Book contents
- Management of Chronic Pelvic Pain
- Management of Chronic Pelvic Pain
- Copyright page
- Contents
- Contributors
- Foreword
- Chapter 1 Introduction to Chronic Pelvic Pain
- Chapter 2 Neurobiological Basis of Pelvic Pain
- Chapter 3 History and Evaluation of Patients with Chronic Pelvic Pain
- Chapter 4 Psychological Assessment of a Female Patient with Chronic Pelvic Pain
- Chapter 5 Musculoskeletal Assessment for Patients with Pelvic Pain
- Chapter 6 Pharmacological Management of Patients with Pelvic Pain
- Chapter 7 Evidence for Surgery for Pelvic Pain
- Chapter 8 Pelvic Pain Arising from Endometriosis
- Chapter 9 Bladder Pain Syndrome
- Chapter 10 Pelvic Pain Arising from Pelvic Congestion Syndrome
- Chapter 11 Irritable Bowel Syndrome
- Chapter 12 Vulvodynia
- Chapter 13 Pelvic Pain Arising from Adhesive Disease
- Chapter 14 Pelvic Pain Arising from Ovarian Remnant Syndrome
- Chapter 15 Pudendal Neuralgia
- Chapter 16 Other Peripheral Pelvic Neuralgias
- Chapter 17 Chronic Pain After Gynecological Surgery
- Chapter 18 Pain Arising from Pelvic Mesh Implants
- Chapter 19 Treatment of Sexual Dysfunction Arising from Chronic Pelvic Pain
- Chapter 20 Physical Therapy Interventions for Musculoskeletal Impairments in Pelvic Pain
- Chapter 21 If Everything Else Fails
- Index
- References
Chapter 9 - Bladder Pain Syndrome
Published online by Cambridge University Press: 08 March 2021
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Book contents
- Management of Chronic Pelvic Pain
- Management of Chronic Pelvic Pain
- Copyright page
- Contents
- Contributors
- Foreword
- Chapter 1 Introduction to Chronic Pelvic Pain
- Chapter 2 Neurobiological Basis of Pelvic Pain
- Chapter 3 History and Evaluation of Patients with Chronic Pelvic Pain
- Chapter 4 Psychological Assessment of a Female Patient with Chronic Pelvic Pain
- Chapter 5 Musculoskeletal Assessment for Patients with Pelvic Pain
- Chapter 6 Pharmacological Management of Patients with Pelvic Pain
- Chapter 7 Evidence for Surgery for Pelvic Pain
- Chapter 8 Pelvic Pain Arising from Endometriosis
- Chapter 9 Bladder Pain Syndrome
- Chapter 10 Pelvic Pain Arising from Pelvic Congestion Syndrome
- Chapter 11 Irritable Bowel Syndrome
- Chapter 12 Vulvodynia
- Chapter 13 Pelvic Pain Arising from Adhesive Disease
- Chapter 14 Pelvic Pain Arising from Ovarian Remnant Syndrome
- Chapter 15 Pudendal Neuralgia
- Chapter 16 Other Peripheral Pelvic Neuralgias
- Chapter 17 Chronic Pain After Gynecological Surgery
- Chapter 18 Pain Arising from Pelvic Mesh Implants
- Chapter 19 Treatment of Sexual Dysfunction Arising from Chronic Pelvic Pain
- Chapter 20 Physical Therapy Interventions for Musculoskeletal Impairments in Pelvic Pain
- Chapter 21 If Everything Else Fails
- Index
- References
Summary
Interstitial cystitis/bladder pain syndrome (IC/BPS) is one of the evil quadruplets – diseases coexisting with endometriosis. Etiology and even the way to obtain proper diagnosis is very debatable among providers. One of the mainstays of IC/BPS is pain with full bladder, and patients with this condition urinate often because they want to avoid pain and not because they have urgency. They also always wake up at night to urinate, so if patients do not have nocturia it almost always rules out the disease. Diagnosis of IC/BPS may be done based on the symptoms but some practitioners would use potassium sensitivity test or cystoscopy with bladder hydrodistension if necessary. Treatment consists of avoiding foods that irritate the bladder and increase the pain. Oral medications such as pentosan polysulfate sodium do not seem to be as effective. Patients with IC/BPS also very often have pelvic floor muscle spasm that may be primary to the onset of bladder pain, and treatment of this spasm may be the most effective way to treat IC/BPS. Pelvic floor physical therapy and botulinum toxin A injections to pelvic floor muscles (not bladder) may be very helpful. Cystoscopy with bladder hydrodistension seems to be more effective than other treatments for IC/BPS.
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- Management of Chronic Pelvic PainA Practical Manual, pp. 98 - 111Publisher: Cambridge University PressPrint publication year: 2021
References
Hanno, P, Dmochowski, R. Status of International Consensus on Interstitial Cystitis/Bladder Pain Syndrome/Painful Bladder Syndrome: 2008 snapshot. Neurourol Urodyn. 2009;28(5):274–86. DOI: 10.1002/nauCrossRefGoogle ScholarPubMed
Bharucha, AE, Lee, TH. Anorectal and pelvic pain. Mayo Clin Proc. 2016;91(10):1471–85. DOI: 10.1037/a0038432.LatinoGoogle Scholar
Butrick, CW. Interstitial cystitis/bladder pain syndrome. Management of the pain disorder: a urogynecology perspective. Urol Clin North Am. 2012;39(3):377–87. DOI: 10.1016/j.ucl.2012.06.007Google Scholar
Jhang, J, Kuo, H. Pathomechanism of interstitial cystitis/bladder pain syndrome and mapping the heterogeneity of disease. Int Neurourol J. 2016;20(Suppl 2):S95–S104.CrossRefGoogle ScholarPubMed
Andersson, KE, Birder, L. Current pharmacologic approaches in painful bladder research: an update. Int Neurourol J. 2017;21(4):235–42. DOI: 10.5213/inj.1735022.511Google Scholar
Ottem, DP, Teichman, JMH. What is the value of cystoscopy with hydrodistension for interstitial cystitis? Urology. 2005;66(3):494–9. DOI: 10.1016/j.urology.2005.04.011Google Scholar
Hanno, PM, Burks, DA, Clemens, JQ, et al. American Urological Association (AUA) guideline: diagnosis and treatment of interstitial cystitis/bladder pain syndrome. J Urol. 2011;185(6):2162–70.Google Scholar
Akiyama, Y, Niimi, A, Nomiya, A, et al. Extent of Hunner lesions: the relationships with symptom severity and clinical parameters in Hunner type interstitial cystitis patients. Neurourol Urodyn. 2018;(August):1–7. DOI: 10.1002/nau.23467Google Scholar
Berry, SH, Elliott, MN, Suttorp, M, et al. Prevalence of symptoms of bladder pain syndrome/interstitial cystitis among adult females in the United States. J Urol. 2011;186(2):540–4. DOI: 10.1016/j.juro.2011.03.132Google Scholar
Clemens, JQ, Meenan, RT, Keeffe, MCO, Kimes, T, Calhoun, EA. Costs of interstitial cystitis in a managed care population. Urology. 2008;71(5):776–81. DOI: 10.1016/j.urology.2007.11.154.COSTSCrossRefGoogle Scholar
Mazurick, CA, Landis, JR. Evaluation of repeat daily voiding measures in the national interstitial cystitis data base study. J Urol. 2000;163(4):1208–11. DOI: 10.1016/S0022-5347(05)67725-7CrossRefGoogle ScholarPubMed
Powell, CR, Kreder, KJ. Long-term outcomes of urgency-frequency syndrome due to painful bladder syndrome treated with sacral neuromodulation and analysis of failures. J Urol. 2010;183(1):173–6. DOI: 10.1016/j.juro.2009.08.142Google Scholar
O’Leary, MP, Sant, GR, Fowler, FJ, Whitmore, KE, Spolarich-Kroll, J. The interstitial cystitis symptom index and problem index. Urology. 1997;49(5 Suppl.):58–63. DOI: 10.1016/S0090-4295(99)80333-1Google Scholar
Combaz-Söhnchen, N, Kuhn, A. A systematic review of Mycoplasma and Ureaplasma in urogynaecology. Geburtshilfe Frauenheilkd. 2017;77(12):1299–1303.Google ScholarPubMed
Kuo, Y-C, Kuo, H-C. The urodynamic characteristics and prognostic factors of patients with interstitial cystitis/bladder pain syndrome. Int J Clin Pract. 2013;67(9):863–9. DOI: 10.1111/ijcp.12116CrossRefGoogle ScholarPubMed
Butrick, C, Sanford, D, Hou, Q, Mahnken, J. Chronic pelvic pain syndromes: clinical, urodynamic, and urothelial observations. Int Urogynecol J Pelvic Floor Dysfunct. 2009;20(9):1047–53.Google Scholar
Evans, RJ, Sant, GR. Current diagnosis of interstitial cystitis: an evolving paradigm. Urology. 2007;69(Suppl. 4A):64–72. DOI: 10.1016/j.urology.2006.05.048Google Scholar
Cvach, K, Rosamilia, A. Review of intravesical therapies for bladder pain syndrome/interstitial cystitis. Transl Androl Urol. 2015;4(6):629–37. DOI: 10.3978/j.issn.2223-4683.2015.10.07Google Scholar
Laviana, A, Jellison, F, Kim, JH. Sacral neuromodulation for refractory overactive bladder, interstitial cystitis, and painful bladder syndrome. Neurosurg Clin North Am. 2014;25(1):33–46. DOI: 10.1016/j.nec.2013.08.001CrossRefGoogle ScholarPubMed