Long-term follow-up after cystectomy for bladder pain syndrome: pain status, sexual function and quality of life

Arrom, Laura Mateu; Ruiz, Cristina Gutiérrez; Ferrer, Olga Mayordomo; Barea, Virginia Martínez; Redorta, Joan Palou; Errando‐Smet, Carlos

doi:10.1007/s00345-018-2554-6

Cited by 14 publications

(15 citation statements)

References 26 publications

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“…Follow‐up was short being between 7 and 17 months and, therefore, the authors were unable to comment on long term pain‐free rates in this cohort. Another retrospective recently published series with longer‐term follow‐up (mean 107 months) also showed good outcomes in well‐selected patients . In three patients (10%) pain was seen in the postoperative period after substitution cystoplasty and none in those who had cystectomy and Ileal conduit.…”

Section: Surgerymentioning

confidence: 81%

How can we improve the diagnosis and management of bladder pain syndrome? Part 2:ICI‐RS 2018

Khullar

Digesu

Veit‐Rubin

et al. 2019

Neurourology and Urodynamics

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Background: This paper summarises the discussion in a think tank at the International Consultation on Incontinence-Research Society (ICI-RS) 2018 about the treatment of bladder pain syndrome.Aims: To review the treatments of bladder pain syndrome from behavioural treatments to surgical interventions.Materials and Methods: Review the literature in the light of the think tank discussions. Results: All guidelines recommend different levels of treatment starting with conservative behavioral treatments then introducing oral treatments followed by intravesical instillations. If these treatments fail then more invasive treatments such as botulinum toxin injections, neuromodulation, or surgery could be suggested. Conclusion: Unfortunately for all treatments, the numbers are limited and, therefore, the evidence base is not strong. Further suggestions for research are suggested.

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Section: Surgerymentioning

confidence: 81%

How can we improve the diagnosis and management of bladder pain syndrome? Part 2:ICI‐RS 2018

Khullar

Digesu

Veit‐Rubin

et al. 2019

Neurourology and Urodynamics

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“…Mateu Arrom et al 55 found cystectomy with ileal conduit led to a 100% reduction in both symptom scores and pain, whereas supratrigonal cystectomy with enterocystoplasty led to a 5% and 4% decrease in these parameters, respectively. The latter approach also led to a 52% decrease in voiding frequency.…”

Section: Resultsmentioning

confidence: 99%

“…Akiyama et al found that partial cystectomy with augmentation ileocystoplasty did not lead to statistically significant changes in symptom scores and pain 56 . Seven studies found that partial cystectomy was able to alleviate voiding frequency 54,55,57‐61 . Andersen et al 63 reported 74% of patients were free of pain.…”

Section: Resultsmentioning

confidence: 99%

Comparing surgical interventions for interstitial cystitis: A systematic review

Lastoria

Raison

Aydın

et al. 2022

LUTS

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The purpose of this review was to summarize and compare the efficacy among surgical interventions in terms of symptomatic relief in patients with interstitial cystitis/ bladder pain syndrome (IC/BPS). The review protocol was published on PROSPERO.The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020 checklist was followed. Following database search, a narrative synthesis was performed. Data pertaining symptom scores, pain levels, and voiding frequency following surgery were summarized by calculating percentage change in these parameters. Multiple surgical treatments were identified. These included injections of hyaluronic acid (HA), botulinum toxin A (Botox A), triamcinolone, resiniferatoxin (RTX), platelet-rich plasma, and 50% dimethyl sulfoxide (DMSO) solution, neuromodulation, hydrodistension (HD), resection/fulguration of Hunner lesions, resection of ilioinguinal and iliohypogastric nerves, reconstructive surgery, and cystectomy. This review found no evidence suggesting that HD and RTX injections can ameliorate IC/BPS symptoms.Current evidence suggests that sacral neuromodulation, cystectomy, and transurethral resection/fulguration of Hunner lesions could lead to symptomatic relief in IC/BPS. Further research into the efficacy of Botox A, triamcinolone, 50% DMSO solution, and HA instillations is required. However, the best treatment options cannot be reliably stated due to the low level of evidence of the studies identified. Further research should report outcomes for Hunner-type IC and BPS separately given their differing histopathological characteristics. Performing high-quality randomized controlled trials could be hindered by the low prevalence of the condition and a small proportion of patients progressing to surgery.

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“…Furthermore, persistent/recurrent pain was reported in ve (17%) of 29 patients who underwent PC-CP, compared with none (0%) of six patients who underwent TC-IC. 10 Meanwhile, several studies have found that PC-CP has modest success rates in patients with refractory IC/BPS. 11 12 13 For example, PC-CP had a success rate of 80% in 40 patients with HIC, with ve patients requiring CIC during a median follow-up of 12.0 months.…”

Section: Discussionmentioning

confidence: 99%

Cystectomy for patients with Hunner‐type interstitial cystitis at a tertiary referral center in Japan

Akiyama

Niimi

Igawa

et al. 2021

LUTS

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Cystectomy is an ultimate treatment option for patients with end-stage Hunner-type interstitial cystitis (HIC). However, pertinent information regarding this procedure such as optimal candidate selection, surgical procedures, possible complications, and treatment prognosis, is limited owing to its extremely low prevalence. We report outcomes of 17 cystectomies for end-stage HIC patients at a tertiary referral center in Japan over a period of 20 years, including partial cystectomy with augmentation ileocystoplasty (PC-CP, 4) and total cystectomy with ileal conduit (TC-IC, 13). Postoperative events including changes in symptoms and quality of life (QOL), related complications, and overall satisfaction were examined. Pain persisted in three PC-CP patients while completely resolved in all TC-IC patients. QOL improved signi cantly in TC-IC but not in PC-CP patients. Two PC-CP patients required clean intermittent catheterization due to voiding dysfunction. Two TC-IC patients developed stricture of ureteroileal anastomosis, resulting in permanent placement of a ureteral stent or nephrostomy. Satisfaction rate was signi cantly higher in TC-IC than in PC-CP patients (76.9% vs 25.0%, p<0.05). Despite the limited number of cases, this study demonstrates that TC-IC provides highly reliable pain relief and improves QOL in end-stage HIC patients. ¶ Classi ed using the Society for Fetal Urology ultrasound grading system of hydronephrosis (ref. 19).

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Long-term follow-up after cystectomy for bladder pain syndrome: pain status, sexual function and quality of life

Cited by 14 publications

References 26 publications

How can we improve the diagnosis and management of bladder pain syndrome? Part 2:ICI‐RS 2018

How can we improve the diagnosis and management of bladder pain syndrome? Part 2:ICI‐RS 2018

Comparing surgical interventions for interstitial cystitis: A systematic review

Cystectomy for patients with Hunner‐type interstitial cystitis at a tertiary referral center in Japan

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