Treatment of interstitial cystitis/painful bladder syndrome as a neuropathic pain condition
| Autor: | Vaishali Titarmore, Manorama Pattanik, Lakshmi Vas |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2014 |
| Předmět: |
medicine.medical_specialty
caudal epidural analgesia Urology Case Report Botox injection into pelvic fl oor muscles lcsh:RC870-923 Painful Bladder Syndrome Continuous caudal epidural analgesia interstitial cystitis Medicine Pelvic floor Botox injection into pelvic floor muscles business.industry Pelvic pain Interstitial cystitis medicine.disease lcsh:Diseases of the genitourinary system. Urology Peripheral medicine.anatomical_structure Anesthesia Neuropathic pain painful bladder syndrome Sphincter medicine.symptom business |
| Zdroj: | Indian Journal of Urology : IJU : Journal of the Urological Society of India Indian Journal of Urology, Vol 30, Iss 3, Pp 350-353 (2014) |
| ISSN: | 1998-3824 0970-1591 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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