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International Urogynecology Journal

, Volume 21, Issue 2, pp 157–161 | Cite as

Urodynamic testing and interstitial cystitis/painful bladder syndrome

  • Deeptha N. Sastry
  • Krystal M. Hunter
  • Kristene E. Whitmore
Original Article

Abstract

Introduction and hypothesis

The objective of this study is to evaluate the relationship between symptom severity in interstitial cystitis/painful bladder syndrome, urodynamic testing (UDT), and cystoscopy.

Methods

Charts of subjects who underwent cystoscopy and bladder overdistention (BOD) from January 2006 to July 2007 were reviewed for data points, questionnaires, UDT, and BOD findings. The independent T test and Mann–Whitney U test were performed between questionnaires, urodynamic data, and cystoscopic findings.

Results

Significantly lower volumes on all UDT parameters and higher scores on the interstitial cystitis problem index and pain Likert scale were found in subjects who felt pain with filling on UDT. Significantly lower median volumes for certain urodynamic parameters were found in subjects with high pain Likert scores and O'leary–Sant indices and those with grade 3 glomerulations and anesthetic bladder capacities of less than 600 mL on BOD.

Conclusion

UDT may be a useful adjunctive test in the evaluation of patients with irritative voiding symptoms.

Keywords

Interstitial cystitis Painful bladder syndrome Urodynamics 

Abbreviations

IC/PBS

Interstitial cystitis/painful bladder syndrome

UDT

Urodynamic testing

MCC

Maximum cystometric capacity

ICPI

Interstitial cystitis problem index

ICSI

Interstitial cystitis symptom index

Notes

Conflicts of interest

Dr. Whitmore: Consultant for Pfizer, Inc, consultant for Astellas Pharmaceutical US, Inc, Research for Boston Scientific

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Copyright information

© The International Urogynecological Association 2009

Authors and Affiliations

  • Deeptha N. Sastry
    • 1
    • 3
  • Krystal M. Hunter
    • 1
  • Kristene E. Whitmore
    • 2
  1. 1.Robert-Wood Johnson Medical School, Cooper University HospitalUniversity of Medicine and Dentistry of New JerseyCamdenUSA
  2. 2.Drexel University College of MedicinePhiladelphiaUSA
  3. 3.Division of Female Pelvic Medicine and Reconstructive Surgery, Robert-Wood Johnson Medical School, Cooper University HospitalUniversity of Medicine and Dentistry of New JerseyCamdenUSA

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