Interventional Treatments for Bladder Pain Syndrome

Daniel Gallego Vilar, Gonzalo Garcia-Fadrique, Jose Beltran-Persiva, Mateo Perez-Mestre
2018 Journal of Pain & Relief  
Patients with BPS persistent and unacceptable symptoms despite oral and/or intravesical therapy are candidates for more aggressive modalities. Many of these are best administered within the context of a clinical trial if possible. These may include: neuromodulation, intradetrusor botulinum toxin, oral cyclosporine and other anesthesic techniques. The last step in treatment is usually some type of surgical intervention aimed at increasing the functional capacities of the bladder or diverting the
more » ... er or diverting the urinary stream. In this paper a review of interventional treatment´s clinical evidence is made and shows how to improve symptoms in refractory BPS. Peters et al. [51] , in a double blind randomized study, reported a 60% improvement in efficacy when compared to 27% placebo response with good long-term results at 27 months. About 65% patients experienced burning sensation, 41% reporting irritation of the bladder, Volume 7 • Issue 5 • 1000334 treatment of refractory interstitial cystitis with intravesical hyaluronic acid. Urol Int 59: 26-29.
doi:10.4172/2167-0846.1000334 fatcat:bpfr5fjhjbga5d7q5e43z36jm4