Abstract
Aim of the study was to evaluate the available literature on the likelihood of success of urinary diversions with or without cystectomy in patients with bladder pain syndrome/interstitial cystitis. Three reviews were found, zero randomized trials. In the 21 selected case series 475 patients were included. The success rate of urinary diversion was 81%. Predictors for success (presence of Hunner’s lesion and small bladder capacity) could not be confirmed due to heterogeneity of the studies. Urinary diversion in combination with removal of the bladder increased the chance of success in 96% of cases if combined with cystectomy, in 75% after partial cystectomy and in 79% after urinary deviation without cystectomy. It can be concluded that hard scientific evidence for or against a urinary diversion in BPS/interstitial cystitis is not available, because the (pretty good) results in the case series are to be be considered in the light of (inclusion) bias. Therefore, therapeutic choices should still be made on an individual bases.
| Translated title of the contribution | Cystectomy and urinary diversion in interstitial bladder abnormalities |
|---|---|
| Original language | Dutch |
| Pages (from-to) | 65-70 |
| Number of pages | 6 |
| Journal | Tijdschrift voor Urologie |
| Volume | 13 |
| Issue number | 2-3 |
| Early online date | 2023 |
| DOIs | |
| Publication status | Published - Mar 2023 |
Keywords
- bladder pain syndrome
- cystectomy
- interstitial cystitis
- urinary diversion