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Dilemmas in Diagnosing Pelvic Pain: Multiple Pelvic Surgeries Common in Women with Interstitial Cystitis - Abstract Show Comments PDF Print E-mail
  
Friday, 19 October 2007

Department of Urology, Ministrelli Program for Urologic Research and Education (MPURE), William Beaumont Hospital, Royal Oak, MI, USA

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We determined the prevalence of pelvic surgeries in women with interstitial cystitis (IC) compared to community-based controls through responses to a survey from 215 women with IC and 823 controls. Women with IC had a statistically higher prevalence of hysterectomies (cases = 42.3%, controls = 21.4%), bladder suspensions (cases = 21.9%, controls = 5.7), pelvic or genital surgeries other than cystoscopy (cases = 26.5%, controls = 16.2%), and laparoscopic pelvic surgeries (cases = 22.8%, controls = 8.3%). Women with IC more commonly had been diagnosed with endometriosis (cases = 25.6%, controls = 9.8%) and fibroids (cases = 24.2%, controls = 16.3%). Of women with IC who had hysterectomies, 68% of the hysterectomies were done before their diagnosis of IC, and only 21% were done after their IC diagnosis. The diagnosis of IC occurred 1-5 years after hysterectomy in most cases. Women with IC have significantly more pelvic surgeries than controls. The majority of these surgeries were done before the diagnosis of IC and may be performed for pain related to undiagnosed IC

Written by
Ingber MS, Peters KM, Killinger KA, Carrico DJ, Ibrahim IA, Diokno AC

Reference
Int Urogynecol J Pelvic Floor Dysfunct. 2007 Sep 18; [Epub ahead of print]
doi:10.1007/s00192-007-0453-2

PubMed Abstract
PMID:17876490

UroToday.com Painful Bladder Syndrome Section

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