How are we going to make progress treating bladder pain syndrome? ICI-RS 2013

Authors

  • Anna Malykhina,

    1. Division of Urology, Department of Surgery, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania
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  • Philip Hanno

    Corresponding author
    1. Division of Urology, Department of Surgery, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania
    • Correspondence to: Philip Hanno, MD, MPH, Division of Urology, Department of Surgery, University of Pennsylvania School of Medicine, 3 West Perelman, 3400 Civic Center Blvd, Philadelphia, PA 19104. E-mail: hannop@uphs.upenn.edu

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  • Christopher Chapple led the peer-review process as the Associate Editor responsible for the paper.
  • Conflict of interest: none.

Abstract

Aims

To look at the current state of knowledge in bladder pain syndrome and ascertain how we can make advances in the near term.

Methods

A compendium of the ideas presented at the International Consultation on Incontinence Research Society 2013 meeting of clinicians and basic scientists.

Results

The meeting included the following topics: potential connection between defined and undefined IC/BPS; association between psychiatric disorders and IC/BPS; rationale for multimodal therapy approach in IC/BPS; and issues of a placebo control in human studies.

Conclusions

Translational research studies are still in need of improved animal models to study IC/BPS mechanisms and development of novel methods to objectively measure bladder pain in rodents. The need to try and develop better clinical therapies will best be met by proper phenotyping of this heterogeneous population and avoiding premature publication of clinical trials that are anecdotal and do not include randomized placebo control populations. Patients with Hunner's lesions should be identified prior to or in the course of clinical trials so that results in this subgroup can be evaluated. Neurourol. Urodynam. 33:625–629, 2014. © 2014 Wiley Periodicals, Inc.

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