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Interstitial Cystitis

Sarah R. Hollis, MD and Montiel T. Rosenthal, MD Reviewed 06/2019
 


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.) (1)[C]

  • Biofeedback bladder retrainin...

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

1
Hanno PM, Erickson D, Moldwin R, et al; for American Urological Association. Diagnosis and treatment of interstitial cystitis/bladder pain syndrome: AUA guideline amendment. J Urol.  ...

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. [View A...

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.

  • Potassium sensitivity test

    • Insert catheter, empty bladder, instill 40...

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