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