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Sympathetic nervous system and chronic bladder pain: a new tune for an old song

Title
Sympathetic nervous system and chronic bladder pain: a new tune for an old song
Type
Another Publication in an International Scientific Journal
Year
2015
Authors
Charrua A.
(Author)
Other
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Pinto, R
(Author)
FMUP
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Birder, LA
(Author)
Other
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Francisco Cruz
(Author)
FMUP
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Journal
Vol. 4
Pages: 534-542
ISSN: 2223-4683
Other information
Authenticus ID: P-00G-WGQ
Abstract (EN): Chronic bladder pain (CBP) patients present with pelvic pain or discomfort during bladder filling, for at least a period of 6 months, which may be accompanied by lower urinary tract symptoms such as frequency, nocturia, and urgency. However, both the etiology of CBP and pathophysiological mechanisms are not well described. A number of clinical and basic animal model findings support involvement of sympathetic nervous system in chronic pain syndromes such as CBP. Examples include sympathetic overactivity and high plasma or urinary catecholamine levels that have a high correlation with nociceptive symptoms. In this review, we explored the current evidence in support of the involvement of sympathetic overactivity in CBP. As bladder inflammation often occurs among subgroups of CBP patients, we discuss the possible role of sympathetic nervous system in mastocytosis as well examples examples of animal models that further support the involvement of sympathetic dysfunction in CBP. As there is substantive evidence for cross-organ sensitization in the pelvis can lead to co-morbidity of genitourinary and gastrointestinal dysfunctions, we also include how sympathetic dysfunction may play a role in a number of co-morbid chronic pain syndromes.
Language: English
Type (Professor's evaluation): Scientific
No. of pages: 9
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Can the adrenergic system be implicated in the pathophysiology of bladder pain syndrome/interstitial cystitis? A clinical and experimental study (2015)
Article in International Scientific Journal
Charrua A.; Pinto, R; Taylor, A; Canelas, A; Ribeiro Da Silva, A; Cruz C.D.; Birder, LA; Francisco Cruz
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