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Related Experiment Videos

Interstitial cystitis in men

D E Novicki1, T R Larson, S K Swanson

  • 1Department of Urology, Mayo Clinic Scottsdale, Arizona 85259, USA.

Urology
|October 8, 1998
PubMed
Summary
This summary is machine-generated.

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Interstitial cystitis (IC) in men is often diagnosed late, with a significant delay and misdiagnoses like prostatitis or benign prostatic hypertrophy (BPH). Cystoscopy and bladder distention are key diagnostic tools.

Area of Science:

  • Urology
  • Nephrology

Background:

  • Interstitial cystitis (IC) is a chronic condition affecting the bladder.
  • While more common in women, IC can occur in men, presenting unique diagnostic challenges.

Purpose of the Study:

  • To characterize the clinical presentation and diagnostic journey of men with interstitial cystitis (IC).
  • To identify factors contributing to delayed diagnosis and misdiagnosis in male IC patients.

Main Methods:

  • Retrospective chart review of 29 men diagnosed with IC between 1988 and 1996.
  • Analysis of demographic data, medical history, diagnostic procedures, and prior treatments.

Main Results:

  • Mean age at diagnosis was 67.3 years, with an average 4-year diagnostic delay.

Related Experiment Videos

  • Common misdiagnoses included prostatitis (48%) and benign prostatic hypertrophy (BPH) (38%).
  • Cystoscopy revealed ulcers in 70% of cases; biopsies showed nonspecific chronic cystitis.

    • Conclusions:

    • IC should be considered in older men with voiding dysfunction, irritative symptoms, and pelvic pain, especially if refractory to BPH or prostatitis treatments.
    • Cystoscopy and bladder distention under anesthesia were the most effective diagnostic methods.
    • Biopsies are primarily useful for excluding malignancy rather than diagnosing IC.