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

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.

• Authors: Charles W Butrick, Dan Sanford, Qingijiang Hou, Jonathan D Mahnken
• Journal: International urogynecology journal and pelvic floor dysfunction (Int Urogynecol J Pelvic Floor Dysfunct) Vol. 20 Issue 9 Pg. 1047-53 (Sep 2009) England
• PMID: 19458891 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)

Topics

• Adolescent
• Adult
• Aged
• Aged, 80 and over
• Cohort Studies
• Cystitis, Interstitial (complications, diagnosis)
• Dyspareunia (complications)
• Female
• Humans
• Middle Aged
• Pelvic Pain (complications)
• Retrospective Studies
• Urinary Incontinence (complications)
• Young Adult