Urologic perspective of genitourinary syndrome of menopause

Andrés Augusto González-Arboleda MD, Liliana Arias-Castillo MD, Md, Mg, Ed, Herney Andrés García-Perdomo MD, MSc, EdD, PhD, FACS
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Abstract

Background

Experts define the Genitourinary Syndrome of Menopause (GSM) as a collection of signs and symptoms associated with decreased oestrogen levels. Its prevalence ranges between 13% and 87% in postmenopausal women.

Objective

We aimed to describe the main pathophysiology mechanisms of GSM affecting the lower urinary tract and the manifestations and treatment options for lower urinary tract dysfunction in GSM.

Results

Several treatments and recommendations have been proposed to enhance patients' ability to manage their symptoms, such as regular sexual activity or masturbation, to increase this physiological response and reduce the severity of GSM.

Conclusion

GSM is a multifactorial and complex syndrome that affects postmenopausal women. Impairment of urogenital structures implies diverse manifestations of genital atrophy and lower urinary tract symptoms.

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从泌尿科角度看更年期泌尿生殖系统综合征
专家将更年期泌尿生殖综合征(GSM)定义为与雌激素水平下降相关的一系列体征和症状。我们旨在描述更年期生殖泌尿综合征影响下尿路的主要病理生理机制,以及更年期生殖泌尿综合征下尿路功能障碍的表现和治疗方案。已经提出了一些治疗方法和建议,以提高患者控制症状的能力,如定期进行性活动或手淫,以增加这种生理反应,减轻更年期生殖泌尿综合征的严重程度。泌尿生殖器结构受损意味着生殖器萎缩和下尿路症状的多种表现。
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来源期刊
CiteScore
0.80
自引率
20.00%
发文量
35
审稿时长
>12 weeks
期刊介绍: International Journal of Urological Nursing is an international peer-reviewed Journal for all nurses, non-specialist and specialist, who care for individuals with urological disorders. It is relevant for nurses working in a variety of settings: inpatient care, outpatient care, ambulatory care, community care, operating departments and specialist clinics. The Journal covers the whole spectrum of urological nursing skills and knowledge. It supports the publication of local issues of relevance to a wider international community to disseminate good practice. The International Journal of Urological Nursing is clinically focused, evidence-based and welcomes contributions in the following clinical and non-clinical areas: -General Urology- Continence care- Oncology- Andrology- Stoma care- Paediatric urology- Men’s health- Uro-gynaecology- Reconstructive surgery- Clinical audit- Clinical governance- Nurse-led services- Reflective analysis- Education- Management- Research- Leadership The Journal welcomes original research papers, practice development papers and literature reviews. It also invites shorter papers such as case reports, critical commentary, reflective analysis and reports of audit, as well as contributions to regular sections such as the media reviews section. The International Journal of Urological Nursing supports the development of academic writing within the specialty and particularly welcomes papers from young researchers or practitioners who are seeking to build a publication profile.
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