Diagnosis and treatment of bladder pain syndrome: results of a survey of urol- ogists in the Russian Federation

Number №1, 2024 - page 17-23

DOI: https://doi.org/10.29188/2222-8543-2024-17-1-17-23

For citation: Karasev A.E., Kindarov I.Z., Pakhomova V.A., Kasyan G.R. Diagnosis and treatment of bladder pain syndrome: results of a survey of urologists in the Russian Federation. Experimental and Clinical Urology 2024;17(1):17-23; https://doi.org/10.29188/2222-8543-2024-17-1-17-23

Karasev A.E. Kindarov I.Z. Pahomova V.A. Kasyan G.R.

Information about authors:

Karasev A.E. – urologist, postgraduate student of the Department of Urology, Federal State Budgetary Educational Institution of Higher Education «Russian University of Medicine» of the Ministry of Health of Russia; Moscow, Russia; https://orcid.org/0000-0001-9552-2773
Kindarov I.Z. – clinical resident of the Department of Urology, Federal State Budgetary Educational Institution of «Higher Education Russian University of Medicine» of the Ministry of Health of Russia; Moscow, Russia; https://orcid.org/0009-0001-9033-9977
Pakhomova V.A. – 5th year student RUM Scientific and Educational Institute «Higher School of Clinical Medicine»; Moscow, Russia; https://orcid.org/0009-0006-9665-0041
Kasyan G.R. – Dr. Sci., Professor, Head of Urology Department No. 66, Moscow Urological Center, State Budgetary Healthcare Institution GKB named after. S.P. Botkin MHD; Moscow, Russia; RSCI Author ID 686514, https://orcid.org/0000-0001-7919-2217

5052

Download PDF

Introduction. Interstitial cystitis (IC) remains one of the causes of chronic pelvic pain. Current treatment methods do not allow complete control of the patient's symptoms. The lack of uniform diagnostic and treatment algorithms motivates specialists to use the recommendations of communities, which may differ from each other. The purpose of the study is to study the approaches of Russian doctors to the diagnosis and treatment of IC.

Material and methods. The Department of Urology of the Russian University of Medicine conducted an observational analytical study from 2022 to 2023: a survey of urologists in order to study the issue of diagnosis and treatment of IC in the Russian Federation. Respondents were asked 25 questions. 86 urologists took part in the survey, 57 of them fully answered all the questions asked. The survey was possible through the online platform SurveyMonkey based on the urological portal Uroweb.ru. Statistical analysis. Methods of descriptive statistics were used for the purpose of data analysis.

Results. Specialists from more than 5 regions of the Russian Federation participated in the survey. 33% (19) of the respondents would prefer to use options not recommended by large communities to treat IC. 68% (39) of the respondents reported urinary tract infection in patients with IC. 54% (31) of the respondents would prefer to use cystoscopy under local anesthesia for initial diagnosis. Cystoscopy under general anesthesia is more informative in 81% (46), biopsy is taken by 75% (43) of specialists. The most popular treatments are behavioral and non-pharmacological therapies in 74% (42), therapies aimed at repairing the bladder mucosa in 79% (45), and intravesical pharmacotherapy in 77% (44). Botulinum therapy is used by 66% (38) of specialists. Repeat surgical treatment is suggested after an average of 6-12 months, but there are no minimal intervals.

Conclusion. The problem of IC continues to remain relevant and requires not only a revision of the definition, but also improvement of approaches to diagnosis and treatment.

Attachment	Size
Download	1.23 MB

Keywords: interstitial cystitis; bladder pain syndrome; Hunner lesions

Diagnosis and treatment of bladder pain syndrome: results of a survey of urol- ogists in the Russian Federation

Other issue articles