Articles

Functional Bladder Problems

By: and Emmanuel Chartier-Kastlerlowast

Published online: 01 July 2007

Keywords: Bladder outlet obstruction (BOO), Interstitial cystitis (IC), Painful bladder syndrome (PBS), Tamsulosin, Ultrasound, Uroflowmetry

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Abstract

Objectives

This paper summarises relevant new information on functional bladder problems presented during the “New Horizons in Urology” closed meeting, with special focus on bladder outlet obstruction (BOO) and painful bladder syndrome/interstitial cystitis (PBS/IC).

Methods

Experts in the field of functional bladder problems selected and discussed the most relevant new findings during a closed meeting in Marbella, Spain. Furthermore, the delegates’ opinions on representative clinical case studies were assessed by interactive voting. Voting results were commented on by an expert panel.

Results

Uroflowmetry and ultrasound hold promise as noninvasive tools to diagnose BOO. α1-Adrenoceptor antagonists can reduce bladder wall hypertrophy in patients with BOO. A very interesting finding for clinical practice is the evaluation of the tenderness on bladder palpation as initial screening for IC patients. Furthermore, botulinum toxin A and cyclosporine A seems promising in the treatment of patients with PBS/IC, but more data are needed to confirm these findings.

Conclusion

New data on diagnosis and treatment of patients with BOO and PBS/IC, which seem promising for daily clinical practice, were discussed during the closed meeting.

Take Home Message

This paper discusses new data on diagnosis and management of bladder outlet obstruction (BOO) and painful bladder syndrome/interstitial cystitis (PBS/IC).

Keywords: Bladder outlet obstruction (BOO), Interstitial cystitis (IC), Painful bladder syndrome (PBS), Tamsulosin, Ultrasound, Uroflowmetry.

Footnotes

Department of Urology, Hospital Pitié-Salpêtrière, University Paris VI, Boulevard de L’Hôpital 83, 75013 Paris, France

lowast Tel. +33 (1) 42177129; Fax: +33 (1) 42177160.