Pelvic pain and surgeries in women before interstitial cystitis/painful bladder syndrome.
Am J Obstet Gynecol
; 202(3): 286.e1-6, 2010 Mar.
Article
en En
| MEDLINE
| ID: mdl-20022588
ABSTRACT
OBJECTIVE:
The objective of the study was to compare subjects with interstitial cystitis/painful bladder syndrome (IC/PBS) with controls on prior surgeries. STUDYDESIGN:
IC/PBS subjects were compared with matched controls on surgeries and possible surgical indications prior to their index dates.RESULTS:
Adjusted for demographic variables, logistic regression showed subjects exceeded controls in surgeries longer than 12 months and less than 1 month before the index date. However, addition of possible surgical indications showed chronic pelvic pain (CPP) to have a strong association with IC/PBS, whereas associations with surgeries were reduced to nonsignificance.CONCLUSION:
Although women with IC/PBS were more likely to have experienced prior surgeries than controls, the apparent indications for surgeries, not the surgeries themselves, were stronger risk factors for IC/PBS. In particular, a prior history of CPP had a strong association with IC/PBS. Several features of study design, including extensive medical record review, suggest that prior CPP was not undiagnosed IC/PBS. Further investigation of CPP may yield insight into the pathogenesis of IC/PBS.
Texto completo:
1
Bases de datos:
MEDLINE
Asunto principal:
Procedimientos Quirúrgicos Ginecológicos
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Procedimientos Quirúrgicos Urológicos
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Dolor Pélvico
/
Cistitis Intersticial
Tipo de estudio:
Etiology_studies
/
Observational_studies
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Prognostic_studies
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Risk_factors_studies
Límite:
Adult
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Female
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Humans
Idioma:
En
Revista:
Am J Obstet Gynecol
Año:
2010
Tipo del documento:
Article
País de afiliación:
Estados Unidos