. However, during the examination, no signs of an inflammatory process or pathological changes in the composition of urine are observed.

Most often, exacerbations of cystalgia are seasonal, and symptoms are most pronounced in the autumn-winter period.

Causes of cystalgia in women

Cystalgia in women is a pathology in which innervation is disrupted and the muscle tissue of the bladder is affected. The consequence of pathological changes is swelling of the organ and disruption of its normal functioning.

In the absence of effective therapy, there is a high risk that changes in the bladder may become irreversible.

Experts identify some reasons that can provoke the development of pathology:

1. Diseases of a gynecological nature. Cystalgia can be caused by various inflammatory pathologies and neoplasms. In addition, such a disease can be a consequence of endometriosis, in which endometrial cells enter the abdominal cavity.
2. Emotional stress, stress and sexual disorders. In this case, women are diagnosed with “psychosomatic cystalgia.” Dissatisfaction with sexual life leads to the disruption of blood circulation in the pelvic organs and the development of pain.
3. Changes in hormonal levels, accompanied by disruption of the production of certain hormones. This pathological condition can develop with various endocrine pathologies and with the onset of menopause. An imbalance of hormones in the body causes thinning of the bladder walls.
4. Allergic reactions. Pathology can be observed in women who have increased sensitivity of the immune system. When some endotoxins enter the blood, swelling of the mucous membrane and deep layers of the tissues of the small pelvis develops, which is accompanied by a disorder of urine excretion.

The development of cystalgia and its exacerbation is determined by both external and internal provoking factors. Among them are:

• period of pregnancy and menopause;
• abortions;
• disruptions of the menstrual cycle;
• consumption of smoked, salty and spicy foods;
• wearing clothes that are too tight and constricting;
• decreased tone of the pelvic muscles;
• prolonged hypothermia.

Most often, cystalgia is detected in those women who lead a sedentary lifestyle and have congenital abnormalities in the structure of the genitourinary system.

Symptoms

With cystalgia, women experience symptoms that are similar to manifestations of inflammatory pathologies of the pelvic organs. Most often they appear during the daytime when urinating, and at night there is no discomfort.

A woman can be suspected of having cystalgia based on the following symptoms:

• aching pain in the bladder;
• feeling of incomplete emptying;
• discomfort in the urethra;
• violation of urinary frequency.

When urinating, a small amount of fluid is released, and for complete emptying the woman has to strain her muscles quite hard. The result of this is the appearance of short-term pain after visiting the toilet.

A feature of cystalgia is blurred symptoms. The woman is bothered by mild aching pain that arises and disappears on its own throughout the day.

Typically, this pathology does not manifest itself in the summer, and an exacerbation is noted in the cold season. Cystalgia is a disease of the bladder, which is characterized by a long course, and periods of remission are replaced by exacerbations.

Diagnostics

To make an accurate diagnosis and identify signs of cystalgia, the following methods can be used:

• Ultrasound of the pelvic organs;
• urodynamic study of the bladder;
• MRI, CT or radiography with contrast agent;
• cystoscopy;
• urethrocystography;
• diagnostic laparoscopy.

The specialist must conduct a full examination of the organs of the reproductive system and perform a urine test. Using instrumental and laboratory diagnostic methods, it is possible to assess the functioning of nearby internal organs.

The results of an ultrasound scan of the uterus and pelvic organs are especially carefully studied, and the identified symptoms are also assessed.

Treatment

For a disease such as cystalgia, treatment must begin immediately after diagnosis.

The patient is selected for complex therapy, which includes the use of medications, traditional medicine and physiotherapy.

Drug treatment

If bladder cystalgia is caused by gynecological pathologies, treatment is aimed at eliminating them. For this purpose, anti-inflammatory drugs may be prescribed or surgery may be performed.

If an infection is detected, the woman is prescribed antibiotics of various groups.

In a situation where a woman develops cystalgia during menopause, treatment of the pathology begins with the use of hormonal agents.

During menopause, it is recommended to take medications whose action is aimed at replenishing the lack of estradiol. All medications are selected taking into account the specific symptoms and general condition of the patient.

To relieve pain, analgesics and antispasmodics are prescribed.

To normalize the psycho-emotional background and increase the body’s resistance to various external stimuli, sedatives, antipsychotics and tranquilizers are selected for the woman.

Traditional methods of therapy are recommended to be combined with taking medications to improve the functioning of the immune system and restore the genitourinary system. In case of hormonal imbalance, certain physical procedures may be prescribed.

The condition can be alleviated with the help of electrophoresis, laser therapy, acupuncture and acupressure. If indicated, novocaine blockades and corticosteroids can be used.

An important place in the treatment of cystalgia is given to therapeutic exercises, with its help it is possible to normalize blood circulation in the pelvis. In severe cases of pathology, surgical intervention such as laparoscopic ligation is performed.

Traditional methods

It is allowed to begin treatment with traditional medicine only after consultation with a specialist.

This is due to the fact that cystalgia is not a separate pathology, but a complex of symptoms indicating various disorders in the functioning of the genitourinary system.

It is possible to cope with the psychological aspect of such a disease with the help of herbal medicine. To relieve nervous tension, you can brew regular tea and add a small amount of lemon balm or mint to it.

• Plants such as hops, motherwort and valerian have a calming effect.
• To prepare a decoction of motherwort, you need to brew a tablespoon of plant material with a glass of boiling water, keep it in a water bath for at least 40 minutes, and then leave it to infuse for a while.
• The healing agent must be filtered and drunk 1/3 glass before each meal.

Thermal procedures are considered an effective way to relieve pain. It is allowed to use a regular rubber or electric heating pad as a heat source.

You can heat salt, cereal or river sand, pour it into a tight cloth bag and apply it to the lower abdomen. The duration of such thermal procedures should not exceed 20 minutes.

Disease prevention

It is possible to prevent the development of cystalgia by following some recommendations:

• promptly treat inflammatory processes of the genital organs;
• adhere to a healthy lifestyle and give up bad habits;
• control your hormonal levels;
• review your diet and consume foods containing vitamins and other beneficial substances;
• do not self-medicate to avoid the development of dangerous complications.

Cystalgia is a urological pathology that is quite difficult to cope with therapeutic methods.

However, if you consult a specialist in a timely manner and follow all his instructions, the prognosis is quite favorable.

Source: https://propochki.info/mochevoj-puzyr-i-mocheispuskanie/cistalgiya

Symptoms and treatment of cystalgia in women

Cystalgia is a painful condition of the bladder with normal urine, in which a frequent desire to urinate predominates. At present, many aspects of this disease have not yet been established, which leads to incorrect interpretation of complexes of symptoms and unjustified therapeutic interventions.

It can be found in ten to fifteen cases out of the total number of urology patients. The disease affects women whose age category is twenty to forty-five years.

It is recommended to consider this diagnosis as a disease that develops due to functional damage to the muscle tissue and nerves of the bladder, since its capacity is preserved and there are no signs of inflammation.

The disease has a long chronic course, develops a neurotic state, negatively affects ability to work and often causes disability.

There are no acute pathologies in the bladder itself, the chemical composition of urine is not disturbed. Because of this, the main signs of cystalgia in certain situations are called urethral syndrome.

What causes the disease?

The reasons that provoke the appearance of cystalgia are as follows:

1. Certain gynecological pathologies . When diagnosing neoplasms, almost half of women are diagnosed with cystalgia.
2. Hormonal changes . During menopause or menstrual irregularities, during pregnancy, the development of a deficiency of sex hormones may be observed. Such conditions constantly occur against the background of neuroses and emotional instability.
3. Allergic manifestations. This cause of the disease can be observed in women experiencing impaired immune function. Special endotoxins that penetrate into the blood can provoke swelling of the mucous membrane and deep layers of the pelvis, causing urinary dysfunction.

Hypothermia and stress can trigger a negative process in some areas of the brain. The nerve endings of the smooth muscles of the bladder and urethra are excited. Long-term overstrain of organs can trigger the formation of inexplicable anxiety and depression.

Cystalgia can also occur from a sedentary lifestyle, consumption of spicy foods, and alcohol.

Factors that can provoke cystalgia include:

• disorders of blood circulation in the organs of the urinary system;
• surgical interventions, abortions;
• abnormal manifestations in the pelvis;
• injury.

Some patients may feel painful signs of cystalgia only during certain periods. In most cases, disturbances in urinary emission can begin before menstruation and end after menopause. For such patients, additional examination is prescribed for the presence of endometriosis, which is considered the most common accompaniment of cystalgia.

Clinical manifestations of pathology

Almost every woman suffering from this disease experiences the same type of picture, which is influenced by strong emotional factors.

The main symptoms of the disease are significantly aggravated by severe stressful situations and ongoing conflicts. One of the reasons may be the abuse of alcoholic beverages and spicy foods.

Most often, pain is localized in the area of ​​the bladder and perineum. The pain itself can radiate to the lower back. In almost every case, the symptoms are not pronounced enough. The patient’s psyche is greatly weakened, the standard of living decreases, and the reason for this is the unpredictability of the signs of the disease, which are disturbing in their constancy.

Most often, exacerbations are seasonal in nature, their manifestation occurs in the autumn-winter season.

The primary task of the urologist is to diagnose neurogenic disorders of the bladder with the highest level of accuracy.

If pain is experienced in the bladder, then it is imperative to determine the causes that cause it. When determining the correct diagnosis, special attention is paid to the most significant issues:

• conversation with the patient about obstetric issues;
• have there been any previous gynecological surgical interventions;
• sexual relationships with a partner;
• use of contraceptives.

A complete urine examination is mandatory.

It should be noted that in those suffering from cystalgia, no significant pathological changes in the urine occur. Among other things, an x-ray of the functioning of the kidneys and urinary tract may be required.

The most important diagnostic methods include:

• ultrasound examination of the pelvis;
• urodynamic examinations of the bladder;
• laparoscopy, with the help of which focal endometriosis is detected during constant pain.

Quite often, in order to accurately determine the disease of cystalgia, in addition to the urologist, it is necessary to visit a gynecologist, neurologist and psychotherapist if complex treatment is prescribed.

Complex therapy of the disease

Treatment of cystalgia should be comprehensive. For greater effect, the root cause of the disease should be discovered and inflammatory signs in the urinary system should be eliminated.

Treatment with traditional remedies

Psycho-emotional sensations are controlled by sedatives, antipsychotics, antispasmodics and tranquilizers.

Experienced specialists recommend physiotherapy and exercises for the bladder of a therapeutic nature. Sometimes surgical intervention is necessary - laparoscopic ligation.

Treatment of the disease is characterized by a long duration, during which there may be acute complications. Sometimes a patient who has experienced mental trauma may be placed in a neuropsychiatric department.

To prepare a decoction of motherwort, take a spoonful of this herb and pour a glass of boiling water. After holding for about forty minutes in a water bath, the composition should be given time to infuse. The medicine is filtered. Take a third of a glass before each meal.

To get rid of cramps, it is recommended to brew oregano. A spoonful of crushed herb is brewed with boiling water (250 ml). After fifteen minutes, the infusion is filtered. It should be taken three times a day before meals.

As soon as symptoms of cystalgia appear, it is recommended to visit a doctor. It is he who will determine the most suitable treatment option, taking into account the causes of the problem.

A special role in the treatment of the disease is given to diet. The patient should give up spicy foods and completely eliminate alcoholic beverages from the diet. It would be right if you optimize your work day, rest and sexual relations.

Most likely complications

Possible complications include:

• swelling of the genital organs;
• chronic inflammatory signs;
• prolapse of the vaginal walls.

Disorders of blood circulation in the pelvis will definitely lead to the formation of swelling of the bladder, which is accompanied by significant pain.

Quite often, the causes of the disease lie in sexual overtones. Disorder in intimate relationships can lead not only to stagnation of blood in the pelvis, but quite often provokes serious emotional and psychological exhaustion of the patient. Taking into account all of the above, women suffering from cystalgia are characterized by an increased tendency to hysteria.

If there are no obvious signs of a nervous disorder, the woman may be prescribed hormone therapy.

Disease prevention

To prevent the disease, you should follow some recommendations:

1. It is necessary to begin treatment of inflammatory processes in the female genital organs correctly and in a timely manner.
2. It is forbidden to carry out independent treatment, so as not to create conditions for complications.
3. You should watch your diet, which should include nutritional components and vitamins.
4. Lead a healthy lifestyle, eliminate all bad habits.
5. Properly distribute not only working time, but also leisure time.
6. Monitor your hormonal levels.
7. Avoid stressful situations.

Cystalgia is a disease of a urological nature, which is treated with a therapeutic method is very problematic. But if you do everything in a disciplined manner and promptly seek medical help from an experienced specialist, the fight against the disease will be much faster and more successful.

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Source: https://UroHelp.guru/mochevoj-puzyr/cistalgiya.html

Cystalgia in women: symptoms, treatment methods

Cystalgia is a neurohormonal disease and manifests itself in an increased urge to urinate without inflammatory conditions.

A feature of the symptoms of cystalgia in women is the absence of obvious pathological changes in the organs of the urinary system and the chemical composition of urine, while the patient is bothered by pain against the background of a constant urge to defecate.

The development of the disorder is associated with functional damage to the nerve receptors in the muscular structure of the bladder. The hypersensitivity of the organ could be provoked by hormonal imbalances, neurotic conditions, disruption of the ovaries, and gynecological diseases.

In medicine, cystalgia is also called genital-vesical dysfunction, vesicular neurosis, allergic cystitis. This problem is diagnosed in approximately 15% of patients in the urology department, among whom are predominantly women of reproductive age.

As a rule, cystalgia takes on a chronic form of development and for a long time causes a woman discomfort on a physical and moral level. Exacerbation of symptoms occurs in winter, autumn, during pregnancy and menstruation.

Treatment of genital-vesical dysfunction must be carried out comprehensively, paying attention to the correction of emotional behavior.

Causes

• carrying out gynecological interventions (abortion, operations);
• the presence of tumor formations, congestion in the pelvic organs;
• hormonal imbalances during pregnancy, menopause;
• problems with the menstrual cycle;
• functional bladder disorders caused by abnormalities in the ovaries;
• gynecological diseases;
• endocrine disorders;
• allergic response to food irritants;
• having irregular sex life;
• sexual dissatisfaction and disorders on this basis - all this negatively affects hormonal status and leads to neuroses, prolonged depression, and depression.

Cystalgia has a subtle relationship with the state of the nervous system, so this delicate problem is most often faced by overly impressionable and emotional women who take any life situation “too close to their hearts.” Such patients tend to aggravate the symptoms of cystalgia with their own negative thoughts, constantly stressing themselves out about the existing disorder.

It has long been established that a person’s emotional state plays an important role on the path to recovery. In the case of psychosomatic factors in the development of cystalgia, consultation with a psychologist or psychotherapist will be required. A specialist will help you not to concentrate your attention on uncomfortable sensations. If regular neurotic conditions are aggravated by the presence of inflammatory processes in the pelvic organs, then this soil is sufficient for the development of cystalgia. The risk group also includes women with a history of cystitis and other urological diseases, weakened immunity, or those exposed to regular hypothermia.

Features of clinical manifestations

With cystalgia, the following symptoms are noted, which manifest themselves most actively during the daytime:

• Having a regular urge to urinate.
• Emptying the bladder is accompanied by intense pain.
• The act of urination does not bring satisfaction, the feeling of fullness of the organ persists, which forces the woman to visit the toilet again and strain her muscles more during the next attempt.
• Urination occurs in small portions.
• With the active development of pathology, pain in the lower abdomen is disturbing at rest, regardless of the urge. The syndrome spreads to the perineal area and radiates to the lower back.
• The intensity of discomfort increases after intimacy, which forces the patient to avoid intercourse.

Cystalgia occurs over a long period of time, periodically alternating with phases of exacerbations and temporary remissions. Hypothermia, a stressful situation, consumption of food provocateurs (hot, salty, spicy, alcohol), and constipation can cause another increase in the symptoms of cystalgia.

Symptoms of cystalgia are almost always pronounced, resulting in a significant deterioration in the patient’s psyche and quality of life.

Diagnostic examination

Set of diagnostic measures:

• Analysis of the chemical composition of urine. With cystalgia, the leukocyte level should be within normal limits.
• Magnetic resonance imaging and ultrasound examination of the genitourinary organs are indicated. The equipment will detect possible polyps and other pathological changes in the structure of the bladder.
• The functionality of the urinary organs is studied through urodynamic studies, cystography, excretory urography, and radioisotope renography.
• Cystoscopy is indicated.
• Analysis of hormonal status.
• Conducting a personal conversation with a woman, during which the doctor clarifies details about the nature of her intimate life.
• Data on previous gynecological pathologies and operations, the number of abortions, and the menstrual cycle are taken into account.

Such a detailed diagnosis allows you to fully assess the woman’s condition and establish the exact causes that led to the disease. Based on the results of the examination, appropriate treatment is selected.

Therapeutic principles

Drug treatment of cystalgia involves the complex use of general restorative and specific drugs.

The use of medications is carried out under the supervision of a physician and is based on the following principles:

• Eliminate congestion and improve blood circulation in the pelvic area.
• If mental disorders are detected, sedatives, antipsychotic drugs, and tranquilizers are prescribed.
• For ovarian dysfunction, women of childbearing age are prescribed cyclic hormone therapy.
• Estriol is used for treatment during menopause.
• To normalize blood circulation, therapeutic exercises, yoga, physiotherapy, and walks in the fresh air are recommended.
• Vitamin therapy is prescribed.
• If there are scar changes in the pelvic organs as a result of surgical interventions, treatment is supplemented with Lidaza and corticosteroids. The products help soften scar tissue and reduce pain.
• Hormonal correction is carried out under the supervision of an endocrinologist.
• Relief of pain symptoms is carried out with antispasmodics and analgesics. If the pain increases, it is permissible to relieve the condition with novocaine blockade, but the effect of the drug is short-term.
• Psychotherapeutic sessions are recommended.
• Local therapy of the bladder is not carried out.

If all medical prescriptions are followed responsibly, a woman can be treated at home. Hospitalization is necessary only in severe clinical cases and in the presence of serious mental trauma, then the patient is placed in a psychoneurological dispensary.

Preventive measures to prevent cystalgia are aimed at developing a positive attitude towards life, getting rid of depressive states, and normalizing emotional stability. It is advisable to switch your attention from the problem to more pleasant moments or interesting activities.

If suspicious symptoms occur, you should consult a specialist and not self-medicate.

Cystalgia in women - causes, symptoms, treatment methods Link to main publication

Source: https://PochkiMed.ru/vesica/cistalgiya-jenshin.html

Cystalgia - causes, symptoms and treatment in women

Cystalgia is a manifestation of a painful urge to urinate, despite the fact that urine tests are normal.

It is often a consequence of gynecological problems or abnormal ovarian function that accompanies bladder hypersensitivity. Pathology includes a whole range of uncomfortable sensations.

Characterized by frequent trips to the toilet, accompanied by dull or sharp pain in the lower abdomen.

It is worth noting that the pain syndrome may not depend on the process of urination. Most often, exacerbations are seasonal. Symptoms appear most clearly in the autumn and winter seasons.

Etiology

The reasons for the progression of cystalgia can be many exogenous and endogenous factors:

• medical intervention during termination of pregnancy;
• allergic reactions in the genital area;
• pregnancy;
• any violation of the integrity of the hymen;
• disruption of the endocrine system;
• insufficiency of the gonads, accompanied by pain in the lower abdomen;
• inadequate development of muscles in the pelvis;
• imbalance of hormones;
• various problems of a sexual nature;
• menstrual irregularities;
• various gynecological operations;
• menopause or menopause.

Often, this disease affects women who are strongly influenced by their emotions or have “shaken” nerves. Against the background of an unstable psyche, inflammatory processes in the pelvic area give impetus to the beginning of the progression of such a delicate disease. Also, the background for the problem is previous cystitis, hypothermia of the area, deep shock or stress.

Women with a weak psyche usually react sharply to changes in any processes in their body, are pre-conceived that something should hurt them, and the subconscious itself gives rise to the formation of various unhealthy actions in the body in general and cystalgia in particular. Gynecologists say that women during menopause, or more precisely at its initial stage, become depressed due to changes in the body and often show signs of cystalgia.

Symptoms

Cystalgia

Almost all women who have experienced a strong emotional outburst suffer from cystalgia. Gynecologists have repeatedly noted that the manifestation of the main symptoms is observed during the daytime. Clinical manifestations include:

• aching bladder pain;
• irregularities in the frequency of urinary emission;
• During the process of urination, a small amount of fluid is released. To empty completely, a woman has to strain her muscles very hard. This entails some duration of pain after going to the toilet;
• pain in the perineum;
• feeling of incomplete emptying;
• discomfort in the urethra.

At the initial stage of cystalgia progression, pain occurs only during bladder emptying. But the more the inflammatory process worsens, the longer and more unreasonable the pain becomes.

Diagnosis of the disease

The diagnosis can only be made by a specialist in the field of gynecology after a thorough examination. Cystalgia is usually diagnosed after a complete refutation of other female diseases. During diagnosis, doctors pay attention to:

• presence of obstetric intervention;
• gynecological operations performed;
• the nature of sexual intercourse;
• the use of drugs that prevent pregnancy;
• disturbance in the menstruation schedule;
• possible signs of inflammatory processes in the genital organs.

Gynecologists must conduct a complete and in-depth examination of the female organs and laboratory urine tests. It is noteworthy that in patients with cystalgia there are no abnormalities in the tests.

Using X-rays and laboratory examination methods, the functioning of nearby internal organs is determined. People who are susceptible to stress or neurotic disorders additionally have conversations with a neurologist.

Particular attention is paid to the results of ultrasound of the uterus and pelvic organs.

Treatment

The treatment of cystalgia does not mean a step-by-step, but an extensive approach. First of all, it is necessary to eliminate the true causes that caused the disease (for example, get rid of inflammatory processes in all organs of the genitourinary system), and only then symptomatic therapy is carried out. Women are prescribed consultations with a psychologist. In addition, treatment consists of:

• prescribing a strengthening exercise program;
• taking medications and painkillers that can only be prescribed by the attending physician;
• taking vitamin complexes;
• specialized dietary nutrition. Gynecologists categorically prohibit women from consuming alcoholic beverages and spicy foods during illness, even in the smallest quantities. It is recommended to ensure that the body is not exposed to cooling;
• an important point of treatment is to avoid frequent changes of sexual partners;
• in cases of high levels of psychological stress, women are prescribed activity-enhancing drugs and a relaxation method such as yoga.

Treatment of cystalgia can be carried out not only with the help of medical intervention, but also with folk remedies:

• To get rid of psychological stress, you can use various herbal decoctions, which will include mint, hops, valerian, and lemon balm. These products are very simple to prepare. You just need to pour boiling water over a small pinch of herbs or a mixture of herbs, leave for about an hour and take half a glass of tincture before each meal;
• To reduce painful symptoms, oregano is brewed.

It is worth remembering that folk remedies will only help with the initial symptoms of cystalgia. If pain accompanies a woman not only when visiting the toilet, she should immediately consult a doctor for a proper examination and monitoring of the course of the disease. Self-treatment of cystalgia is prohibited.

Disease prevention

In order to prevent the appearance of cystalgia in women aged 18 to 50 years, you need to adhere to the following recommendations:

• correct and timely treatment of inflammatory processes of the female genital organs. Self-medication is strictly prohibited, as this can lead to additional complications;
• carefully monitor your own diet, which should contain nutrients and vitamins;
• lead a healthy lifestyle and preferably completely get rid of bad habits;
• manage time wisely, clearly separate professional activities and household responsibilities, leave enough time for rest and proper sleep;
• independently monitor the hormonal levels of the body;
• If possible, try to protect yourself from stressful situations and minimize communication with unpleasant people.

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Source: https://SimptoMer.ru/bolezni/zhenskie-zabolevaniya/1426-tsistalgiya-simptomy

Cystalgia (vesical neurosis, genital-vesical dysfunction, unstable bladder)

Today, much in the development of this urological disease still remains unclear, but, nevertheless, scientists have identified a number of factors that will play an important role in its development.

Reasons that can trigger the onset of cystalgia:

• the presence of certain gynecological diseases in a woman. In approximately 40% of such patients, the presence of cystalgia is also determined, especially if there is prolapse of the vaginal walls, the presence of tumor and inflammatory diseases of the pelvic organs;
• the presence of ovarian dysfunction, in approximately 68% of cases this is hypoestrogenemia, which as a result can provoke metaplasia (transformation) of the bladder epithelium, which will manifest itself as a certain violation of its basic functions. Most often, this phenomenon occurs if there is a disturbance in the menstrual cycle, as well as during menopause, during pregnancy, in the presence of hormonal changes occurring in the body;
• the presence of certain mental factors, which include conflicts and sexual dissatisfaction. In this case, the disease will be called psychosomatic cystitis;
• allergic mood of the body - for example, in a certain category of patients, as a result of taking a variety of dairy products, severe allergic swelling of the bladder neck occurs;
• impaired blood circulation and lymph drainage in the bladder area;
• imbalance of sex hormones, especially with a lack of estrogen;
• abortion;
• pelvic surgery;
• neurogenic bladder dysfunctions;
• congenital structural features of the genitourinary sphere;
• in rare cases, manifestations of cystalgia are a consequence of immunosuppression, so the examination will follow a specific plan - starting with a visit to a urologist and neurologist and ending with a study of the functioning of the immune system.

Get Israeli Ministry of Health prices

In the case of cystalgia, there is initially no infectious agent or inflammation in the bladder area. Emotional, vulnerable women with an unbalanced nervous system suffer from cystalgia. They are not seasoned, pampered, perhaps under the influence of overly caring relatives.

Against the background of an unstable psychological state, any disease in the pelvic area becomes a trigger for the development of the disease. Such factors may include previously occurring acute cystitis, vaginitis, hypothermia, severe stress or shock.

All these factors cause a stagnant pathological reaction in the nervous system with excitation of nerve endings that are located in the wall of the bladder and in the urethral area. The woman begins to obsess over the sensations of discomfort in the bladder, stresses herself out, and gradually develops a fairly stable bladder dysfunction—cystalgia itself is formed.

Table of contents

• Treatment of the disease
• Diagnosis of the disease
• Prices

• Almost all women who suffer from a disease such as cystalgia develop the same type of picture, which is directly influenced by strong emotional factors.
• It is characteristic that all the main symptoms appear, most often, during the daytime.
• Clinical manifestations:

• urination disorder;
• pain in the bladder and perineum;
• discomfort in the urethra.

Pain in the perineum and in the suprapubic region is usually clearly localized, radiating to the iliac or lumbosacral region (sometimes their localization is not clearly defined). As a rule, the pain is dull, constant, and appears during and outside the act of urination, during or after sexual intercourse; may occur without any reason and disappear after emptying the bladder.

In addition to pain, there are often urinary disorders, expressed in pollakiuria, imperative and painful urination (especially at the end of the act), and a feeling of incomplete emptying of the bladder. The disease is characterized by a long course, alternating periods of remissions and exacerbations.

Provoking factors can be cooling the body, constipation, drinking alcohol, spicy foods.

In almost all cases, the symptoms of cystalgia are not very pronounced. There is a very strong deterioration of the patient’s psyche, as well as a decrease in the standard of living as a result of unpredictable signs of the disease, which are disturbing due to their constancy. Most often, exacerbations are seasonal in nature, manifesting themselves most clearly in autumn and winter.

Manifestations may disappear and reappear after a few days or weeks, especially when provoked by stress. Examination of the bladder during cystoscopy does not reveal signs of inflammation, but there is an increase in blood filling of the vessels.

Treatment of the disease

Therapeutic therapy for a urological disease such as cystalgia should have an integrated approach. Such patients are treated by a urologist, urogynecologist, neurologist, and psychotherapist. Treatment is prescribed in accordance with diagnostic data.

First of all, after examining the patient, establishing an accurate diagnosis and determining the cause that could trigger the onset of cystalgia, all actions will be aimed directly at eliminating the causes. It is also important to eliminate all etiological factors that may influence the development of the disease.

Particular attention should be paid to the condition of the genital organs, and all inflammatory processes should be completely eliminated. Treatment of all diseases of the genitourinary system is also important.

Next, appropriate measures are taken to eliminate all the resulting congestion that manifests itself in the pelvic area.

The most commonly prescribed medications are sedative medications, as well as painkillers and antispasmodics. It is important to remember that only a doctor can prescribe medications.

If the patient himself is of reproductive age, and decreased ovarian activity has been diagnosed, then medications for cyclic hormone therapy are prescribed. In this case, substances such as estrogens and gestagens can also be used. Novocaine blockades are also prescribed, due to which the effect of medicinal substances is enhanced.

The patient is also required to take vitamin supplements. In the event that a diagnosis of cystalgia has been made to an elderly patient, estriol is quite successfully used for treatment.

To normalize disturbed circulatory processes in organs that are located directly in the pelvis, the patient is prescribed special therapeutic exercises, and various methods of thermal influence are also beneficial.

In some cases, acupuncture is also used, which significantly reduces pain symptoms, while at the same time effectively combating urinary disorders.

Today, there are a number of surgical interventions. The doctor can also prescribe a mechanical effect on damaged organs, due to which cystalgia is effectively corrected. If the doctor has diagnosed a serious violation of the venous outflow, then surgical treatment is necessary - laparoscopic ligation or endovascular intervention on the pelvic veins.

In the treatment of cystalgia, special dietary nutrition is also important.

The patient must completely eliminate all spicy foods from his diet, and also stop drinking a variety of alcoholic beverages.

Optimizing your rest and work schedule is no less important; you should avoid frequent changes of sexual partners. Only if you follow all the doctor’s recommendations, will it be possible to cure cystalgia.

Cystalgia is an independent disease that does not have a morphological substrate, occurring with crises and remissions. The disease is severe and debilitating, often accompanied by mental trauma. Treatment of patients with cystalgia is sometimes forced to be carried out in a neuropsychiatric hospital.

Diagnosis of the disease

Diagnosis is based on history and a thorough clinical examination. Cystalgia is diagnosed only after excluding other diseases of the bladder and urethra accompanied by dysuria.

Particular attention is paid to:

• for obstetric history and gynecological operations;
• on the nature of sexual relations (presence or absence of orgasm, painful intercourse), the use of contraceptives during sexual intercourse;
• collect data on menstrual function and previous diseases;
• for signs of inflammation of the genital organs, find out issues related to reproductive function.

An examination of the genital organs is mandatory. The external opening of the urethra is examined, since polyps and urethral prolapse often complicate the course of the disease. A laboratory examination of urine is carried out (the urine of patients with cystalgia does not have pathological changes).

Laboratory and X-ray radiological methods determine the function of the kidneys, upper and lower urinary tract.

Organic diseases of the bladder are excluded; for this purpose, cystoscopy and, if appropriate, other diagnostic methods (void cystoscopy, urethrocystography, ultrasound, etc.) are used.

During cystoscopy, either no changes are noted in the mucous membrane, or there is an absence of a clear pattern of the mucosa in the area of ​​the bladder triangle and the lower segment of the neck, as well as polyp-like growths on the neck of the bladder.

Patients with severe emotional neurotic disorders are consulted by a neurologist to exclude neurogenic dysfunction of the bladder, in particular, increased processes of contraction and relaxation of the detrusor and sphincters due to disruption of their innervation. In some cases, the hormonal function of the ovaries is assessed using the karyopyknotic index.

Prices

Source: https://israel-clinics.guru/diseases/cistalgija_puzyrnyj_nevroz_genital_no_puzyrnaja_disfunkcija_nestabil_nyj_mochevoj_puzyr_/