Literature DB >> 19458891

Chronic pelvic pain syndromes: clinical, urodynamic, and urothelial observations.

Charles W Butrick1, Dan Sanford, Qingijiang Hou, Jonathan D Mahnken.   

Abstract

INTRODUCTION/
METHODS: A cohort of 408 patients with bladder pain syndrome/interstitial cystitis (BPS/IC) was evaluated, and findings were discussed in this retrospective chart review.
RESULTS: Based on the chief complaints, they were divided into four subgroups: BPS/IC (n = 157), CPP (n = 98), vulvodynia/dyspareunia (n = 40), and "other" (n = 113). Similar findings were found in all four subgroups: complaints of voiding dysfunction (70%), dyspareunia (54%), mean PUF score of 15.9 +/- 6.4, and a positive potassium sensitivity test in 83%. Urodynamics revealed a maximal urethral pressure of 131 cm of water and an abnormal uroflow in 80%. Urothelial therapy in the form of intravesical therapeutic anesthetic cocktails provided benefit in all groups (50%, 67%, 73%, and 77% for vulvodynia, CPP, BPS/IC, "other").
CONCLUSIONS: All subgroups had similar findings and response to therapy. Five to 10% of patients with chief complaints of stress or urge incontinence or prolapse were also found to have BPS/IC.

Entities:  

Mesh:

Year:  2009        PMID: 19458891     DOI: 10.1007/s00192-009-0897-7

Source DB:  PubMed          Journal:  Int Urogynecol J Pelvic Floor Dysfunct


  22 in total

Review 1.  Diagnosis and management of dysfunctional voiding.

Authors:  Adam S Feldman; Stuart B Bauer
Journal:  Curr Opin Pediatr       Date:  2006-04       Impact factor: 2.856

2.  Gynecologic presentation of interstitial cystitis as detected by intravesical potassium sensitivity.

Authors:  C L Parsons; M Bullen; B S Kahn; E J Stanford; J J Willems
Journal:  Obstet Gynecol       Date:  2001-07       Impact factor: 7.661

3.  Etiology, pathogenesis, and diagnosis of interstitial cystitis.

Authors:  Grannum R Sant
Journal:  Rev Urol       Date:  2002

Review 4.  Urologic myofascial pain syndromes.

Authors:  Ragi Doggweiler-Wiygul
Journal:  Curr Pain Headache Rep       Date:  2004-12

Review 5.  The emerging presence of interstitial cystitis in gynecologic patients with chronic pelvic pain.

Authors:  Edward J Stanford; Jeffrey R Dell; C Lowell Parsons
Journal:  Urology       Date:  2007-04       Impact factor: 2.649

6.  Prevalence of pelvic floor dysfunction in patients with interstitial cystitis.

Authors:  Kenneth M Peters; Donna J Carrico; Scott E Kalinowski; Ibrahim A Ibrahim; Ananias C Diokno
Journal:  Urology       Date:  2007-07       Impact factor: 2.649

7.  The effect of age on lower urinary tract function: a study in women.

Authors:  Mathias H-D Pfisterer; Derek J Griffiths; Werner Schaefer; Neil M Resnick
Journal:  J Am Geriatr Soc       Date:  2006-03       Impact factor: 5.562

8.  Intravesical protamine sulfate and potassium chloride as a model for bladder hyperactivity.

Authors:  Yao-Chi Chuang; Michael B Chancellor; Satoshi Seki; Naoki Yoshimura; Pradeep Tyagi; Leaf Huang; John P Lavelle; William C De Groat; Matthew O Fraser
Journal:  Urology       Date:  2003-03       Impact factor: 2.649

9.  Urethral pressure reflectometry vs urethral pressure profilometry in women: a comparative study of reproducibility and accuracy.

Authors:  Niels Klarskov; Gunnar Lose
Journal:  BJU Int       Date:  2007-05-14       Impact factor: 5.588

10.  Diagnosing interstitial cystitis in women with chronic pelvic pain.

Authors:  Jeffrey L Clemons; Lily A Arya; Deborah L Myers
Journal:  Obstet Gynecol       Date:  2002-08       Impact factor: 7.661

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  10 in total

1.  Do guns kill people or...? The mesh dilemma.

Authors:  Charles W Butrick
Journal:  Int Urogynecol J       Date:  2010-02       Impact factor: 2.894

2.  CUA guideline: Diagnosis and treatment of interstitial cystitis/bladder pain syndrome.

Authors:  Ashley Cox; Nicole Golda; Genevieve Nadeau; J Curtis Nickel; Lesley Carr; Jacques Corcos; Joel Teichman
Journal:  Can Urol Assoc J       Date:  2016-05-12       Impact factor: 1.862

Review 3.  [Chronic pain in urology: inguinal pain, post vasectomy pain, and chronic pelvic pain].

Authors:  Enver Ozgür; Oguzhan Dagtekin
Journal:  Wien Med Wochenschr       Date:  2009

4.  Decreased nanobacteria levels and symptoms of nanobacteria-associated interstitial cystitis/painful bladder syndrome after tetracycline treatment.

Authors:  Qing-hua Zhang; Xue-cheng Shen; Zhan-song Zhou; Zhi-wen Chen; Gen-sheng Lu; Bo Song
Journal:  Int Urogynecol J       Date:  2009-09-17       Impact factor: 2.894

Review 5.  Current recommendations for bladder instillation therapy in the treatment of interstitial cystitis/bladder pain syndrome.

Authors:  Marc A Colaco; Robert J Evans
Journal:  Curr Urol Rep       Date:  2013-10       Impact factor: 3.092

6.  Prophylactic vesical instillations with 0.2% chondroitin sulfate may reduce symptoms of acute radiation cystitis in patients undergoing radiotherapy for gynecological malignancies.

Authors:  Menke H Hazewinkel; Lukas J A Stalpers; Marcel G Dijkgraaf; Jan-Paul W R Roovers
Journal:  Int Urogynecol J       Date:  2011-03-02       Impact factor: 2.894

Review 7.  The integral system.

Authors:  Peter Petros
Journal:  Cent European J Urol       Date:  2011-09-06

8.  Diagnostic Value of the Maximum Urethral Closing Pressure in Women With Overactive Bladder Symptoms and Functional Bladder Outlet Obstruction.

Authors:  Su Jin Kim; Hee Jung Choo; Hana Yoon
Journal:  Int Neurourol J       Date:  2022-02-28       Impact factor: 2.835

Review 9.  Non-Hunner's Interstitial Cystitis Is Different from Hunner's Interstitial Cystitis and May Be Curable by Uterosacral Ligament Repair.

Authors:  Klaus Goeschen; Darren M Gold; Bernhard Liedl; Alexander Yassouridis; Peter Petros
Journal:  Urol Int       Date:  2022-05-05       Impact factor: 1.934

Review 10.  Vulvodynia: a neuroinflammatory pain syndrome originating in pelvic visceral nerve plexuses due to mechanical factors.

Authors:  Jacob Bornstein; Eilam Palzur; Michael Swash; Peter Petros
Journal:  Arch Gynecol Obstet       Date:  2022-02-11       Impact factor: 2.493

  10 in total

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