https://doi.org/10.4081/aiua.2022.4.447

Evaluation of pain and quality of life after hyaluronic acid instillation in addition to botulinum toxin-A injection in women with refractory Interstitial Cystitis/Painful Bladder Syndrome: A pilot study

Vol. 94 No. 4 (2022)
Submitted: November 5, 2022
Accepted: November 19, 2022
Published: December 27, 2022
Painful Bladder Syndrome, Botulin toxin, Hyaluronic acid
Abstract Views: 1654
PDF: 665
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Authors

Ahmed Fayez Ghaith
dr_ahmedfayez@yahoo.com
https://orcid.org/0000-0002-9102-1821
Urology Department, Faculty of Medicine, Tanta University, Tanta, Egypt.
Mohamed Hasan Radwan
Urology Department, Faculty of Medicine, Tanta University, Tanta, Egypt.
Mohamed Rashed Taha
Urology Department, Faculty of Medicine, Tanta University, Tanta, Egypt.
Mohamed Ahmed Elbendary
Urology Department, Faculty of Medicine, Tanta University, Tanta, Egypt.
Mahmoud Elsayed Al Damhogy
Urology Department, Almogammaa Altebby Insurance Hospital, Tanta, Egypt.
Ayman Mohamed Hagras
Urology Department, Faculty of Medicine, Tanta University, Tanta, Egypt.

Objectives: The aim of this study was to assess changes in quality of life and pain alleviation in women with refractory Interstitial Cystitis/Painful Bladder syndrome following a combined intravesical injection of Botulinum Toxin-A and Hyaluronic Acid instillation versus Hyaluronic acid instillation alone.
Methods: Two groups of women with painful bladder syndrome/interstitial cystitis were randomly divided (one to one randomization). Intravesical injections of botulinum toxin-A and intravesical Hyaluronic acid were given to Group (I). Only Hyaluronic acid was instilled intravesically in Group II. Patients were given voiding diaries, a visual analogue scale for pelvic pain, the International Cystitis Symptom Index and Problem Index, the Pelvic Pain Urgency/Frequency Patient Symptom Scale, and the Patient Health Questionnaire-9 to assess the candidates' quality of life. The Student t-test and mean and standard deviation were used in statistical analysis, with p 0.05 considered as significant (IBM SPSS statistics)
Results: Thirty-four women were included in this study. The pain severity (VAS) of group (I) cases dropped dramatically from 8.5 ± 1.5 at the start to 3.9 ± 2.4 after three months and 2.9 ± 2.1 after six months. Among group (II) cases, the pain score reduced dramatically from 8.6 ± 1.3 to 5.8 ± 1.4 to 4.3 ± 2.6.
Conclusions: In patients with refractory Interstitial Cystitis/Bladder Discomfort Syndrome, Botulinum Toxin-A injection combined with Hyaluronic Acid instillation improves pelvic pain and improves quality of life.

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How to Cite

Ghaith, A. F., Radwan, M. H., Rashed Taha, M., Elbendary, M. A., Al Damhogy, M. E., & Hagras, A. M. (2022). Evaluation of pain and quality of life after hyaluronic acid instillation in addition to botulinum toxin-A injection in women with refractory Interstitial Cystitis/Painful Bladder Syndrome: A pilot study. Archivio Italiano Di Urologia E Andrologia, 94(4), 447–450. https://doi.org/10.4081/aiua.2022.4.447
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