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A to Z on IC Interstitial Cystitis Association August 23, 2009 1:00 PM ET Conquering IC.  Changing Lives . The goal of the forum is to offer patients an opportunity to learn more about IC treatments.  The content presented reflects the opinions of individual speakers.  1
Welcome ,[object Object],[object Object],[object Object],[object Object],2
Thanks ,[object Object],[object Object],4
Agenda Highlights ,[object Object],[object Object],[object Object],[object Object],[object Object],6
Jeffrey Proctor, MD ,[object Object],[object Object],[object Object],14
A to Z on IC TREATMENTS AND RESEARCH Jeffrey G. Proctor, M.D. Georgia Urology Cartersville, GA
EPIDEMIOLOGY ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
SYMPTOMS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Symptoms ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Symptoms   Mimicking Conditions ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Symptoms ,[object Object],[object Object],[object Object],[object Object],[object Object]
Symptoms   Patient Impact ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
ASSOCIATED DISEASES ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
ETIOLOGY ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Adapted with permission from Evans RJ.  Rev Urol . 2002;4(suppl 1):S16-S20. Proposed Pathogeneis A Continuous Cycle Bladder Insult Origin of Bladder Insult (eg, Bacterial Cystitis, Childbirth, Pelvic Surgery, or Urologic Instrumentation) More Injury Mast Cell Activation and Histamine Release Activation of C-Fibers and Release of Substance P Solutes Leak Into Interstitium Bladder Urothelium Dysfunction
TREATMENT ,[object Object],[object Object],[object Object],[object Object]
Treatment:  Elmiron ,[object Object],[object Object],[object Object]
Treatment:  Elmiron ,[object Object],[object Object]
Treatment:  Elmiron ,[object Object],[object Object],[object Object],[object Object]
Treatment:  Elmiron ,[object Object],[object Object],[object Object]
Treatment:  Patient Counseling ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Treatment:  Diet ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Treatment:  Diet ,[object Object],[object Object],[object Object]
Treatment : Diet ,[object Object],[object Object],[object Object],[object Object],[object Object]
Treatment : Bladder Instillations ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Treatment : Multimodality Therapy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Treatment:  Multimodality Therapy ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],Treatment:  Multimodality Therapy
[object Object],[object Object],[object Object],Treatment:  Multimodality Therapy
Utilizing Multimodal Therapy in the Treatment of IC 1 Adapted with permission from Evans RJ.  Rev Urol . 2002;4(suppl 1):S16-S20. 1. Evans RJ.  Rev Urol . 2002;4(suppl 1):S16-S20. 2. Chiang G et al.  J Urol . 2000;164:2119-2125. 3. Chiang G et al. In:  Bladder Disease, Part B: Research Concepts and Clinical Applications . Kluwer Academic/Plenum Publishers; 2003:713-729. Bladder Insult Origin of Bladder Insult (eg, Bacterial Cystitis, Childbirth, Pelvic Surgery, or Urologic Instrumentation) More Injury Mast Cell Activation and Histamine Release Activation of C-Fibers and Release of Substance P Solutes Leak Into Interstitium Bladder Urothelium Dysfunction Hydroxyzine, ELMIRON ®2,3 Amitriptyline ELMIRON ®  (pentosan polysulfate sodium)
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Treatment:  Multimodality Therapy
[object Object],[object Object],[object Object],[object Object],Treatment:  Multimodality Therapy
Treatment : Additional Treatments ,[object Object],[object Object]
Treatment : Analgesics ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Treatment   Flare of IC Symptoms ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Treatment   Flare of IC Symptoms ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Treatment   Persistent Symptoms ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Treatment   Persistent Symptoms ,[object Object],[object Object],[object Object],[object Object]
Treatment   Persistent Symptoms ,[object Object],[object Object],[object Object]
Treatment   Persistent Symptoms ,[object Object],[object Object]
RESEARCH
Research   Intravesical Instillations ,[object Object],[object Object],[object Object]
Research    Intravesical Instillations ,[object Object],[object Object],[object Object]
Research   Intravesical Instillations ,[object Object],[object Object]
Research URG101 Study ,[object Object],[object Object],[object Object],[object Object],[object Object]
Research URG101 Study: Results ,[object Object],[object Object],[object Object]
Research URG101 Study: Results ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Research URG101 Study: Results ,[object Object]
Research URG101 Study: Results ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Research Defective Tamm-Horsfall Protein in Patients With Interstitial Cystitis Cl Parsons, P Stein, P Zupkas, M Chenoweth, S Argade, JG Proctor,  A Dutta and N Trotter. J. Urology 2007; 178: 2667.
Tamm-Horsfall Protein ,[object Object],[object Object],[object Object]
Tamm-Horsfall Protein ,[object Object],[object Object]
Tamm-Horsfall Protein ,[object Object],[object Object],[object Object]
Defective THP in Pts With IC ,[object Object],[object Object],[object Object]
Defective THP in Pts With IC ,[object Object],[object Object],[object Object],[object Object],[object Object]
Defective THP in Pts With IC Implications ,[object Object],[object Object],[object Object],[object Object]
FIG. 2. Representative N-terminal residue results of MALDI-TOF MS analysis of intact glycosylation chains of THP from 10 controls ( A ) and 10 patients with IC/painful bladder syndrome ( B ). All 10 patients and all 10 controls showed same basic patterns. Patients had preponderance of lower molecular weight chains and little of heavier chains containing tri-antennary and tetra-antennary terminal sialic acid residues, whereas controls had preponderance of heavy chains, representing primarily tri-antennary and tetra-antennary terminal sialic acid residues
RESEARCH ,[object Object]
Research : Intravesical ,[object Object],[object Object],[object Object],[object Object]
Research : Intravesical ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Research : Intravesical ,[object Object]
Research : Intravesical ,[object Object],[object Object],[object Object],[object Object]
Research : Intravesical ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Research : Intravesical ,[object Object]
Research : Food ,[object Object],[object Object]
Research : Food ,[object Object],[object Object],[object Object],[object Object],[object Object]
Research : Food ,[object Object],[object Object],[object Object],[object Object],[object Object]
Research : Epidemiology ,[object Object],[object Object],[object Object],[object Object]
Research : Epidemiology ,[object Object],[object Object]
Research : Epidemiology ,[object Object],[object Object]
Research : Epidemiology ,[object Object],[object Object],[object Object]
Research : Epidemiology ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Research : Sexual Function ,[object Object],[object Object],[object Object]
[object Object],[object Object],Research : Sexual Function
[object Object],[object Object],Research : Sexual Function
Research : Oral Agents ,[object Object],[object Object],[object Object]
Research : Oral Agents ,[object Object],[object Object],[object Object],[object Object],[object Object]
Research : Complementary and Alternative Medicine ,[object Object],[object Object]
Research : Complementary and Alternative Medicine ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Research : Complementary and Alternative Medicine ,[object Object],[object Object],[object Object],[object Object]
Research : Complementary and Alternative Medicine ,[object Object],[object Object],[object Object],[object Object],[object Object]
Research : Not Ready For Prime Time ,[object Object],[object Object],[object Object],[object Object]
Research : Not Ready For Prime Time ,[object Object],[object Object],[object Object]
Research : Not Ready For Prime Time ,[object Object],[object Object],[object Object]
Research : Other Studies ,[object Object],[object Object],[object Object],[object Object]
Research : Other Studies ,[object Object],[object Object],[object Object],[object Object],[object Object]
Research : Other Studies ,[object Object],[object Object],[object Object],[object Object],[object Object]
A to Z on IC SUMMARY ,[object Object],[object Object],[object Object],[object Object],[object Object]
A to Z on IC Summary ,[object Object],[object Object]
Susan Bilheimer  ,[object Object],[object Object],[object Object],100
Anna Kelly, MD ,[object Object],[object Object],[object Object],102
Medical Acupuncture and Interstitial Cystitis ,[object Object],[object Object]
Cartesian Model vs. Eastern Thought
Acupuncture ,[object Object]
Definitions ,[object Object],[object Object],[object Object],[object Object]
Qi ,[object Object],[object Object],[object Object],[object Object]
Yang and Yin ,[object Object],[object Object],[object Object],[object Object],[object Object]
Yang and Yin Yang Light Male Outside Back Hot Hollow Heaven Yin Dark Female Inside Front Cold Solid Earth
Organs ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Needle Stimulation ,[object Object],[object Object],[object Object]
Directed Electron Flow
Meridian Pathway
Traditional Chinese Medicine (TCM) ,[object Object],[object Object]
Traditional Chinese Medicine (TCM) ,[object Object],[object Object],[object Object],[object Object],[object Object]
Traditional Chinese Medicine (TCM) ,[object Object],[object Object],[object Object]
IC from a Chinese Medicine Perspective ,[object Object],[object Object],[object Object],[object Object],[object Object]
Literature Review ,[object Object],[object Object],[object Object]
Current Active NIH Acupuncture Studies ,[object Object]
Acupuncture and Electroacupuncture in the Treatment of Interstitial Cystitis
Individualized Treatment ,[object Object],[object Object]
Chinese Herbs ,[object Object],[object Object],[object Object]
Chinese Herbs ,[object Object],[object Object],[object Object]
Herbs for Interstitial Cystitis ,[object Object],[object Object],[object Object]
Frequency of Acupuncture Treatments ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],The Poetry of Acupuncture
Closing Remarks ,[object Object],128
Closing Remarks ,[object Object],[object Object],[object Object],130

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Ica patient forum in atlanta 2009

  • 1. A to Z on IC Interstitial Cystitis Association August 23, 2009 1:00 PM ET Conquering IC. Changing Lives . The goal of the forum is to offer patients an opportunity to learn more about IC treatments. The content presented reflects the opinions of individual speakers. 1
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  • 6. A to Z on IC TREATMENTS AND RESEARCH Jeffrey G. Proctor, M.D. Georgia Urology Cartersville, GA
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  • 15. Adapted with permission from Evans RJ. Rev Urol . 2002;4(suppl 1):S16-S20. Proposed Pathogeneis A Continuous Cycle Bladder Insult Origin of Bladder Insult (eg, Bacterial Cystitis, Childbirth, Pelvic Surgery, or Urologic Instrumentation) More Injury Mast Cell Activation and Histamine Release Activation of C-Fibers and Release of Substance P Solutes Leak Into Interstitium Bladder Urothelium Dysfunction
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  • 30. Utilizing Multimodal Therapy in the Treatment of IC 1 Adapted with permission from Evans RJ. Rev Urol . 2002;4(suppl 1):S16-S20. 1. Evans RJ. Rev Urol . 2002;4(suppl 1):S16-S20. 2. Chiang G et al. J Urol . 2000;164:2119-2125. 3. Chiang G et al. In: Bladder Disease, Part B: Research Concepts and Clinical Applications . Kluwer Academic/Plenum Publishers; 2003:713-729. Bladder Insult Origin of Bladder Insult (eg, Bacterial Cystitis, Childbirth, Pelvic Surgery, or Urologic Instrumentation) More Injury Mast Cell Activation and Histamine Release Activation of C-Fibers and Release of Substance P Solutes Leak Into Interstitium Bladder Urothelium Dysfunction Hydroxyzine, ELMIRON ®2,3 Amitriptyline ELMIRON ® (pentosan polysulfate sodium)
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  • 50. Research Defective Tamm-Horsfall Protein in Patients With Interstitial Cystitis Cl Parsons, P Stein, P Zupkas, M Chenoweth, S Argade, JG Proctor, A Dutta and N Trotter. J. Urology 2007; 178: 2667.
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  • 57. FIG. 2. Representative N-terminal residue results of MALDI-TOF MS analysis of intact glycosylation chains of THP from 10 controls ( A ) and 10 patients with IC/painful bladder syndrome ( B ). All 10 patients and all 10 controls showed same basic patterns. Patients had preponderance of lower molecular weight chains and little of heavier chains containing tri-antennary and tetra-antennary terminal sialic acid residues, whereas controls had preponderance of heavy chains, representing primarily tri-antennary and tetra-antennary terminal sialic acid residues
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  • 93. Cartesian Model vs. Eastern Thought
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  • 98. Yang and Yin Yang Light Male Outside Back Hot Hollow Heaven Yin Dark Female Inside Front Cold Solid Earth
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  • 109. Acupuncture and Electroacupuncture in the Treatment of Interstitial Cystitis
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