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Voiding urges perceived by patients with interstitial cystitis/painful bladder syndrome
Patty Greenberg1, Jessica Brown, Teresa Yates
1Department of Medicine, University of Maryland School of Medicine, Baltimore, Maryland 21201, USA.
Neurourology and Urodynamics
|October 13, 2007
Summary
Urgency in interstitial cystitis/painful bladder syndrome (IC/PBS) often relates to pain relief, not incontinence fear. Some patients experience unique urgency sensations requiring further study.
Area of Science:
- Urology
- Pain Management
- Women's Health
Background:
- Interstitial cystitis/painful bladder syndrome (IC/PBS) is diagnosed based on symptoms.
- Urgency is a common and distressing symptom in IC/PBS.
- Understanding the nature of urgency is crucial for effective management.
Purpose of the Study:
- To investigate the relationship between the symptom of urgency and pain in women with recent-onset IC/PBS.
- To differentiate between urgency related to pain relief versus urgency related to fear of incontinence.
Main Methods:
- A case-control study was conducted to identify risk factors for IC.
- Participants completed a questionnaire assessing the perceived cause of their urge to void.
- Responses were collected using a Likert scale for agreement/disagreement.
Main Results:
- 65% of respondents linked urgency with pain relief.
- 21% linked urgency with fear of incontinence.
- 46% agreed urgency relates to pain relief but disagreed it relates to incontinence fear.
- Urgency for pain relief correlated with pain changes during bladder filling/emptying.
Conclusions:
- Two distinct types of urgency experiences are identified in women with IC/PBS.
- Urgency linked to pain relief is common and associated with bladder dynamics.
- A significant portion experiences urgency differently, warranting further investigation.
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