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Am J Obstet Gynecol. 2010 Mar;202(3):286.e1-6. doi: 10.1016/j.ajog.2009.10.866. Epub 2009 Dec 22.

Pelvic pain and surgeries in women before interstitial cystitis/painful bladder syndrome.

Author information

1
Department of Epidemiology and Preventive Medicine, University of Maryland School of Medicine, Baltimore, MD, USA.

Abstract

OBJECTIVE:

The objective of the study was to compare subjects with interstitial cystitis/painful bladder syndrome (IC/PBS) with controls on prior surgeries.

STUDY DESIGN:

IC/PBS subjects were compared with matched controls on surgeries and possible surgical indications prior to their index dates.

RESULTS:

Adjusted for demographic variables, logistic regression showed subjects exceeded controls in surgeries longer than 12 months and less than 1 month before the index date. However, addition of possible surgical indications showed chronic pelvic pain (CPP) to have a strong association with IC/PBS, whereas associations with surgeries were reduced to nonsignificance.

CONCLUSION:

Although women with IC/PBS were more likely to have experienced prior surgeries than controls, the apparent indications for surgeries, not the surgeries themselves, were stronger risk factors for IC/PBS. In particular, a prior history of CPP had a strong association with IC/PBS. Several features of study design, including extensive medical record review, suggest that prior CPP was not undiagnosed IC/PBS. Further investigation of CPP may yield insight into the pathogenesis of IC/PBS.

PMID:
20022588
DOI:
10.1016/j.ajog.2009.10.866
[Indexed for MEDLINE]

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