Protective properties of urothelium and possibilities of targeted pathogenetic therapy of chronic pelvic pain: sodium pentosan polysulfate


Cite item

Full Text

Open Access Open Access
Restricted Access Access granted
Restricted Access Subscription or Fee Access

Abstract

The review article is devoted to the possibilities of using targeted therapy for urothelial diseases, namely painful bladder syndrome (BPS). The protective structural components of the bladder mucosa, as well as their chemical features, are described in detail. Pentosanpolysulfate (PPS), being an oral heparinoid, can be used as part of pathogenetic therapy to restore the mucous membrane of the bladder. The efficacy and safety of this drug has been proven by us in a multicenter, randomized, double-blind, placebo-controlled trial. An additional assessment of the effectiveness and safety of the use of PPS in BPS was confirmed as part of our systematic review and meta-analysis. Thus, PPS is a pathogenetically sound tool in the treatment of patients with painful bladder syndrome

Full Text

Restricted Access

About the authors

G. R Kasyan

A.I. Evdokimov Moscow State University of Medicine and Dentistry, Ministry of Health of Russia; City Clinical Hospital n.a. S.I. Spasokukotsky, Moscow Health Department

Email: g.kasyan@outlook.com
Doctor of Medical Sciences, Professor of the Department of Urology

A. V Zaitsev

A.I. Evdokimov Moscow State University of Medicine and Dentistry, Ministry of Health of Russia

Email: zaitcevandrew@mail.ru
Doctor of Medical Sciences, Professor of the Department of Urology

K. A Baibarin

Pride-Pharma

Email: 2baibarin@gmail.com

A. E Karasev

A.I. Evdokimov Moscow State University of Medicine and Dentistry, Ministry of Health of Russia

Email: alex-10k@mail.ru
Resident of the Department of Urology

D. Yu Pushkar

A.I. Evdokimov Moscow State University of Medicine and Dentistry, Ministry of Health of Russia; City Clinical Hospital n.a. S.I. Spasokukotsky, Moscow Health Department

Email: pushkardm@mail.ru
Honored Scientist of the Russian Federation, Chief Urologist of the Ministry of Health of the Russian Federation, Academician of the Russian Academy of Sciences, professor, doctor of medical sciences. Head of the Department of Urology

References

  1. Leppilahti M., Sairanen J., Tammela T.L., Aaltomaa S., Lehtoranta K., Auvinen A. Finnish Interstitial Cystitis-Pelvic Pain Syndrome Study Group. Prevalence of clinically confirmed interstitial cystitis in women: a population based study in Finland. J. Urol. 2005;174(2):581-583. doi: 10.1097/01.ju.0000165452.39125.98. PMID: 16006902.
  2. Зайцев А.В., Пушкарь Д.Ю., Корсунская И.Л., Ковылина М.В., Цыбуля О.А. Современные аспекты диагностики и лечения синдрома болезненного мочевого пузыря/интерстициального цистита. РМЖ. 2010;18(17):1084-1089
  3. Fall M., Baranowski A.P., Elneil S., Engeler D., Hughes J., Messelink E.J., Oberpenning F., A.C. de C. Williams. Синдром хронической тазовой боли, © Европейская ассоциация урологов, 2010, Перевод: Ю.В. Алымов, Научное редактирование: М.И. Коган. C. 28-29
  4. Sholan R.F. The results of a patomorphological analysis of the bladder wall at the interstitial cystitis or painful bladder syndrome in an experiment. Morphological newsletter. 2020;28(4):55-60. (In Russ.) https://doi.org/10.20340/mv-mn.2020.28(4):441
  5. Hanno P.M., Erickson D., Moldwin R., Faraday M.M. American Urological Association. Diagnosis and treatment of interstitial cystitis/bladder pain syndrome: AUA guideline amendment. J. Urol. 2015;193(5): 1545-1553. doi: 10.1016/j.juro.2015.01.086. Epub 2015 Jan 23. PMID: 25623737.
  6. Buffington C.A. Comorbidity of interstitial cystitis with other unexplained clinical conditions. J. Urol. 2004;172(4 Pt 1):1242-1248. doi: 10.1097/01. ju.0000137953.49304.6c. PMID: 15371816.
  7. Matuszewski M.A., Tupikowski K., Doiowy Z., Szymanska B., Dembowski J., Zdrojowy R. Uroplakins and their potential applications in urology. Cent European J. Urol. 2016;69(3):252-257. doi: 10.5173/ceju.2016.638. Epub 2016 Jul 8. PMID: 27729990; PMCID: PMC5057044.
  8. Cvach K., Rosamilia A. Review of intravesical therapies for bladder pain syndrome/interstitial cystitis. Transl Androl Urol. 2015 ;4(6):629-637. doi: 10.3978/j.issn.2223-4683.2015. 10.07. PMID: 26816864; PMCID: PMC4708535.
  9. Metts J.F. Interstitial cystitis: urgency and frequency syndrome. Am Fam Physician. 2001;64(7):1199-1206. PMID: 11601802.
  10. Parsons C.L., Stauffer C., Schmidt J.D. Bladder-surface glycosaminoglycans: an efficient mechanism of environmental adaptation. Science. 1980;208(4444):605-607. doi: 10.1126/science.6154316. PMID: 6154316.
  11. Teichman J.M. The role of pentosan polysulfate in treatment approaches for interstitial cystitis. Rev Urol. 2002;4Suppl 1(Suppl 1):S21-27. PMID: 16986030; PMCID: PMC1476002.
  12. Jane M. Meijlink. International painful bladder foundation, Interstitial Cystitis/Bladder Pain Syndrome, Interstitial Cystitis, Bladder Pain Syndrome, Hypersensitive Bladder, Hunner Lesion Disease Chronic Pelvic Pain, Associated Disorders An overview of Diagnosis & Treatment, October, 2019.
  13. Лоран О.Б., Синякова Л.А., Косова И.В. Медикаментозное лечение интерстициального цистита Медицинский совет. 2008;1-2: 20-26
  14. Kasyan G., Kupriyanov Y., Karasev A., Baibarin K., Pushkar D. Safety and efficacy of pentosan polysulfate in patients with bladder pain syndrome/interstitial cystitis: a multicenter, double-blind, placebo-controlled, randomized study. Cent European J. Urol. 2021;74(2):201-207. doi: 10.5173/ceju.2021.0340.R1. Epub 2021 May 7. PMID: 34336239; PMCID: PMC8318027.
  15. Grigoryan B., Kasyan G., Pivazyan L., Pushkar D. Pentosan polysulfate in patients with bladder pain syndrome/interstitial cystitis with Hunner’s lesions or glomerulations: systematic review and meta-analysis. Ther Adv Urol. 2022;14:17562872221102809. doi: 10.1177/17562872221102809. PMID: 35677571; PMCID: PMC9168945.
  16. Зайцев А.В., Шаров М.Н., Ибрагимов Р.А., Нахрапов Д.И., Пушкарь Д.Ю. Синдром болезненного мочевого пузыря/интерстициальный цистит: современные подходы к диагностике и лечению. Врач скорой помощи. 2018;8:16-26

Supplementary files

Supplementary Files
Action
1. JATS XML

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies