Indian Journal of Urology
CASE REPORT
Year
: 2014  |  Volume : 30  |  Issue : 3  |  Page : 350--353

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


Lakshmi Vas, Manorama Pattanik, Vaishali Titarmore 
 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

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.


How to cite this article:
Vas L, Pattanik M, Titarmore V. Treatment of interstitial cystitis/painful bladder syndrome as a neuropathic pain condition.Indian J Urol 2014;30:350-353


How to cite this URL:
Vas L, Pattanik M, Titarmore V. Treatment of interstitial cystitis/painful bladder syndrome as a neuropathic pain condition. Indian J Urol [serial online] 2014 [cited 2020 Jul 14 ];30:350-353
Available from: http://www.indianjurol.com/article.asp?issn=0970-1591;year=2014;volume=30;issue=3;spage=350;epage=353;aulast=Vas;type=0