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Surgical Therapy of Bladder Pain Syndrome

  • Tomohiro UedaEmail author
  • Jørgen Nordling
  • Ralph Peeker
  • Magnus Fall
Chapter

Abstract

Endoscopic techniques have been used extensively, however with mixed results, but are generally accepted now, when more selectively applied, taking the importance of adequate phenotyping of BPS/IC into account. Neurosurgical procedures have a decreasing role. Major surgery has an important but limited role; the various procedures are extensive and in principle irreversible for a condition that otherwise implies a very modest risk of death or life-threatening complications. Many factors must be taken into account. Apart from the more immediate problems intra- and postoperatively, there are less obvious ones like metabolic consequences [1] and the late development of cancer after incorporation of bowel into the urinary tract [2]. Since 1990 the attitude has not changed but rather been strengthened: reconstructive procedures have been and are still to be regarded as last resorts, to be used very selectively when there is nothing else with reasonable efficacy to be offered.

References

  1. 1.
    Olofsson G, Fjalling M, Kilander A, Ung K, Jonsson O. Bile acid malabsorption after continent urinary diversion with an ileal reservoir. J Urol. 1998;160(3 Pt 1):724–7.CrossRefPubMedGoogle Scholar
  2. 2.
    Ali-El-Dein B, El-Tabey N, Abdel-Latif M, Abdel-Rahim M, El-Bahnasawy M. Late uro-ileal cancer after incorporation of ileum into the urinary tract. J Urol. 2002;167(1):84–8.CrossRefPubMedGoogle Scholar
  3. 3.
    Mills R, Studer U. Metabolic consequences of continent urinary diversion. J Urol. 1999;161(4):1057–66.CrossRefPubMedGoogle Scholar
  4. 4.
    Kay R, Straffon R. Augmentation cystoplasty. Urol Clin North Am. 1986;13:295–305.PubMedGoogle Scholar
  5. 5.
    Giertz G. Interstitial cystitis: 13 patients treated operatively with intestinal bladder substitutes. Acta Chir Scand. 1966;13:436.Google Scholar
  6. 6.
    Dounis A, Gow JG. Bladder augmentation: a long-term review. Br J Urol. 1979;51:264–8.CrossRefPubMedGoogle Scholar
  7. 7.
    Peeker R, Aldenborg F, Fall M. The treatment of interstitial cystitis with supratrigonal cystectomy and ileocystoplasty: difference in outcome between classic and nonulcer disease. J Urol. 1998;159(5):1479–82.CrossRefPubMedGoogle Scholar
  8. 8.
    Fall M, Nilsson S. Volume augmentation cystoplasty and persistent urgency. Scand J Urol Nephrol. 1982;16:125–2.CrossRefPubMedGoogle Scholar
  9. 9.
    Rössberger J, Fall M, Jonsson O, Peeker R. Long-term results of reconstructive surgery in patients with bladder pain syndrome/interstitial cystitis: subtyping is imperative. Urology. 2007;70(4):638–42.CrossRefPubMedGoogle Scholar
  10. 10.
    Nielsen KK, Kromann-Andersen B, Steven K, Hald T. Failure of combined supratrigonal cystectomy and Mainz ileocecocystoplasty in intractable interstitial cystitis: is histology and mast cell count a reliable predictor for the outcome of surgery? J Urol. 1990;144(2 Pt 1):255–8.CrossRefPubMedGoogle Scholar
  11. 11.
    Kock NG, Nilson AE, Nilson LO, Norlén LJ, Philipson BM. Urinary diversion via a continent ileal reservoir: clinical results in 12 patients. J Urol. 1982;128:469–75.CrossRefPubMedGoogle Scholar
  12. 12.
    Jonsson O, Olofsson G, Lindholm E, Tornqvist H. Long-time experience with the Kock ileal reservoir for continent urinary diversion. Eur Urol. 2001;40(6):632–40.CrossRefPubMedGoogle Scholar

Copyright information

© Springer International Publishing AG 2018

Authors and Affiliations

  • Tomohiro Ueda
    • 1
    Email author
  • Jørgen Nordling
    • 2
  • Ralph Peeker
    • 3
  • Magnus Fall
    • 3
  1. 1.Ueda CinicKyotoJapan
  2. 2.Department of UrologyHerlev HospitalHerlevDenmark
  3. 3.Department of Urology, Institute of Clinical SciencesSahlgrenska Academy at the University of GothenburgGöteborgSweden

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