Wada Naoki, Hatakeyama Tsubasa, Ishimaru Taichiro, Tsunekawa Ryoken, Miyauchi Kotona, Kikuchi Daiki, Kitta Takeya, Watanabe Masaki
Department of Renal and Urologic Surgery Asahikawa Medical University Asahikawa Japan.
Department of Urology Kitasaito Hospital Asahikawa Japan.
IJU Case Rep. 2025 Feb 24;8(3):210-213. doi: 10.1002/iju5.70007. eCollection 2025 May.
We present a patient with bladder pain syndrome (BPS) who underwent repeated bladder hydrodistentions.
A female patient visited our department because of refractory bladder pain. She was diagnosed with BPS; she had only mucosal bleeding after distention. Her bladder pain improved after hydrodistention; however, the symptoms flared up within a few months. She also consulted with the palliative care department and was diagnosed with chronic pain associated with alexithymia. Various drugs were administered; however, none were effective or continued because of side effects. It was also challenging for her to embrace introspective counseling. Ultimately, along with her strong desire, the hydrodistention continued every few months. Her bladder capacity was approximately 200 mL.
BPS with uncontrolled bladder pain may be a functional somatic syndrome associated with alexithymia, and interventions such as psychosomatic medicine could be necessary from the early stage.
我们报告一例患有膀胱疼痛综合征（BPS）的患者，该患者接受了多次膀胱水扩张治疗。
一名女性患者因难治性膀胱疼痛前来我院就诊。她被诊断为BPS；水扩张后仅出现黏膜出血。水扩张后她的膀胱疼痛有所改善；然而，症状在几个月内复发。她还咨询了姑息治疗科，被诊断为与述情障碍相关的慢性疼痛。使用了各种药物；然而，由于副作用，没有一种药物有效或能够持续使用。对她来说，接受内省咨询也很困难。最终，出于她强烈的意愿，每隔几个月就继续进行水扩张治疗。她的膀胱容量约为200毫升。
伴有无法控制的膀胱疼痛的BPS可能是一种与述情障碍相关的功能性躯体综合征，从早期阶段起可能就需要身心医学等干预措施。
