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[Interstitial cystitis: surgical treatment].

C Bondavalli1, L Schiavon, B Dall'Oglio

  • 1Divisione di Urologia, Azienda Ospedaliera C. Poma, Mantova.

Archivio Italiano Di Urologia, Andrologia : Organo Ufficiale [Di] Societa Italiana Di Ecografia Urologica E Nefrologica
|February 16, 2000
PubMed
Summary
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Surgical therapy for interstitial cystitis is reserved for severe cases unresponsive to conservative treatments. Procedures like augmentation or substitution cystoplasty aim to alleviate bladder pain, but patient selection and evaluation are crucial for optimal outcomes.

Area of Science:

  • Urology
  • Surgical Oncology

Context:

  • Interstitial cystitis (IC) management typically prioritizes conservative therapies.
  • Surgical intervention is reserved for refractory cases, representing less than 10% of patients.
  • A variety of surgical techniques have evolved since the early 20th century.

Purpose:

  • To review and categorize surgical options for interstitial cystitis (IC).
  • To discuss the indications, rationale, and outcomes of different surgical procedures for IC.
  • To highlight the importance of patient selection and pre-operative evaluation for surgical candidates.

Summary:

  • Neurosurgical and perivesical denervation techniques aim to reduce bladder hypersensitivity, suitable for patients with normal bladder capacity, though results are uncertain and complications like neurogenic bladder are noted.

Related Experiment Videos

  • Enterocystoplasty, augmentation, and substitution cystoplasty are explored, with substitution cystoplasty offering a rationale by resecting the pain-inducing detrusor.
  • Specific procedures like supratrigonal cystectomy with enterocystoplasty and augmentation cystoplasty appear most common in certain regions, while urinary diversion and continent pouches are less frequent.

    • Impact:

    • Informs clinical decision-making regarding the surgical treatment of interstitial cystitis.
    • Provides a comparative overview of different surgical modalities for refractory IC.
    • Emphasizes the need for thorough patient assessment, including pain localization and psychological evaluation, prior to surgical intervention.