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Urodynamic testing and interstitial cystitis/painful bladder syndrome |
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| Authors: | Deeptha N. Sastry Krystal M. Hunter Kristene E. Whitmore |
| Affiliation: | 1. Robert-Wood Johnson Medical School, Cooper University Hospital, University of Medicine and Dentistry of New Jersey, Camden, NJ, USA 3. Division of Female Pelvic Medicine and Reconstructive Surgery, Robert-Wood Johnson Medical School, Cooper University Hospital, University of Medicine and Dentistry of New Jersey, Camden, NJ, USA 2. Drexel University College of Medicine, Philadelphia, PA, USA |
| Abstract: | Introduction and hypothesisThe objective of this study is to evaluate the relationship between symptom severity in interstitial cystitis/painful bladder syndrome, urodynamic testing (UDT), and cystoscopy.MethodsCharts of subjects who underwent cystoscopy and bladder overdistention (BOD) from January 2006 to July 2007 were reviewed for data points, questionnaires, UDT, and BOD findings. The independent T test and Mann–Whitney U test were performed between questionnaires, urodynamic data, and cystoscopic findings.ResultsSignificantly lower volumes on all UDT parameters and higher scores on the interstitial cystitis problem index and pain Likert scale were found in subjects who felt pain with filling on UDT. Significantly lower median volumes for certain urodynamic parameters were found in subjects with high pain Likert scores and O'leary–Sant indices and those with grade 3 glomerulations and anesthetic bladder capacities of less than 600 mL on BOD.ConclusionUDT may be a useful adjunctive test in the evaluation of patients with irritative voiding symptoms. |
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