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Family Practice Vol. 5, No. 1, 24-28
© Oxford University Press 1988

research-article

Management of Cystitis: The Patient's Viewpoint

R PILL and T C O'DOWD*

Department of General Practice, University of Wales College of Medicine Cardiff, Wales

*Department of General Practice, University of Nottingham Medical School, Queens Medical Centre, Nottingham NG7 2UH, England. Correspondence to Dr O'Dowd

Pill Rand O'Dowd TC. Management of cystitis: the patient's viewpoint. Family Practice 1988; 5:24–28. Two years after a microbiological study of the urethral syndrome 32 sufferers and 26 controls were asked what they felt caused ‘cystitis’ symptoms, what they did to prevent recurrences and how they managed acute episodes. Doctors may feel that they have discharged their clinical responsibility by excluding pathogens but the patient is often confused and frustrated by the mismatch between her own ideas on causation and the paradoxical ideas of herdoctor. The findings indicated that both patient groups think in a divergent and largely non-biomedical manner about their symptoms. Medical advisers were unlikely to explore lay ideas on cystitis or reinforce self-help measures. Clinicians would be well advised to take lay ideas into account arid, where appropriate, to capitalize on them in negotiating management.


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