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[Bladder Pain Syndrome Associated with Detrusor Underactivity and Bladder Outlet Obstruction : A Case Report]
Nodoka Kozen1, Yuki Kyoda1, Kohei Hashimoto1
1The Department of Urology, Sapporo Medical University.
Hinyokika Kiyo. Acta Urologica Japonica
|May 1, 2026
Summary
Clean intermittent catheterization (CIC) effectively managed bladder pain syndrome (BPS) in a patient with reduced bladder capacity and voiding pain. Symptoms recurred upon discontinuation, highlighting CIC
Area of Science:
- Urology
- Nephrology
Background:
- Bladder Pain Syndrome (BPS) presents with chronic bladder pain and urinary symptoms.
- Diagnostic challenges exist in BPS, particularly without Hunner's lesions.
Purpose of the Study:
- To report a case of BPS managed with clean intermittent catheterization (CIC).
- To highlight the utility of pressure-flow studies (PFS) in diagnosing BPS.
Main Methods:
- A 26-year-old female patient with chronic urinary frequency and worsening bladder pain was evaluated.
- Diagnostic tools included cystoscopy, voiding diary, bladder hydrodistension, and pressure-flow study (PFS).
- Treatment involved clean intermittent catheterization (CIC).
Main Results:
- PFS revealed reduced detrusor contractility and significant voiding pain.
- CIC provided symptomatic improvement, with pain recurrence upon discontinuation.
- The patient continued CIC for over two years.
Conclusions:
- Pressure-flow study (PFS) is valuable for diagnosing BPS.
- Clean intermittent catheterization (CIC) can be an effective management strategy for select BPS patients with voiding pain and reduced bladder capacity.
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