Interstitial cystitis | |
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Other names | Bladder pain syndrome (BPS), [1] painful bladder syndrome (PBS), IC/BPS, IC/PBS, Hunner ulcer [2] |
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Hunner ulcer seen in interstitial cystitis by cystoscopy [3] [4] | |
Pronunciation | |
Specialty | Urology |
Symptoms | Chronic pain of the bladder, feeling the need to urinate right away, needing to urinate often, pain with sex [1] |
Complications | Depression, irritable bowel syndrome, fibromyalgia [1] [5] |
Usual onset | Middle age [1] |
Duration | Long term [1] |
Causes | Unknown [1] |
Diagnostic method | Based on the symptoms after ruling out other conditions [5] |
Differential diagnosis | Urinary tract infection, overactive bladder, sexually transmitted infections, endometriosis, bladder cancer, prostatitis [1] [6] |
Treatment | Lifestyle changes, medications, procedures [1] |
Medication | Ibuprofen, pentosan polysulfate, amitriptyline [1] |
Frequency | 0.5% of people [1] [5] |
Interstitial cystitis (IC), also known as bladder pain syndrome (BPS), is a type of chronic pain that affects the bladder. [1] Symptoms include feeling the need to urinate right away, needing to urinate often, and pain with sex. [1] IC/BPS is associated with depression and lower quality of life. [5] Many of those affected also have irritable bowel syndrome and fibromyalgia. [1]
The cause of IC/BPS is unknown. [1] While it can, it does not typically run in a family. [1] The diagnosis is usually based on the symptoms after ruling out other conditions. [5] Typically the urine culture is negative. [5] Ulceration or inflammation may be seen on cystoscopy. [5] Other conditions which can produce similar symptoms include urinary tract infection (UTI), overactive bladder, sexually transmitted infections, endometriosis, bladder cancer, and prostatitis. [1] [6]
There is no cure for interstitial cystitis. [1] Treatments that may improve symptoms include lifestyle changes, medications, or procedures. [1] Lifestyle changes may include stopping smoking and reducing stress. [1] Medications may include ibuprofen, pentosan polysulfate, or amitriptyline. [1] Procedures may include bladder distention, nerve stimulation, or surgery. [1] Pelvic floor exercises and long term antibiotics are not recommended. [5]
In the United States and Europe, it is estimated that around 0.5% of people are affected. [1] [5] Women are affected about five times as often as men. [1] Onset is typically in middle age. [1] The term "interstitial cystitis" first came into use in 1887. [2]
Interstitial cystitis | |
---|---|
Other names | Bladder pain syndrome (BPS), [1] painful bladder syndrome (PBS), IC/BPS, IC/PBS, Hunner ulcer [2] |
![]() | |
Hunner ulcer seen in interstitial cystitis by cystoscopy [3] [4] | |
Pronunciation | |
Specialty | Urology |
Symptoms | Chronic pain of the bladder, feeling the need to urinate right away, needing to urinate often, pain with sex [1] |
Complications | Depression, irritable bowel syndrome, fibromyalgia [1] [5] |
Usual onset | Middle age [1] |
Duration | Long term [1] |
Causes | Unknown [1] |
Diagnostic method | Based on the symptoms after ruling out other conditions [5] |
Differential diagnosis | Urinary tract infection, overactive bladder, sexually transmitted infections, endometriosis, bladder cancer, prostatitis [1] [6] |
Treatment | Lifestyle changes, medications, procedures [1] |
Medication | Ibuprofen, pentosan polysulfate, amitriptyline [1] |
Frequency | 0.5% of people [1] [5] |
Interstitial cystitis (IC), also known as bladder pain syndrome (BPS), is a type of chronic pain that affects the bladder. [1] Symptoms include feeling the need to urinate right away, needing to urinate often, and pain with sex. [1] IC/BPS is associated with depression and lower quality of life. [5] Many of those affected also have irritable bowel syndrome and fibromyalgia. [1]
The cause of IC/BPS is unknown. [1] While it can, it does not typically run in a family. [1] The diagnosis is usually based on the symptoms after ruling out other conditions. [5] Typically the urine culture is negative. [5] Ulceration or inflammation may be seen on cystoscopy. [5] Other conditions which can produce similar symptoms include urinary tract infection (UTI), overactive bladder, sexually transmitted infections, endometriosis, bladder cancer, and prostatitis. [1] [6]
There is no cure for interstitial cystitis. [1] Treatments that may improve symptoms include lifestyle changes, medications, or procedures. [1] Lifestyle changes may include stopping smoking and reducing stress. [1] Medications may include ibuprofen, pentosan polysulfate, or amitriptyline. [1] Procedures may include bladder distention, nerve stimulation, or surgery. [1] Pelvic floor exercises and long term antibiotics are not recommended. [5]
In the United States and Europe, it is estimated that around 0.5% of people are affected. [1] [5] Women are affected about five times as often as men. [1] Onset is typically in middle age. [1] The term "interstitial cystitis" first came into use in 1887. [2]