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

被引：28

作者：

Butrick, Charles W. ^{[1
]}

Sanford, Dan

Hou, Qingijiang ^{[2
]}

Mahnken, Jonathan D. ^{[2
]}

机构：

[1] Urogynecol Ctr, Overland Pk, KS 66215 USA

[2] Univ Kansas, Sch Med, Dept Biostat, Kansas City, KS USA

来源：

INTERNATIONAL UROGYNECOLOGY JOURNAL | 2009年 / 20卷 / 09期

关键词：

Bladder pain syndrome; Interstitial cystitis; Pelvic floor dysfunction; Urodynamics; Visceral pain syndrome; INTRAVESICAL POTASSIUM SENSITIVITY; INTERSTITIAL CYSTITIS; GYNECOLOGIC PATIENTS; BLADDER SYNDROME; DIAGNOSIS; WOMEN; DYSFUNCTION; PREVALENCE; THERAPY;

D O I：

10.1007/s00192-009-0897-7

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

A cohort of 408 patients with bladder pain syndrome/interstitial cystitis (BPS/IC) was evaluated, and findings were discussed in this retrospective chart review. 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"). 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.

引用

页码：1047 / 1053

页数：7

共 25 条

[21] Injuries to the levator ani in unexplained, chronic pelvic pain [J].