Indian Journal of Urology Users online:1583  
IJU
Home Current Issue Ahead of print Editorial Board Archives Symposia Guidelines Subscriptions Login 
Print this page  Email this page Small font sizeDefault font sizeIncrease font size
CASE REPORT
Year : 2014  |  Volume : 30  |  Issue : 3  |  Page : 350-353

Treatment of interstitial cystitis/painful bladder syndrome as a neuropathic pain condition


Department of Neuropathic Pain, Ashirvad Institute of Pain Management and Research, Mumbai, Maharashtra, India

Correspondence Address:
Lakshmi Vas
Ashirvad Institute of Pain Management and Research, Shubh Ashirwad Building, 1st Floor, Plot No. 117, Hindu Colony, Dadar, Mumbai, Maharashtra
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0970-1591.128513

Rights and Permissions

A lady of 52 years with painful bladder syndrome/interstitial cystitis (PBS/IC) presented with chronic pelvic pain, irritative voiding with sphincter dominance on urodynamics. 3 yrs of oral analgesics, antispasmodics and intravesical therapy was ineffective. We surmised her pain, and irritative voiding to be secondary to constant straining against a dysfunctional pelvic floor. We treated PBS/IC as a neuropathic phenomenon with a combination of neuromodulator medications and continuous caudal epidural analgesia to reduce the pain induced peripheral and central sensitisation. Botulinum toxin type A injection into pelvic floor muscles appeared to address their dysfuction. Clinical and urodynamics response was encouraging.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed3521    
    Printed45    
    Emailed4    
    PDF Downloaded87    
    Comments [Add]    

Recommend this journal

 

HEALTHWARE INDIA