Interstitial Cystitis

Interstitial cystitis or chronic interstitial cystitis is a clinical syndrome that affects the lower urinary system, causing urinary symptoms and pelvic pain in the absence of other identifiable causes. It is also called Painful Bladder Syndrome.

Diagnosis

Exclusion criteria are accepted: urinári daytime frequency less than 5 vezes.Urodinâmico with uninhibited contractions of the detrusor, bladder capacity greater than 350mL or 150mL with no urgency serves to rule out the diagnosis. Absence of nocturia and frame duration less than 9 months. At cystoscopy with hydrodistension (80 cm H2O) is expected: Petechiae - 10 per quadrant - at least 3 quadrants, hemorrhagic areas, linear fissures, trabeculations, Hunner's ulcer (10% of patients).

Cystoscopy is also important to exclude bladder carcinoma.

Treatment

The treatment can be behavioral, medical or surgical. The escollha the best option will depend on careful medical evaluation.

Treatment may initially be behavioral: Food (sodas, chocolate, acidic juices), eliminate coffee / cigarette, exercise, stress reduction, bladder training, biofeedback.

The oral medication can be done with sodium pentosan polisufato, tricyclic antidepressants, antihistamines and anti-convulsants.

The topic intravesical drug-like Dimetyl Sulfoxide.

The surgery is hydrodistension under anesthesia.