Bladder Dysfunction and Pain in other regions

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nyt
Posts: 1165
Joined: Sun Oct 31, 2010 3:24 am

Bladder Dysfunction and Pain in other regions

Post by nyt »

I know some on this forum suffer from bladder dysfunction and thought you might find this paper of interest. In the discussion section of the paper it suggests physiological mechanisms for how long term bladder dysfunction may result in a type of chronig pain condition and even CRPS/RSD. They don't mention IC but it seems logical to me that individuals who suffer with IC could also develop pain in other regions using the same rationale as in this paper. Below is the abstract and the paper is an attachment. I hope you guys can download the paper to read. If not PM me and I can email it to anyone who wants to read the full article.

Is there a relationship between chronic bladder dysfunction and somatic symptoms in other body regions? 1. Clinical observations

Dirk-Henrik Zermann1,2, Manabu Ishigooka1,3, Jo¨ rg Schubert2 & Richard A. Schmidt1 1Neuro-Urology Lab and Neuro-Urology Unit, Department of Urology, University of Colorado Health Science Center, Denver, CO, USA; 2Department of Urology, University Hospital, Friedrich-Schiller-University Jena, Jena, Germany; 3Department of Urology, Yamagata University Medical School, Yamagata, Japan

Abstract.
Objective: Investigation of patients with chronic bladder dysfunction regarding associated general symptoms and complaints in the cervico-facial, upper and lower extremity regions. Patients and methods: We retrospectively evaluated history, physical and special neurourological examination and urodynamic studies in 213 patients with non-neurogenic bladder dysfunction.

Results: 22 patients out of 213 patients with chronic bladder dysfunction reported reproducible associated symptoms involving the temporo-mandibular joint, the distal forearm/hand or feet and headache. There was an obvious clinical connection regarding the severity of bladder dysfunction and associated symptoms and possible relief of both by successful treatment.

Conclusion: Symptomatic lower urinary tract dysfunction may accompanied by specific muscular and or sensory disturbances in different areas of the body. These associated pathologies in patients without neurological disease can be explained by functional changes in a complex autonomic peripheral and central nervous network.
Attachments
Zermann bladder dysfunction and pain in other regions 2005.pdf
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2/07 LAVH and TOT 7/07 TOT right side removed 9/07 IL, IH and GN neuropathy 11/07 PN - Dr. Howard
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4/09 Bilateral obturator decompression surgery, BLL RSD - Dr. Howard
9/10 Removed left side TOT, botox, re-evaluate obturator nerve - Dr. Hibner
2/11 LFCN and saphenous neuralgia - Dr. Dellon 2/11 MRI with Dr. Potter - confirmed entrapment
5/11 Right side TG - Dr. Hibner 2012 Left side TG - Dr. Hibner
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