| CASE REPORT |
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| Year : 2014 | Volume
: 30
| Issue : 3 | Page : 350-353 |
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Treatment of interstitial cystitis/painful bladder syndrome as a neuropathic pain condition
Lakshmi Vas, Manorama Pattanik, Vaishali Titarmore
Department of Neuropathic Pain, Ashirvad Institute of Pain Management and Research, Mumbai, Maharashtra, India
Correspondence Address:
Lakshmi Vas
Ashirvad Institute of Pain Management and Research, Shubh Ashirwad Building, 1st Floor, Plot No. 117, Hindu Colony, Dadar, Mumbai, Maharashtra
India
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/0970-1591.128513
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A lady of 52 years with painful bladder syndrome/interstitial cystitis (PBS/IC) presented with chronic pelvic pain, irritative voiding with sphincter dominance on urodynamics. 3 yrs of oral analgesics, antispasmodics and intravesical therapy was ineffective. We surmised her pain, and irritative voiding to be secondary to constant straining against a dysfunctional pelvic floor. We treated PBS/IC as a neuropathic phenomenon with a combination of neuromodulator medications and continuous caudal epidural analgesia to reduce the pain induced peripheral and central sensitisation. Botulinum toxin type A injection into pelvic floor muscles appeared to address their dysfuction. Clinical and urodynamics response was encouraging. |
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