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Interstitial cystitis: successful management by increasing urinary voiding intervals.

C L Parsons1, P F Koprowski

  • 1Department of Surgery, University of California, San Diego.

Urology
|March 1, 1991
PubMed
Summary
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Voiding pattern retraining can improve interstitial cystitis (IC) symptoms, even in patients with minimal pain. This bladder retraining therapy significantly increased bladder capacity and reduced urinary urgency, frequency, and nocturia in most participants.

Area of Science:

  • Urology
  • Behavioral Medicine

Background:

  • Interstitial cystitis (IC) is a syndrome often characterized by pain and bladder dysfunction.
  • A subset of IC patients presents with minimal or no pain but still exhibits bladder dysfunction due to long-term low-volume voiding.

Purpose of the Study:

  • To evaluate the efficacy of a voiding retraining protocol in managing symptoms of interstitial cystitis (IC).
  • To assess the impact of this therapy on bladder capacity and voiding frequency.

Main Methods:

  • Twenty-one patients meeting IC criteria were enrolled in a protocol to gradually increase voiding intervals.
  • The protocol involved adding 15-30 minutes to voiding time every 3-4 weeks until 3-4 hour intervals were achieved.
  • Patient outcomes were assessed based on symptom reduction, bladder capacity, and daily voiding frequency.

Related Experiment Videos

Main Results:

  • 71% of patients (15/21) experienced successful symptom management, with a 50% decrease in urgency, frequency, and nocturia.
  • A significant increase in average bladder capacity (92 mL to 179 mL) and a decrease in average daily voids (13.2 to 7.4) were observed.
  • Patients without significant pain showed better outcomes (12/14) compared to those with pain (3/7).

Conclusions:

  • Voiding pattern retraining is an effective therapeutic strategy for a significant portion of interstitial cystitis (IC) patients, particularly those without severe pain.
  • The therapy leads to statistically significant improvements in bladder capacity and voiding patterns.
  • This approach offers a viable non-pharmacological treatment option for managing IC symptoms.