There was such deluge of important research presented at the recent World Congress on Abdominal and Pelvic pain that Iâm taking time to digest it and translate it into practice. Hereâs my second instalment.
If you didnât see Part 1 click here.
Thereâs much more discussion in the vlog above, here are my brief notes. Starting with the end of the BPS cluster, Mr Kenneth Peters MD presented the role of peripheral nervous system on development and management of pelvic pain.
He believes thereâs clearly two distinct populations in BPS: those with active Hunnerâs Ulcers and those without. Those with Hunnerâs Ulcers and pain/urgency symptoms (the more Type 3c, small stenotic bladder, passing small volumes at a high frequency) are the âactiveâ Hunnerâs ulcer phenotype, who tend to have less systemic pain, occur in post-menopausal women, and patients respond more readily to intensive surgical treatment. The vast majority of our BPS patients donât fit into thi
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