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Symptomatic Autonomic Dysfunction in Interstitial Cystitis/Bladder Pain Syndrome.
Ritts, Rory; Wolff, Dylan; Namugosa, Mary; Hsu, Fang-Chi; Ferrara, Kaylee; Evans, Robert; Walker, Stephen J.
Afiliación
  • Wolff D; From the Department of Urology, Wake Forest University School of Medicine.
  • Hsu FC; Department of Biostatistics and Data Science, Wake Forest University School of Medicine, Winston-Salem, NC.
  • Ferrara K; Wake Forest Institute for Regenerative Medicine.
  • Evans R; From the Department of Urology, Wake Forest University School of Medicine.
Urogynecology (Phila) ; 2024 Jun 27.
Article en En | MEDLINE | ID: mdl-38954605
ABSTRACT
IMPORTANCE Interstitial cystitis/bladder pain syndrome (IC/BPS) is a highly prevalent condition with incompletely understood pathophysiology, especially in relation to the systemic symptoms experienced. The role of autonomic nervous system dysfunction in IC/BPS remains poorly understood.

OBJECTIVE:

The purpose of this study was to assess the relationship between autonomic symptom severity and clinical characteristics of patients with IC/BPS. STUDY

DESIGN:

This is a retrospective cohort study of 122 IC/BPS patients who completed the Composite Autonomic Symptoms Score (COMPASS-31) questionnaire. Data were collected on anesthetic bladder capacity (BC), Hunner lesion (HL) status, results for validated IC/BPS symptom questionnaires (O'Leary Sant Interstitial Cystitis Symptom Index and Interstitial Cystitis Problem Index (ICSI/ICPI) and the Pelvic Pain and Urgency/Frequency (PUF) scale), and comorbid nonurologic associated syndromes. Using the first quartile of COMPASS-31 scores as the cutoff, we compared patients within the first quartile (low symptom load; n = 30), to the remainder of the patients (high symptom load; n = 92).

RESULTS:

Patients scoring ≥20.36 were significantly less likely to be HL positive (10.9% vs 26.7%; P = 0.043) and had a significantly higher BC (823.10 ± 396.07 vs 635.00 ± 335.06; P = 0.027), higher scores on the PUF questionnaire (23.80 ± 4.98 vs; 19.61 ± 5.22 P < 0.001), and a higher number of nonurologic associated syndromes (5.65 ± 2.90 vs 2.60 ± 1.89; P < 0.001).

CONCLUSIONS:

Patients with IC/BPS experience widespread symptoms associated with autonomic nervous system dysfunction. A higher symptom load strongly correlates with a nonbladder-centric phenotype. These findings provide further evidence that total body nervous system dysfunction is present in patients with nonbladder centric IC/BPS.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Urogynecology (Phila) Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Urogynecology (Phila) Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos