Interstitial Cystitis (Painful Bladder Syndrome / Hunner’s Ulcer / Elusive Ulcer)
Interstitial cystitis is a chronic condition causing bladder pressure with a persistent urge to urinate,
mild to moderate bladder pain, frequency and sometimes pelvic pain.
Causes
- The exact cause of interstitial cystitis is not known.
Symptoms
- Persistent urge to urinate
- Frequency
- Pain & discomfort while the bladder fills & relieves after passing urine
- Lower abdominal pain
- Perineal pain (Pain between scrotum & anus in males & between vagina & anus in females)
- Dyspareunia (painful sexual intercourse)
Diagnosis
- Medical history
- Cystoscopy & Bladder wall biopsy
- Urine cytology
- Potassium sensitivity test
Modern Urological treatment
There is no promising treatment for Interstitial cystitis. Different treatments are used in different combinations.
Conservative treatment:
- Physiotherapy
- Oral medications
– Non-steroidal anti-inflammatory drugs
– Tricyclic antidepressants, such as amitriptyline or imipramine relax your bladder and block pain.
– Antihistamines – may reduce urinary urgency and frequency
– Pentosan polysulfate sodium – may reconstruct the inner skin of the bladder i.e. urothelium - Nerve stimulation
– Transcutaneous electrical nerve stimulation (TENS)
– Sacral nerve stimulation - Hydro-distention of Bladder
- Intra-vesical cocktail therapy (Instillation of medications into the bladder through a small tube)
Surgical Treatment:
- Fulguration
- Resection
- Augmented cystoplasty (Ileo-cystoplasty, Caeco-cystoplasty or Colo-cystoplasty)
Ayurvedic Urological treatment
- Uttarbasti
- Bladder wash
- Basti
- Oral medication
- Yoga & Pranayama
WE ALSO TREAT
BPH & Post TURP Status
Prostate gland enlarges & compresses the urethra
Bladder Outlet / Neck Obstruction
(BOO / BNO)
Blockage at the base or neck of the bladder
Interstitial Cystitis
Chronic condition causing bladder pressure with a persistent urge
Recurrent UTI & MDR UTI
A burning issue of the modern era
Hypotonic Bladder
A condition in which the bladder wall muscle tone reduces
Neurogenic bladder
Altered bladder function due to defects in the pathway of the micturition reflex
Incontinence
Inability to hold urine due to loss of voluntary control over the urinary sphincters
Enuresis – Bedwetting
Persistence of involuntary passage of urine even after the age of 5 years
