{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,21]],"date-time":"2026-06-21T03:14:33Z","timestamp":1782011673851,"version":"3.54.5"},"reference-count":5,"publisher":"S. Karger AG","issue":"9-10","license":[{"start":{"date-parts":[[2021,1,1]],"date-time":"2021-01-01T00:00:00Z","timestamp":1609459200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/karger.com\/pages\/terms-and-conditions"},{"start":{"date-parts":[[2021,1,1]],"date-time":"2021-01-01T00:00:00Z","timestamp":1609459200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/karger.com\/pages\/terms-and-conditions"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Urol Int"],"published-print":{"date-parts":[[2021]]},"abstract":"<jats:p>A serendipitous cure in a 73-year-old woman of Hunner\u2019s ulcer, urge, nocturia, apical prolapse by a tissue fixation system tensioned minisling (TFS) which reinforced the cardinal, and uterosacral ligaments (USLs) led us to analyse the relationship between Hunner\u2019s ulcer and known pain conditions associated with USL laxity. The original intention was to cure the \u201cposterior fornix syndrome\u201d (PFS), uterine prolapse, and associated pain and bladder symptoms by USL repair. A speculum inserted preoperatively into the posterior fornix alleviated pain and urge symptoms, by mechanically supporting USLs. Hunner\u2019s ulcer, along with pain and other PFS symptoms were cured by USL repair. The concept of USL laxity causing chronic pelvic pain and bladder problems is not new. It was published in the German literature by Heinrich Martius in 1938 and by Petros in the English literature in 1993. These findings raise important questions. As PFS symptoms are identical with those of interstitial cystitis (IC), are PFS and IC similar conditions? If so, then patients with IC who have a positive speculum test are at least theoretically, potentially curable by USL repair. These questions need to be explored. <\/jats:p>","DOI":"10.1159\/000515647","type":"journal-article","created":{"date-parts":[[2021,5,21]],"date-time":"2021-05-21T21:00:48Z","timestamp":1621630848000},"page":"920-923","source":"Crossref","is-referenced-by-count":12,"title":["Cure of Interstitial Cystitis and Non-Ulcerating Hunner\u2019s Ulcer by Cardinal\/Uterosacral Ligament Repair"],"prefix":"10.1159","volume":"105","author":[{"given":"Kay","family":"Scheffler","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3684-4179","authenticated-orcid":false,"given":"Oliver W.","family":"Hakenberg","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9611-3258","authenticated-orcid":false,"given":"Peter","family":"Petros","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"127","published-online":{"date-parts":[[2021,5,21]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.20687"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1002\/nau.23072"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1007\/s00345-013-1150-z"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-004-1122-3"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1111\/jog.13413"}],"container-title":["Urologia Internationalis"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/karger.com\/uin\/article-pdf\/105\/9-10\/920\/3909317\/000515647.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/karger.com\/uin\/article-pdf\/105\/9-10\/920\/3909317\/000515647.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,23]],"date-time":"2025-04-23T16:36:41Z","timestamp":1745426201000},"score":1,"resource":{"primary":{"URL":"https:\/\/karger.com\/article\/doi\/10.1159\/000515647"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021]]},"references-count":5,"journal-issue":{"issue":"9-10","published-online":{"date-parts":[[2021,9,1]]},"published-print":{"date-parts":[[2021,9,10]]}},"URL":"https:\/\/doi.org\/10.1159\/000515647","archive":["Portico"],"relation":{},"ISSN":["0042-1138","1423-0399"],"issn-type":[{"value":"0042-1138","type":"print"},{"value":"1423-0399","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021]]}}}