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[Clinical experience on 52 patients with interstitial cystitis]
Tomoyuki Kaneko1, Kiichiro Fujita, Yukio Homma
1Department of Urology, Japanese Red Cross Medical Center.
Nihon Hinyokika Gakkai Zasshi. the Japanese Journal of Urology
|October 10, 2006
Summary
Interstitial cystitis (IC) patients experienced prolonged severe symptoms. Hydrodistension effectively relieved symptoms, particularly for the ulcer type, often requiring transurethral coagulation (TUC).
Area of Science:
- Urology
- Gastroenterology
- Internal Medicine
Context:
- Interstitial cystitis (IC) presents with chronic bladder pain and urinary urgency.
- Diagnosis and treatment of IC remain challenging, often involving a long delay.
- Hydrodistension is a therapeutic procedure for IC, aiming to increase bladder capacity and relieve symptoms.
Purpose:
- To investigate the clinical characteristics of interstitial cystitis (IC) patients undergoing hydrodistension.
- To evaluate the effectiveness of hydrodistension in managing IC symptoms.
- To compare outcomes between ulcer type and non-ulcer type IC patients.
Summary:
- This retrospective study analyzed 52 IC patients who underwent hydrodistension.
- Patients experienced significant symptom relief post-procedure, with two-thirds reporting relief for one year.
- Ulcer type IC patients, though older and with smaller bladder capacities, showed a significantly better response to hydrodistension (95%) compared to non-ulcer types (64%).
Impact:
- Hydrodistension offers effective symptom amelioration for IC patients.
- The procedure is particularly beneficial for the ulcer type of IC.
- Early diagnosis and appropriate treatment, including hydrodistension and potentially TUC for ulcer type, are crucial for managing IC.
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