Evidence mapPaperPMID 41104643Full record

ArticleNeurourology and urodynamics2026

Correlates of Positive Response to Therapeutic Hydrodistension in Interstitial Cystitis/Bladder Pain Syndrome.

Dylan T Wolff, Carl D Langefeld, Julie T Call, Gopal Badlani, Robert J Evans, Stephen J Walker

Abstract read
In one paragraph

Article in Neurourology and urodynamics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Dylan T WolffDepartment of Urology, Wake Forest School of Medicine, Winston-Salem, North Carolina, USA.
Carl D LangefeldDepartment of Biostatistics, Wake Forest School of Medicine, Winston-Salem, North Carolina, USA.
Julie T CallDepartment of Biostatistics, Wake Forest School of Medicine, Winston-Salem, North Carolina, USA.
Gopal BadlaniDepartment of Urology, Wake Forest School of Medicine, Winston-Salem, North Carolina, USA.ORCID https://orcid.org/0000-0002-3158-8092
Robert J EvansDepartment of Urology, Wake Forest School of Medicine, Winston-Salem, North Carolina, USA.
Stephen J WalkerDepartment of Urology, Wake Forest School of Medicine, Winston-Salem, North Carolina, USA.

Funding

MAPP Research NetworkU01DK082316 · NIDDK · UNIVERSITY OF PENNSYLVANIA · PI LANDIS, J RICHARD · 2008 to 2018
$17.2M
Molecular Characterization Of A Large Cross-Sectional And Longitudinal Collection of Patients To Investigate Disease Progression in IC/BPSR01DK124599 · NIDDK · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI WALKER, STEPHEN · 2020 to 2022
$698k
NIDDK NIH HHS R01 DK124599NIDDK NIH HHS U01 DK082316This study was supported by NIDDK 1R01DK124599-01 (SJW); 5U01DK082316-08 Multidisciplinary Approach to Pelvic Pain (MAPP) Network Ancillary Study Award (SJW).
6 · The paper itself

Abstract

aimsThe objective of this study was to assess the duration and clinical correlates of positive response in interstitial cystitis/bladder pain syndrome patients undergoing therapeutic bladder hydrodistension (HOD) or HOD with electrofulguration (for those with Hunner lesions).

methodsOne hundred and twenty four women were enrolled in this prospective IRB-approved study. Participants answered a set of validated questionnaires at intake including chronic overlapping pain conditions (COPCs), brief pain index (BPI), and IC/BPS symptomatic questionnaires. These were repeated at 1, 2-, 3-, 6-, and 12-months posttreatment, together with a global response assessment (GRA). The primary outcome measure was the GRA score. A secondary analysis of patients who were strong responders to treatment was used to identify clinical correlates of positive response.

resultsAt 1-month post-HOD, 62 patients (53.9%) were responders (i.e., reported persistent positive response to treatment). Further, 21/49 (42.9%) respondents continued to report a positive response at 12 months. Logistic regression analyses identified several correlates of strong response to therapy including absence of Huynner lesions (odds ratio (OR) = 3.629), lack of diagnosis of fibromyalgia (OR = 0.31), lower number of total sites of pain on BPI pain map (OR = 0.91), fewer total number of COPCs (OR = 0.36), and lower complex medical symptom inventory scale (CMSI; OR = 0.91). After false discovery rate correction, only the CMSI remained statistically significant.

conclusionsTherapeutic hydrodistension results in a clinically meaningful and sustained improvement in associated symptoms and pain for many patients. However, having higher scores on markers of a widespread pain/non-bladder centric phenotype was associated with a lower treatment success rate.

Indexed as

Cystitis, InterstitialUrinary BladderAdultAgedDilatationFemaleHumansMiddle AgedPain MeasurementProspective StudiesSurveys and QuestionnairesTime FactorsTreatment Outcomehydrodistensioninterstitial cystitisinterstitial cystitis/bladder pain syndromeurologic chronic pelvic pain syndromewidespread pain

Identifiers

PMID41104643
PMCPMC12748011

What Socratic holds

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.