Treatment strategy for urinary frequency in women

• Published in: The journal of obstetrics and gynaecology research Vol. 43; no. 1; pp. 8 - 15
• Main Authors: Hsieh, Ching‐Hung, Su, Tsung‐Hsien
• Format: Journal Article Conference Proceeding
• Language: English
• Published: Australia Wiley Subscription Services, Inc 01.01.2017
• Subjects: daytime urinary frequency; Diagnosis, Differential; Differential diagnosis; Etiology; Female; frequency; Humans; lower urinary tract symptom; Pregnancy; Urinalysis; urinary frequency; Urination Disorders - diagnosis; Urination Disorders - etiology; Urination Disorders - therapy; Urine; lower urinary tract symptom; daytime urinary frequency; frequency; urinary frequency
• ISSN: 1341-8076; 1447-0756
• DOI: 10.1111/jog.13197

The purpose of this paper is to discuss the differential diagnosis of the underlying etiologies of urinary frequency and the treatment strategies for urinary frequency in women. Urinary frequency is a symptom, a sign, and a condition of uncertainty and of multifactorial cause. Common causes of urinary frequency include psychosocial, medical, sexual, urological, gynecologic, endocrine, and pharmacological in origin. Hence, treatment of symptoms and possible cures need a high‐level plan or strategy to overcome the multifactorial etiology. Proper investigation of the chief complaint, history and physical examinations, is needed to evaluate urinary frequency. Pregnancy test, wet smear, urinalysis, midstream urine culture, frequency–volume charts, cystourethroscopy, urodynamics, and genitourinary imaging are the basic routine of office investigations. These tools promote the accuracy of the differential diagnosis of the underlying cause of urinary frequency. It is then often helpful to adopt an algorithmic approach to the management of this complaint. Treatment of urinary frequency might be empirical, and it remains a clinical challenge to gynecologists. To cure the disease, it is important to listen to the patient and consider the condition in all its aspects and use proven techniques.