Chronic pelvic pain syndromes: clinical, urodynamic, and urothelial observations.
METHODS
A cohort of 408 patients with bladder pain syndrome/interstitial cystitis (BPS/IC) was evaluated, and findings were discussed in this retrospective chart review.


RESULTS
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").


CONCLUSIONS
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.
Butrick
Charles W
CW
The Urogynecology Center, 12200 West 106th Street, Overland Park, KS 66215, USA. cwbutrick@gmail.com
Sanford
Dan
D
Hou
Qingijiang
Q
Mahnken
Jonathan D
JD
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D015331:Cohort Studies; D018856:Cystitis, Interstitial / Q000150:complications* / Q000175:diagnosis*; D004414:Dyspareunia / Q000150:complications*; D005260:Female; D006801:Humans; D008875:Middle Aged; D017699:Pelvic Pain / Q000150:complications*; D012189:Retrospective Studies; D014549:Urinary Incontinence / Q000150:complications*; D055815:Young Adult