Difference between revisions of "Interstitial cystitis"
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'''Interstitial cystitis''' is a benign painful pathology of the [[ | '''Interstitial cystitis''' is a benign painful pathology of the [[urinary bladder]]. | ||
It is also known as '''painful bladder syndrome'''.<ref name=pmid21609485>{{Cite journal | last1 = Tanaka | first1 = T. | last2 = Nitta | first2 = Y. | last3 = Morimoto | first3 = K. | last4 = Nishikawa | first4 = N. | last5 = Nishihara | first5 = C. | last6 = Tamada | first6 = S. | last7 = Kawashima | first7 = H. | last8 = Nakatani | first8 = T. | title = Hyperbaric oxygen therapy for painful bladder syndrome/interstitial cystitis resistant to conventional treatments: long-term results of a case series in Japan. | journal = BMC Urol | volume = 11 | issue = | pages = 11 | month = | year = 2011 | doi = 10.1186/1471-2490-11-11 | PMID = 21609485 }}</ref><ref name=pmid21568251>{{Cite journal | last1 = French | first1 = LM. | last2 = Bhambore | first2 = N. | title = Interstitial cystitis/painful bladder syndrome. | journal = Am Fam Physician | volume = 83 | issue = 10 | pages = 1175-81 | month = May | year = 2011 | doi = | PMID = 21568251 }}</ref> | It is also known as '''painful bladder syndrome'''.<ref name=pmid21609485>{{Cite journal | last1 = Tanaka | first1 = T. | last2 = Nitta | first2 = Y. | last3 = Morimoto | first3 = K. | last4 = Nishikawa | first4 = N. | last5 = Nishihara | first5 = C. | last6 = Tamada | first6 = S. | last7 = Kawashima | first7 = H. | last8 = Nakatani | first8 = T. | title = Hyperbaric oxygen therapy for painful bladder syndrome/interstitial cystitis resistant to conventional treatments: long-term results of a case series in Japan. | journal = BMC Urol | volume = 11 | issue = | pages = 11 | month = | year = 2011 | doi = 10.1186/1471-2490-11-11 | PMID = 21609485 }}</ref><ref name=pmid21568251>{{Cite journal | last1 = French | first1 = LM. | last2 = Bhambore | first2 = N. | title = Interstitial cystitis/painful bladder syndrome. | journal = Am Fam Physician | volume = 83 | issue = 10 | pages = 1175-81 | month = May | year = 2011 | doi = | PMID = 21568251 }}</ref> | ||
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==General== | ==General== | ||
*Chronic cystitis, culture negative. | *Chronic cystitis, culture negative. | ||
Epidemiology:<ref name=pmid21568251/> | Epidemiology:<ref name=pmid21568251/> | ||
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*Frequency. | *Frequency. | ||
*Pain. | *Pain. | ||
Treatment: | |||
*Difficult.<ref name=pmid21609485/> | |||
*Fulguration of ulcers (if present) may provide symptomatic relief.<ref name=pmid23083651/> | |||
==Gross== | ==Gross== | ||
*Ulceration. | *+/-Ulceration. | ||
==Microscopic== | ==Microscopic== | ||
| Line 29: | Line 32: | ||
DDx: | DDx: | ||
*[[Urothelial carcinoma in situ|Urothelial CIS]]. | *[[Urothelial carcinoma in situ|Urothelial CIS]]. | ||
==Sign out== | |||
<pre> | |||
Urinary Bladder, Biopsy: | |||
- Inflamed subepithelial tissue; NEGATIVE for appreciable amount of urothelium. | |||
- NEGATIVE for evidence of malignancy. | |||
Comment: | |||
Deepers were cut (x4) and are non-contributory. | |||
</pre> | |||
==See also== | ==See also== | ||
Latest revision as of 14:00, 18 April 2016
Interstitial cystitis is a benign painful pathology of the urinary bladder.
It is also known as painful bladder syndrome.[1][2]
Hunner ulcer redirects here.[3]
General
- Chronic cystitis, culture negative.
Epidemiology:[2]
- Women > men.
Symptoms:[2]
- Urgency.
- Frequency.
- Pain.
Treatment:
Gross
- +/-Ulceration.
Microscopic
Features:[4]
- +/-Ulceration (uncommon).
Note:
- Diagnosis requires clinical correlation.
DDx:
Sign out
Urinary Bladder, Biopsy: - Inflamed subepithelial tissue; NEGATIVE for appreciable amount of urothelium. - NEGATIVE for evidence of malignancy. Comment: Deepers were cut (x4) and are non-contributory.
See also
References
- ↑ 1.0 1.1 Tanaka, T.; Nitta, Y.; Morimoto, K.; Nishikawa, N.; Nishihara, C.; Tamada, S.; Kawashima, H.; Nakatani, T. (2011). "Hyperbaric oxygen therapy for painful bladder syndrome/interstitial cystitis resistant to conventional treatments: long-term results of a case series in Japan.". BMC Urol 11: 11. doi:10.1186/1471-2490-11-11. PMID 21609485.
- ↑ 2.0 2.1 2.2 French, LM.; Bhambore, N. (May 2011). "Interstitial cystitis/painful bladder syndrome.". Am Fam Physician 83 (10): 1175-81. PMID 21568251.
- ↑ 3.0 3.1 Hillelsohn, JH.; Rais-Bahrami, S.; Friedlander, JI.; Okhunov, Z.; Kashan, M.; Rosen, L.; Moldwin, RM. (Dec 2012). "Fulguration for Hunner ulcers: long-term clinical outcomes.". J Urol 188 (6): 2238-41. doi:10.1016/j.juro.2012.08.013. PMID 23083651.
- ↑ Zhou, Ming; Magi-Galluzzi, Cristina (2006). Genitourinary Pathology: A Volume in Foundations in Diagnostic Pathology Series (1st ed.). Churchill Livingstone. pp. 124. ISBN 978-0443066771.