Interstitial Cystitis

Rebecca R. Yeager, MD and Montiel T. Rosenthal, MD Reviewed 06/2017
 


BASICS

DESCRIPTION

  • A condition of pain or discomfort in the bladder associated with a need to urinate frequently and urgently

  • A disease of unknown cause, probably representing a final common pathway fro...

DIAGNOSIS

  • Frequent, urgent, relentless urination day and night; >8 voids in 24 hours

  • Pain with full bladder that resolves with bladder emptying (except if bacteriuria is present)

  • Urge urinary inconti...

TREATMENT

GENERAL MEASURES

  • Appropriate health care: outpatient

  • Self-care (eliminate foods and liquids that exacerbate symptoms on individual basis, fluid management) 2[C]

  • Biofeedback bladder retraining 2...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Patient Monitoring

Not specifically needed unless symptoms are unresponsive to treatment 

DIET

  • Variable effects from person to person

  • Common irritants include caffein...

REFERENCES

Parsons  CL, Dell  J, Stanford  EJ, et al. Increased prevalence of interstitial cystitis: previously unrecognized urologic and gynecological cases identified using a new symptom questionna...

ADDITIONAL READING

Rais-Bahrami S, Friedlander JI, Herati AS, et al. Symptom profile variability of interstitial cystitis/painful bladder syndrome by age. BJU Int.  2012;109(9):1356–1359.  

SEE ALSO

  • Urinary Tract Infection (UTI) in Females

  • Algorithm: Pelvic Girdle Pain (Pregnancy or Postpartum Pelvic Pain)

CODES

ICD10

  • N30.10 Interstitial cystitis (chronic) without hematuria

  • N30.11 Interstitial cystitis (chronic) with hematuria

ICD9

595.1 Chronic interstitial cystitis 

SNOMED

  • 197834003 Chronic interstitial cys...

CLINICAL PEARLS

  • The potassium sensitivity test has been the most useful in confirming an initial diagnosis of interstitial cystitis.

  • At present, there is no definitive treatment for interstitial cystit...

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