Interstitial Cystitis: Difference between revisions
Sam Gerding (talk | contribs) No edit summary |
Sam Gerding (talk | contribs) No edit summary |
||
Line 95: | Line 95: | ||
# | # | ||
Mac Diarmid SA, Sand PK. Diagnosis of Interstitial Cystitis/Painful Bladder Syndrome in Patients with Overactive Bladder Symptoms. ''Rev. Urol | Mac Diarmid SA, Sand PK. Diagnosis of Interstitial Cystitis/Painful Bladder Syndrome in Patients with Overactive Bladder Symptoms. ''Rev. Urol''. 2007<span style="font-style: italic;">;</span><span style="font-style: italic;"> 9 (1): 9-16.</span> | ||
# | # | ||
<span style="font-style: italic;"></span>Oyama IA, Reijba A, Lukban JC, Fletcher E, et al. Modified Thiele Massage as Therapeutic Intervention for female Patients with Interstitial Cystitis and High-Tone Pelvic Floor Dysfunction. ''Urology | <span style="font-style: italic;"></span>Nickel JC: Interstitial cystitis: the paradigm shifts: international consultations on interstitial cystitis. ''Rev. Urol.''<br>2004; 6: 200-202. | ||
# | |||
<span style="font-style: italic;"></span>Oyama IA, Reijba A, Lukban JC, Fletcher E, et al. Modified Thiele Massage as Therapeutic Intervention for female Patients with Interstitial Cystitis and High-Tone Pelvic Floor Dysfunction. ''Urology;'' 64 (5): 862-865. | |||
<br> | <br> |
Revision as of 02:48, 18 February 2010
Original Editors - Students from Bellarmine University's Pathophysiology of Complex Patient Problems project.
Lead Editors - Your name will be added here if you are a lead editor on this page. Read more.
Definition/Description[edit | edit source]
Interstitial cystitis (IC) aka. Painful Bladder Syndrome (PBS) is a disorder affecting the bladder characterized by uroepithelial inflammation and/or hypersenstivity of the afferent nerves of the bladder.(Oyama, IA) The International Continence Society definition is "the complaint of suprapubic pain related to bladder filling, accompanied by other symptoms such as increased daytime and night time frequency, in the absence of proven urinary infection or other obvious pathology." (Bharucha & Trabuco)
Prevalence[edit | edit source]
add text here
Characteristics/Clinical Presentation[edit | edit source]
Associated Co-morbidities[edit | edit source]
add text here
Medications[edit | edit source]
add text here
Diagnostic Tests/Lab Tests/Lab Values[edit | edit source]
Diagnostic approaches for IC vary widely and there is not a general agreement on a diagnostic algorithm. Currently, the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) Criteria is used.
NIDDK Diagonostic Critera for Interstitial Cystitis (MacDiarmid SA)
Automatic Inclusion:
- Hunner's ulcer
Positive factors (2 must be present for inclusion):
- Pain on bladder filling relieved by emptying
- Pain (suprapublic, pelvic, urethral, vaginal, or perineal)
- Glomerulations on cystoscopy
- Decreased compliance on cystometrogram
Exclsuions:
- Nocturia < 2 times per night
- Symptoms duration < 12 months
- Bladder Capacity > 400 mL
- Involuntary bladder contractions
- Other causes of sxs:
Bladder Cancer, Cystitis (radiation, tuberculous, bacterial, vaginitis, active herpes, bladder or lower calculi, involuntary bladder contractions.
Three consensus panels concluded that the diagnosis is suspected on the basis of history, physical examination, and laboratory tests, including negative urinalysis, negative urine culture, negative cytology, and possibly cystoscopy findings. (Nickel JC)
Causes[edit | edit source]
add text here
Systemic Involvement[edit | edit source]
add text here
Medical Management (current best evidence)[edit | edit source]
add text here
Physical Therapy Management (current best evidence)[edit | edit source]
add text here
Alternative/Holistic Management (current best evidence)[edit | edit source]
add text here
Differential Diagnosis[edit | edit source]
Case Reports[edit | edit source]
add links to case studies here (case studies should be added on new pages using the case study template)
Resources
[edit | edit source]
add appropriate resources here
Recent Related Research (from Pubmed)[edit | edit source]
see tutorial on Adding PubMed Feed
Extension:RSS -- Error: Not a valid URL: Feed goes here!!|charset=UTF-8|short|max=10
References[edit | edit source]
Mac Diarmid SA, Sand PK. Diagnosis of Interstitial Cystitis/Painful Bladder Syndrome in Patients with Overactive Bladder Symptoms. Rev. Urol. 2007; 9 (1): 9-16.
Nickel JC: Interstitial cystitis: the paradigm shifts: international consultations on interstitial cystitis. Rev. Urol.
2004; 6: 200-202.
Oyama IA, Reijba A, Lukban JC, Fletcher E, et al. Modified Thiele Massage as Therapeutic Intervention for female Patients with Interstitial Cystitis and High-Tone Pelvic Floor Dysfunction. Urology; 64 (5): 862-865.