Stratification of Patients With Interstitial Cystitis/Bladder Pain Syndrome According to the Anatomical Bladder Capacity.
Urology
; 123: 87-92, 2019 01.
Article
em En
| MEDLINE
| ID: mdl-30170094
ABSTRACT
OBJECTIVE:
To compare the data of score symptoms (Interstitial Cystitis Problem Index, Interstitial Cystitis Symptom Index, Pelvic Pain and Urgency/Frequency Patient Symptom Scale and SF-36quality of life), voiding diaries, urodynamic studies, and cystoscopy under general anesthesia according to the anatomical bladder capacity for patients with interstitial cystitis/bladder pain syndrome (IC/BPS). MATERIAL ANDMETHOD:
Single-centre descriptive observational epidemiological study based on retrospective review of 134 patients managed for IC/BPS between January 2010 and December 2016. Patients were stratified into 2 groups according to anatomical bladder capacity measured under general anesthesia ≤400 mL (nâ¯=â¯40) and >400 mL (nâ¯=â¯94).RESULTS:
Patients with an anatomical bladder capacity less than 400 of mL presented significantly different results for voiding diary data higher total frequency (Pâ¯=â¯.0023) especially at night (P = .0008), lower functional bladder capacity (Pâ¯=â¯.0082) and lower maximum bladder capacity (Pâ¯=â¯.0001); urodynamic data earlier onset of painful urge during bladder filling (Pâ¯=â¯.0002), lower maximum bladder filling capacity (Pâ¯=â¯.0001) and lower compliance (Pâ¯=â¯.0067); and the findings of cystoscopy under general anesthesia more Hunner's lesions (Pâ¯=â¯.00013). These patients presented poorer Pelvic Pain and Urgency/Frequency Patient Symptom Scale symptom scores (Pâ¯=â¯.0176) but associated with better overall quality of life as assessed by SF-36 (Pâ¯=â¯.0295).CONCLUSION:
The anatomical bladder capacity, measured under general anesthesia, can be used objectively to define 2 distinct groups of patients with symptoms of IC/BPS.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Bexiga Urinária
/
Cistite Intersticial
Tipo de estudo:
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Aged
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Ano de publicação:
2019
Tipo de documento:
Article