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https://www.readbyqxmd.com/read/28550461/a-systematic-review-of-the-literature-on-cystodistension-in-bladder-pain-syndrome
#1
Louise E Olson, James E Dyer, Ahsanul Haq, Jeremy Ockrim, Tamsin J Greenwell
INTRODUCTION AND HYPOTHESIS: There is significant variability in technique for cystodistension and an international discrepancy in the role in its treatment of bladder pain syndrome (BPS). The authors evaluate the evidence base for the use of cystodistension for BPS with particular reference to patient-related outcomes. METHODS: In accordance with the Preferred Reporting Items for Systematic Reviews and Meta-analysis statement, a prospective search and evaluation protocol was prepared and registered with the PROSPERO database (ID CRD42017053710)...
May 26, 2017: International Urogynecology Journal
https://www.readbyqxmd.com/read/28540584/-interstitial-cystitis-diagnosis-and-pharmacological-and-surgical-therapy
#2
A Gonsior, J Neuhaus, L C Horn, T Bschleipfer, J-U Stolzenburg
Interstitial cystitis/bladder pain syndrome (IC/BPS) is a chronic debilitating condition which generally has a severely negative impact on quality of life. An autoimmune genetic predisposition correlates with the theory of pathogenesis. Diagnosis requires history, diaries, physical examination, exclusion of other diseases, cystoscopy with or without hydrodistension and/or bladder biopsy. Novel biological markers are upcoming but not established. Behavioural, pharmacological oral and intravesical, interventional and surgical therapies with a wide range of reported success are available...
June 2017: Der Urologe. Ausg. A
https://www.readbyqxmd.com/read/28394416/histopathological-characteristics-of-interstitial-cystitis-bladder-pain-syndrome-without-hunner-lesion
#3
Aram Kim, Ju-Young Han, Chae-Min Ryu, Hwan Yeul Yu, Seungun Lee, YongHwan Kim, Se Un Jeong, Yong Mee Cho, Dong-Myung Shin, Myung-Soo Choo
AIMS: We aimed to assess the distinct histopathological characteristics and their clinical significance between non-Hunner and Hunner interstitial cystitis/bladder pain syndrome(IC/BPS). METHODS AND RESULTS: We prospectively enrolled and classified IC/BPS patients, based on cystoscopic findings, as non-Hunner type IC and Hunner type IC. Specimens obtained from the posterior wall in non-Hunner type IC cases during hydrodistension or from Hunner /non-Hunner lesions in Hunner type IC cases during transurethral resection were evaluated...
April 10, 2017: Histopathology
https://www.readbyqxmd.com/read/27930554/pulsed-radiofrequency-treatment-of-the-superior-hypogastric-plexus-in-an-interstitial-cystitis-patient-with-chronic-pain-and-symptoms-refractory-to-oral-and-intravesical-medications-and-bladder-hydrodistension-a-case-report
#4
Jong Hae Kim, Eugene Kim, Bong Il Kim
RATIONALE: A variety of therapeutic modalities are available for the treatment of interstitial cystitis. However, among them, the less invasive therapies are usually ineffective, whereas the invasive ones carry potential risks of serious side effects and complications. Pulsed radiofrequency (PRF) treatment of the superior hypogastric plexus may be an alternative to conventional treatments, as it provides nondestructive neuromodulation to the superior hypogastric plexus, which transmits the majority of pain signals from the pelvic viscera...
December 2016: Medicine (Baltimore)
https://www.readbyqxmd.com/read/27773360/sting-versus-hit-technique-of-endoscopic-treatment-for-vesicoureteral-reflux-a-systematic-review-and-meta-analysis
#5
REVIEW
Te-Lu Yap, Yong Chen, Shireen A Nah, Caroline Choo Phaik Ong, Anette Jacobsen, Yee Low
AIM: Our study aimed to compare the efficacy of two endoscopic techniques used for the correction of vesicoureteral reflux (VUR): subureteral transurethral injection (STING) and hydrodistension implantation technique (HIT). METHODS: A systematic review was conducted using MEDLINE, Google scholar, and Cochrane databases from 1984 to 2015. Meta-analysis of the selected studies was performed to compare the extent of reflux resolution following both techniques. RESULTS: Six observational studies met the inclusion criteria for content...
December 2016: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/27701987/efficacy-and-safety-of-bladder-hydrodistension-for-decreased-bladder-capacity-induced-by-intravesical-bcg-therapy
#6
Kazuyuki Numakura, Norihiko Tsuchiya, Hiroshi Tsuruta, Susumu Akihama, Mitsuru Saito, Takamitsu Inoue, Shintaro Narita, Mingguo Huang, Shigeru Satoh, Tomonori Habuchi
OBJECTIVE: Intravesical BCG therapy is widely used for the treatment of high-risk, non-muscle-invasive bladder cancer. Among various reported side-effects, decreased bladder capacity is a serious side-effect that significantly worsens patients' quality of life. This article reports the efficacy and safety of bladder hydrodistension (BHD) in six patients with seriously decreased bladder capacity caused by BCG treatment. METHODS: Six patients with low bladder capacity (<100 ml in voiding diaries) and complaint of grade 3 irritative symptoms were diagnosed with decreased bladder capacity and treated with BHD...
December 2016: Scandinavian Journal of Urology
https://www.readbyqxmd.com/read/26877071/hydrodistension-plus-onabotulinumtoxin-a-in-bladder-pain-syndrome-refractory-to-conservative-treatments
#7
L Lorenzo, M A Bonillo, S Arlandis, E Martínez-Cuenca, L Marzullo, E Broseta, F Boronat
INTRODUCTION: For bladder pain syndrome (BPS) refractory to conservative treatment, the European guidelines consider bladder hydrodistention (HD) under anaesthesia and the injection of Onabotulinumtoxin A (OnabotA) jointly. The objective of this study was to assess our experience in implementing this technique. MATERIAL AND METHODS: A prospective study of 25 patients with BPS who underwent HD plus a submucosal injection of 100 U of OnabotA in trigone. The Hunner lesions were treated endoscopically using resection or electrocoagulation...
June 2016: Actas Urologicas Españolas
https://www.readbyqxmd.com/read/26816859/in-what-type-of-interstitial-cystitis-bladder-pain-syndrome-is-dmso-intravesical-instillation-therapy-effective
#8
Hikaru Tomoe
BACKGROUND: Dimethylsulfoxide (DMSO) is the most-used agent for intravesical instillation. We conducted this retrospective clinical study to determine in what type of the interstitial cystitis (IC)/bladder pain syndrome (BPS) DMSO was effective. METHODS: We combined DMSO with hydrodistension in 2003 and from 2004 we performed hydrodistension alone. Hydrodistension had been performed in 7 cases of IC/BPS with Hunner's lesions (H group) and 7 cases of IC/BPS without Hunner's lesions (non-H group), and they served as the control group (C group; n=14)...
December 2015: Translational Andrology and Urology
https://www.readbyqxmd.com/read/26816847/a-survey-on-clinical-practice-of-interstitial-cystitis-in-japan
#9
Yukio Yamada, Akira Nomiya, Aya Niimi, Yasuhiko Igawa, Takaaki Ito, Hikaru Tomoe, Mineo Takei, Tomohiro Ueda, Yukio Homma
BACKGROUND: To explore the real-life practice of clinical management of interstitial cystitis (IC) in Japan. METHODS: A questionnaire on the number of IC patients, cystoscopic findings, diagnostic methods, and the treatment modalities was sent via e-mail to 114 medical institutions belonging to the Society of Interstitial Cystitis of Japan (SICJ). RESULTS: Completed questionnaires were returned from 62 institutions (20 university hospitals, 26 general hospitals and 16 clinics), with a response rate of 54%...
October 2015: Translational Andrology and Urology
https://www.readbyqxmd.com/read/26587589/hunner-type-classic-interstitial-cystitis-a-distinct-inflammatory-disorder-characterized-by-pancystitis-with-frequent-expansion-of-clonal-b-cells-and-epithelial-denudation
#10
Daichi Maeda, Yoshiyuki Akiyama, Teppei Morikawa, Akiko Kunita, Yasunori Ota, Hiroto Katoh, Aya Niimi, Akira Nomiya, Shumpei Ishikawa, Akiteru Goto, Yasuhiko Igawa, Masashi Fukayama, Yukio Homma
Interstitial cystitis (IC) is a chronic bladder disease with urinary frequency, bladder discomfort or bladder pain of unknown etiology. Based on cystoscopic findings, patients with IC are classified as either Hunner-type/classic IC (HIC), presenting with a specific Hunner lesion, or non-Hunner-type IC (NHIC), presenting with no Hunner lesion, but post-hydrodistension mucosal bleeding. Inflammatory cell infiltration, composed predominantly of lymphocytes, plasma cells and epithelial denudation, has in the past been documented as a major pathological IC finding...
2015: PloS One
https://www.readbyqxmd.com/read/26208131/hydrodistension-with-or-without-fulguration-of-hunner-lesions-for-interstitial-cystitis-long-term-outcomes-and-prognostic-predictors
#11
Aya Niimi, Akira Nomiya, Yukio Yamada, Motofumi Suzuki, Tetsuya Fujimura, Hiroshi Fukuhara, Haruki Kume, Yasuhiko Igawa, Yukio Homma
AIMS: Hydrodistension of the bladder, with optional fulguration of Hunner lesions, is one of the recommended therapies for interstitial cystitis (IC). The aims of this study are to evaluate long-term outcomes of hydrodistension and identify outcome predictors. METHODS: The study cohort was 191 newly diagnosed IC patients (155 women and 36 men) who underwent hydrodistension with fulguration of Hunner lesions if detected between 2007 and 2013 at our institution. The primary outcome was therapeutic failure, which was defined as repeat hydrodistension, bladder instillation therapy, or narcotic use for pain control...
November 2016: Neurourology and Urodynamics
https://www.readbyqxmd.com/read/26199162/clinical-outcome-of-a-prospective-case-series-of-patients-with-ketamine-cystitis-who-underwent-standardized-treatment-protocol
#12
Chi-hang Yee, Pui-tak Lai, Wai-man Lee, Yuk-him Tam, Chi-fai Ng
OBJECTIVE: To assess the outcome of a prospective cohort of patients with ketamine-associated uropathy after standardized treatment. METHODS: This is a prospective case series of patients with ketamine-related urologic problems. Management for the patients includes a 4-tier approach, namely anti-inflammatory or anti-cholinergic drugs, opioid analgesics or pregabalin, intravesical hyaluronic acid, and finally, surgical intervention including hydrodistension and augmentation cystoplasty...
August 2015: Urology
https://www.readbyqxmd.com/read/26041274/botulinum-toxin-type-a-injection-for-refractory-interstitial-cystitis-a-randomized-comparative-study-and-predictors-of-treatment-response
#13
RANDOMIZED CONTROLLED TRIAL
Yoshiyuki Akiyama, Akira Nomiya, Aya Niimi, Yukio Yamada, Tetsuya Fujimura, Tohru Nakagawa, Hiroshi Fukuhara, Haruki Kume, Yasuhiko Igawa, Yukio Homma
OBJECTIVES: To determine whether botulinum toxin type A can represent an alternative treatment option for patients with interstitial cystitis refractory to conventional therapies. METHODS: This is a single-center, prospective, open labeled, randomized comparative study. Patients with refractory interstitial cystitis were randomly divided into two groups: immediate injection (group A) or 1-month delayed injection (group B) of botulinum toxin type A after allocation...
September 2015: International Journal of Urology: Official Journal of the Japanese Urological Association
https://www.readbyqxmd.com/read/25329457/urothelial-dysfunction-and-increased-suburothelial-inflammation-of-urinary-bladder-are-involved-in-patients-with-upper-urinary-tract-urolithiasis-clinical-and-immunohistochemistry-study
#14
Yuan-Hong Jiang, Hann-Chorng Kuo
OBJECTIVES: To investigate the urothelial dysfunction and inflammation of urinary bladder in patients with upper urinary tract (UUT) urolithiasis through the results of cystoscopic hydrodistension and immunohistochemistry study. METHODS: Ninety-one patients with UUT urolithiasis underwent cystoscopic hydrodistension before the stone surgery. Immunofluorescence staining of E-cadherin, zonula occludens-1 (ZO-1), tryptase (mast cell activation), and TUNEL (urothelial apoptosis) were performed in 42 patients with glomerulations after hydrodistension, 10 without glomerulations, and 10 controls...
2014: PloS One
https://www.readbyqxmd.com/read/25028806/retrospective-study-of-endoscopic-treatment-in-children-with-primary-vesicoureteral-reflux-and-multivariate-analysis-of-factors-for-failure
#15
Yigit Akin, Hakan Gulmez, Erol Güntekin, Mehmet Baykara, Selcuk Yucel
OBJECTIVE: The aim of this study was to investigate endoscopic treatment in children with primary vesicoureteral reflux (VUR) and conduct a multivariate analysis of factors for failure. MATERIAL AND METHODS: Between August 2006 and January 2012, 216 children (32 boys and 184 girls) with primary VUR (grades I-IV) who underwent endoscopic treatment were analysed. Patients with grade V VUR were excluded. Hydrodistension tests and intraureteral injection techniques were performed, if applicable...
December 2014: Scandinavian Journal of Urology
https://www.readbyqxmd.com/read/24973060/polyomavirus-bk-a-potential-new-therapeutic-target-for-painful-bladder-syndrome-interstitial-cystitis
#16
Frank Van der Aa, Ian Beckley, Dirk de Ridder
AIMS: To investigate the role of urinary BK polyoma virus (BKPyV) in the pathophysiology and prognosis of patients with painful bladder syndrome/interstitial cystitis (PBS/IC). METHODS: Urine samples were collected from 15 patients with PBS/IC and 8 control patients (with urolithiasis, overactive bladder and benign prostatic hyperplasia). BKPyV titres were quantitatively determined using real time PCR. Fisher's exact test was used to compare virus titre levels between the two groups...
September 2014: Medical Hypotheses
https://www.readbyqxmd.com/read/24859321/multiple-hypoplastic-duplicated-urethral-hydrodistension-and-simple-end-to-end-anastomosis-to-penoscrotal-hypospadias-a-novel-technique
#17
Tina Mazaheri, Mona Vahidi Rad, Mehdi Fareghi, Abdol-Mohammad Kajbafzadeh
Complete urethral duplication is a rare congenital genitourinary anomaly with various symptoms. Since anatomical place of urethra greatly varies between cases, surgical management of the patients is personalized according to the type of the duplication and requires a careful workup before planning for any intervention. In this case report, a 4-year-old boy with finding of complete proximal hypospadiac urethral duplication is presented with double-stream voiding. He was passing a normal stream of urine through the hypospadiac tract, while a thin stream came out from the normal meatal site...
September 2014: International Urology and Nephrology
https://www.readbyqxmd.com/read/24744952/dabigatran-induced-hemorrhagic-cystitis-in-a-patient-with-painful-bladder-syndrome
#18
Helen Otteno, Erica Smith, R Keith Huffaker
An 82-year-old female presented with longstanding history of both painful bladder syndrome and atrial fibrillation. She underwent hydrodistension remarkable for hematuria without temporary discontinuation of Dabigatran. Subsequently, patient was admitted to the hospital secondary to anemia and hemorrhagic cystitis.
2014: Case Reports in Urology
https://www.readbyqxmd.com/read/24276074/a-multicentre-prospective-randomised-double-blind-study-to-measure-the-treatment-effectiveness-of-abobotulinum-a-abobtxa-among-women-with-refractory-interstitial-cystitis-bladder-pain-syndrome
#19
RANDOMIZED CONTROLLED TRIAL
Jane Manning, Peter Dwyer, Anna Rosamilia, Kim Colyvas, Christine Murray, Elizabeth Fitzgerald
INTRODUCTION AND HYPOTHESIS: To determine if abobotulinumtoxin A (AboBTXA) is an effective treatment for interstitial cystitis/bladder pain syndrome (IC/BPS). METHODS: We performed a double-blind study of 54 women with severe, refractory IC from three referral centres whom we randomly allocated to treatment with hydrodistension + injection of normal saline or to hydrodistension + injection with AboBTXA. The O'Leary-Sant questionnaire consists of problem (OLS-PI) and symptom (OLS-PI) index scores, and bladder diary data were compared between AboBTXA and control patients at baseline and at 3 months of follow-up...
May 2014: International Urogynecology Journal
https://www.readbyqxmd.com/read/24071696/-diagnosis-and-treatment-of-ketamine-associated-cystitis-a-report-of-3-cases-and-literature-review
#20
REVIEW
Liang Huang, Dongjie Li, Zhengyan Tang, Guilin Wang, Jian Ding, Kuan Luo, Ke Huang, Jie Zhou, Yonglin Li
OBJECTIVE: To determine the diagnosis, treatment, and pathogenesis of ketamine-associated cystitis. METHODS: Clinical data from 3 patients with ketamine-associated cystitis were analyzed retrospectively and discussed in light of relevant literature. RESULTS: In the 3 cases, 2 presented severe lower urinary tract symptoms, including frequency, urgency, dysuria, urge incontinence, and painful haematuria. Urinalysis and urine culture were negative...
September 2013: Zhong Nan da Xue Xue Bao. Yi Xue Ban, Journal of Central South University. Medical Sciences
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