The Severity and Distribution of Nonurologic Pain and Urogenital Pain in Overactive Bladder are Intermediate Between Interstitial Cystitis and Controls
(1) To compare the severity and distribution of nonurologic and urogenital pain between overactive bladder (OAB), interstitial cystitis/bladder pain syndrome (IC/BPS) and controls, and (2) To examine the relationships between the severity of urogenital pain and severity of urinary symptoms among pat...
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| Veröffentlicht in: | Urology (Ridgewood, N.J.) N.J.), 2019-08, Vol.130, p.59-64 |
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| creator | Thu, James H.L. Vetter, Joel Lai, H. Henry |
| description | (1) To compare the severity and distribution of nonurologic and urogenital pain between overactive bladder (OAB), interstitial cystitis/bladder pain syndrome (IC/BPS) and controls, and (2) To examine the relationships between the severity of urogenital pain and severity of urinary symptoms among patients with OAB.
Fifty-one OAB patients, 27 IC/BPS patients, and 30 controls were recruited. Nonurologic pain was assessed using a whole body map and Brief Pain Inventory. Urologic pain was assessed using the Interstitial Cystitis Symptom and Problem indexes, Genitourinary Pain Index, and 0-10 pain scale. Urogenital pain was assessed using a genital map, and report of pain related to bladder filling and urination.
Among OAB patients, 6% reported pelvic pain only while 28% reported pelvic pain and beyond. 18% reported widespread pain. The distribution of nonurologic pain and urogenital pain in OAB patients were intermediate between IC/BPS and controls (IC/BPS>OAB>controls, P all |
| doi_str_mv | 10.1016/j.urology.2019.03.030 |
| format | Article |
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Fifty-one OAB patients, 27 IC/BPS patients, and 30 controls were recruited. Nonurologic pain was assessed using a whole body map and Brief Pain Inventory. Urologic pain was assessed using the Interstitial Cystitis Symptom and Problem indexes, Genitourinary Pain Index, and 0-10 pain scale. Urogenital pain was assessed using a genital map, and report of pain related to bladder filling and urination.
Among OAB patients, 6% reported pelvic pain only while 28% reported pelvic pain and beyond. 18% reported widespread pain. The distribution of nonurologic pain and urogenital pain in OAB patients were intermediate between IC/BPS and controls (IC/BPS>OAB>controls, P all <.05). The intensity of pain reported by OAB patients was intermediate between controls and IC/BPS (average 2.3 vs 0.8 vs 4.3 out of 10, P <.001). Among OAB patients, the pain severity (GUPI-pain, ICSI-pain, ICPI-pain) was positively correlated with urinary severity (UDI-6, IIQ-7, OABq-SS, OABq-QOL, P all < .05). OAB patients with pelvic pain have worse urinary symptoms and psychosocial health (anxiety, depression) compared to OAB patients without pelvic pain.
A subset of OAB patients has pain inside and/or outside the pelvis. The intensity and distribution of pain in OAB was intermediate between IC/BPS and controls. Systemic processes such as central sensitization should be examined in this population.</description><identifier>ISSN: 0090-4295</identifier><identifier>EISSN: 1527-9995</identifier><identifier>DOI: 10.1016/j.urology.2019.03.030</identifier><identifier>PMID: 31034917</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adult ; Cystitis, Interstitial - complications ; Female ; Humans ; Male ; Middle Aged ; Pain Measurement ; Pelvic Pain - epidemiology ; Pelvic Pain - etiology ; Severity of Illness Index ; Urinary Bladder, Overactive - complications ; Urinary Bladder, Overactive - diagnosis</subject><ispartof>Urology (Ridgewood, N.J.), 2019-08, Vol.130, p.59-64</ispartof><rights>2019 Elsevier Inc.</rights><rights>Copyright © 2019 Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c412t-12393cf4003acd1e0e1b770b6220768fd4df7f7f6ae961ed9f46e8d152f0edfb3</citedby><cites>FETCH-LOGICAL-c412t-12393cf4003acd1e0e1b770b6220768fd4df7f7f6ae961ed9f46e8d152f0edfb3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0090429519303735$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3536,27903,27904,65309</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31034917$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Thu, James H.L.</creatorcontrib><creatorcontrib>Vetter, Joel</creatorcontrib><creatorcontrib>Lai, H. Henry</creatorcontrib><title>The Severity and Distribution of Nonurologic Pain and Urogenital Pain in Overactive Bladder are Intermediate Between Interstitial Cystitis and Controls</title><title>Urology (Ridgewood, N.J.)</title><addtitle>Urology</addtitle><description>(1) To compare the severity and distribution of nonurologic and urogenital pain between overactive bladder (OAB), interstitial cystitis/bladder pain syndrome (IC/BPS) and controls, and (2) To examine the relationships between the severity of urogenital pain and severity of urinary symptoms among patients with OAB.
Fifty-one OAB patients, 27 IC/BPS patients, and 30 controls were recruited. Nonurologic pain was assessed using a whole body map and Brief Pain Inventory. Urologic pain was assessed using the Interstitial Cystitis Symptom and Problem indexes, Genitourinary Pain Index, and 0-10 pain scale. Urogenital pain was assessed using a genital map, and report of pain related to bladder filling and urination.
Among OAB patients, 6% reported pelvic pain only while 28% reported pelvic pain and beyond. 18% reported widespread pain. The distribution of nonurologic pain and urogenital pain in OAB patients were intermediate between IC/BPS and controls (IC/BPS>OAB>controls, P all <.05). The intensity of pain reported by OAB patients was intermediate between controls and IC/BPS (average 2.3 vs 0.8 vs 4.3 out of 10, P <.001). Among OAB patients, the pain severity (GUPI-pain, ICSI-pain, ICPI-pain) was positively correlated with urinary severity (UDI-6, IIQ-7, OABq-SS, OABq-QOL, P all < .05). OAB patients with pelvic pain have worse urinary symptoms and psychosocial health (anxiety, depression) compared to OAB patients without pelvic pain.
A subset of OAB patients has pain inside and/or outside the pelvis. The intensity and distribution of pain in OAB was intermediate between IC/BPS and controls. Systemic processes such as central sensitization should be examined in this population.</description><subject>Adult</subject><subject>Cystitis, Interstitial - complications</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Pain Measurement</subject><subject>Pelvic Pain - epidemiology</subject><subject>Pelvic Pain - etiology</subject><subject>Severity of Illness Index</subject><subject>Urinary Bladder, Overactive - complications</subject><subject>Urinary Bladder, Overactive - diagnosis</subject><issn>0090-4295</issn><issn>1527-9995</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFUV1vFCEUJUZj1-pP0MyjL7NeYJYpT0bXryZN28T2mTBwqWxmoQKzZn9J_650Z-2r4SbcXM49J5xDyFsKSwpUfNgspxTHeLdfMqByCbwWPCMLumJ9K6VcPScLAAltx-TqhLzKeQMAQoj-JTnhFHgnab8gDze_sPmJO0y-7BsdbPPF55L8MBUfQxNdcxnDrORNc619OIBuU7zD4Ise51mtq8qhTfE7bD6P2lpMjU7YnIeCaYvW61IfsPxBDPMwF198JVjvD10-EK9jKFUtvyYvnB4zvjnep-T229eb9Y_24ur7-frTRWs6ykpLGZfcuA6Aa2MpAtKh72EQjEEvzpztrOvrERqloGil6wSe2WqSA7Ru4Kfk_cx7n-LvCXNRW58NjqMOGKesGKN9J3l1rkJXM9SkmHNCp-6T3-q0VxTUYyZqo46ZqMdMFPBaUPfeHSWmoRrxtPUvhAr4OAOwfnTnMalsPAZTTUtoirLR_0fiL5K5o-k</recordid><startdate>201908</startdate><enddate>201908</enddate><creator>Thu, James H.L.</creator><creator>Vetter, Joel</creator><creator>Lai, H. Henry</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201908</creationdate><title>The Severity and Distribution of Nonurologic Pain and Urogenital Pain in Overactive Bladder are Intermediate Between Interstitial Cystitis and Controls</title><author>Thu, James H.L. ; Vetter, Joel ; Lai, H. Henry</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c412t-12393cf4003acd1e0e1b770b6220768fd4df7f7f6ae961ed9f46e8d152f0edfb3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Adult</topic><topic>Cystitis, Interstitial - complications</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Pain Measurement</topic><topic>Pelvic Pain - epidemiology</topic><topic>Pelvic Pain - etiology</topic><topic>Severity of Illness Index</topic><topic>Urinary Bladder, Overactive - complications</topic><topic>Urinary Bladder, Overactive - diagnosis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Thu, James H.L.</creatorcontrib><creatorcontrib>Vetter, Joel</creatorcontrib><creatorcontrib>Lai, H. Henry</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Urology (Ridgewood, N.J.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Thu, James H.L.</au><au>Vetter, Joel</au><au>Lai, H. Henry</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Severity and Distribution of Nonurologic Pain and Urogenital Pain in Overactive Bladder are Intermediate Between Interstitial Cystitis and Controls</atitle><jtitle>Urology (Ridgewood, N.J.)</jtitle><addtitle>Urology</addtitle><date>2019-08</date><risdate>2019</risdate><volume>130</volume><spage>59</spage><epage>64</epage><pages>59-64</pages><issn>0090-4295</issn><eissn>1527-9995</eissn><abstract>(1) To compare the severity and distribution of nonurologic and urogenital pain between overactive bladder (OAB), interstitial cystitis/bladder pain syndrome (IC/BPS) and controls, and (2) To examine the relationships between the severity of urogenital pain and severity of urinary symptoms among patients with OAB.
Fifty-one OAB patients, 27 IC/BPS patients, and 30 controls were recruited. Nonurologic pain was assessed using a whole body map and Brief Pain Inventory. Urologic pain was assessed using the Interstitial Cystitis Symptom and Problem indexes, Genitourinary Pain Index, and 0-10 pain scale. Urogenital pain was assessed using a genital map, and report of pain related to bladder filling and urination.
Among OAB patients, 6% reported pelvic pain only while 28% reported pelvic pain and beyond. 18% reported widespread pain. The distribution of nonurologic pain and urogenital pain in OAB patients were intermediate between IC/BPS and controls (IC/BPS>OAB>controls, P all <.05). The intensity of pain reported by OAB patients was intermediate between controls and IC/BPS (average 2.3 vs 0.8 vs 4.3 out of 10, P <.001). Among OAB patients, the pain severity (GUPI-pain, ICSI-pain, ICPI-pain) was positively correlated with urinary severity (UDI-6, IIQ-7, OABq-SS, OABq-QOL, P all < .05). OAB patients with pelvic pain have worse urinary symptoms and psychosocial health (anxiety, depression) compared to OAB patients without pelvic pain.
A subset of OAB patients has pain inside and/or outside the pelvis. The intensity and distribution of pain in OAB was intermediate between IC/BPS and controls. Systemic processes such as central sensitization should be examined in this population.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>31034917</pmid><doi>10.1016/j.urology.2019.03.030</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Adult Cystitis, Interstitial - complications Female Humans Male Middle Aged Pain Measurement Pelvic Pain - epidemiology Pelvic Pain - etiology Severity of Illness Index Urinary Bladder, Overactive - complications Urinary Bladder, Overactive - diagnosis |
| title | The Severity and Distribution of Nonurologic Pain and Urogenital Pain in Overactive Bladder are Intermediate Between Interstitial Cystitis and Controls |
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