Treatment of bladder pain syndrome and interstitial cystitis: a systematic review

Autor: Julio Cesar Rosa-e-Silva, Carolina Pazin, Maria Beatriz Ferreira Gurian, Ana Paula Moreira da Silva, Omero Benedicto Poli-Neto, Andréia Moreira de Souza Mitidieri
Rok vydání: 2015
Předmět:
medicine.medical_specialty
Lidocaine
Visual analogue scale
Urology
030232 urology & nephrology
MEDLINE
Acetylcholine Release Inhibitors
Cystitis
Interstitial
Sodium Chloride
urologic and male genital diseases
computer.software_genre
law.invention
03 medical and health sciences
0302 clinical medicine
Randomized controlled trial
Adjuvants
Immunologic
law
Internal medicine
medicine
Humans
Anesthetics
Local
Botulinum Toxins
Type A
Hyaluronic Acid
Physical Therapy Modalities
Pentosan Sulfuric Polyester
Hyperbaric Oxygenation
030219 obstetrics & reproductive medicine
Massage
business.industry
Anti-Inflammatory Agents
Non-Steroidal
Obstetrics and Gynecology
Interstitial cystitis
medicine.disease
Jadad scale
Antidepressive Agents
Clinical trial
RESULTADO DE TRATAMENTO
Administration
Intravesical
Drug Therapy
Combination
Female
Data mining
business
computer
medicine.drug
Zdroj: Repositório Institucional da USP (Biblioteca Digital da Produção Intelectual)
Universidade de São Paulo (USP)
instacron:USP
ISSN: 1433-3023
Popis: Bladder pain syndrome/interstitial cystitis (BPS/IC) has various treatments; however, no standardized treatment has been established. The aim was to analyze different types of treatment of BPS/IC and their effectiveness. A literature review with a search strategy for articles related to BPS/IC published between 1990 and 2014 was conducted on MEDLINE, PUBMED, and SCOPUS. Only randomized controlled trials in women were included in the meta-analysis, while other experimental studies were used as bases for a systematic review of the topic. Clinical trial quality was defined according to the Jadad scale. Of 356 articles, 13 were included in the analysis. The intervention methods were as follows: instillation of hyaluronic acid, botulinum toxin A, intravesical lidocaine, hyperbaric chamber, massage, physiotherapy, phosphate-buffered saline, piroxicam in combination with doxepin, and others. We did not find any treatment with at least two randomized controlled trials for meta-analysis. Among the assessment tools for symptoms of BPS/IC, the most frequently used were the visual analogue scale, voiding record, and the O’Leary–Sant questionnaire. Existing studies were not able to define the best approach for the treatment of BPS/IC. The lack of standardized treatment may be related to the diversity of interventions used; therefore, further studies with better methodological quality are needed.
Databáze: OpenAIRE
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