[ XXXX in urology clinic: current status and problems].

@entity1 @entity1494 @entity1066 @entity158 @entity2335
PURPOSE: We examined the complications in the diagnosis and treatment of @entity2335 in daily clinical practice. MATERIALS AND METHODS: The study included 82 @entity1 who were suspected of having @entity2335 at our hospital from March 2002 to April 2013. All hydrodistention procedures were performed with the aid of an anesthesiologist, as recommended by the Ministry of Health, Labour, and Welfare since April 2010. RESULTS: Of the 82, 20 @entity1 were male and 62 were female, (mean age at diagnosis 53 years.) Six of the suspected cases did not have @entity2335 . Of the 67 @entity1 diagnosed with @entity2335 during hydrodistention, 29 (43%) did not experience @entity158 . The time taken to diagnose these asymptomatic @entity1 was longer than that taken for those who experienced @entity158 . Twenty-eight @entity1 (42%) discontinued treatment because it was ineffective. CONCLUSION: @entity2335 has been widely recognized, but general physicians are unable to provide a diagnosis and suggest aggressive treatment because of difficulty associated in the treatment and diagnosis. To resolve these issues, physicians should be keep in mind that @entity2335 involves a @entity1494 , and that some @entity1 may not experience @entity158 . Further, knowledge about @entity1066 is essential. We believe that the most important points are improving health insurance about facility criteria of hydrodistention, and evaluating behavioral modification and dietary manipulation.
