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).
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.
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.
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.
Keywords: Bladder outlet obstruction (BOO), Interstitial cystitis (IC), Painful bladder syndrome (PBS), Tamsulosin, Ultrasound, Uroflowmetry.
© 2007 European Association of Urology, Published by Elsevier B.V.