LUTS and Psychopathology: An Old Relation to Re-explore

Authors

  • Joana Raposo Gomes CHA - Algarve, Hospital de Portimão https://orcid.org/0000-0003-3644-7245
  • Manuel Guimarães Centro Hospitalar Universitário do Algarve; Serviço de Psiquiatria e Saúde Mental do Hospital de Portimão
  • Nuno Louro Centro Hospitalar Universitário do Porto; Serviço de Urologia, Unidade de Andrologia
  • Sara Moreira Centro Hospitalar Universitário do Porto; Serviço de Psiquiatria e Saúde Mental

DOI:

https://doi.org/10.25752/psi.15302

Keywords:

LUTS; Psicopathology; Prostatism; Psychiatry; psychosomatic

Abstract

Background: With the development of molecular and neuroimaging studies, neurobiological models converged with the psychological theories, resulting in new perspectives around the relationship between LUTS (Lower Urinary Tract Symptoms) and psychiatric pathology.

Aims: To explore the treatment and the relationship between LUTS and psychiatric pathology.

Methods: Case study of an adult male who presented with LUTS for 4 years, withno abnormal findings in the performed exams. Literature review through MEDLINE, from the year 1900 to 2018, using the keywords: LUTS; Psychopathology; Overactive Bladder;
Prostatism; Psychiatry; Psychosomatic.

Results and Conclusion: The patient was given the diagnosis of major depressive disorder with anxious distress and somatic symptom disorder, and was treated with sertraline (50mg/day) and trazodone (50mg/day). In the first re-evaluation, 1 month later, LUTS improved by 30%. At that time, sertraline was increased to 100mg/day, followed by a complete remission of LUTS and mood improvement. Psychiatrists and  Urologists should cooperate in those cases and psychotherapeutic and psychopharmacological interventions must be part of the treatment plan. 

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Published

2022-09-07

Issue

Vol. 17 No. 1&2 (2019)

Section

Case Reports

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