Interstitial cystitis (IC) is a complex and chronic bladder condition. IC symptoms range from mild to severe, occasional to constant. Symptoms include pain, pressure or discomfort. Patients urinate more frequently and have an increased urge to urinate. IC is also known as painful bladder syndrome (PBS), bladder pain syndrome (BPS), chronic pelvic pain and frequency-urgency-dysuria syndrome. An estimated 3.3 million women and 1.6 million men in the U.S. suffer from some form of IC.
There is no definitive test to diagnose IC, and symptoms of IC mimic those of other urinary disorders. A variety of diagnostic tests and procedures may be necessary. In addition to a complete medical history and physical examination, these include:
Urinalysis, a laboratory examination of urine for red and white blood cells, infection, or excessive protein.
Urine culture and cytology
Cystoscopy (also called cystourethroscopy), a small telescope passed through the urethra into the bladder to look at the urethra, prostate and bladder.
Bladder wall biopsy, a procedure in which tissue samples are removed with a needle or during surgery for examination under a microscope.
Laboratory examination of prostate secretions (in men)
There is no one specific way to diagnose IC and no cure for IC, making it difficult to treat. However, if a patient has typical symptoms and a negative urine examination shows no infection, IC is often suspected. Treatments focused on relieving symptoms may include:
Bladder distension, a procedure aimed at increasing bladder capacity and interfering with pain signals that are being transmitted by the nerve cells in the bladder.
Bladder instillation (also called a bladder wash or bath) fills the bladder with a solution for varying periods of time before being drained through a catheter.
Transcutaneous electrical nerve stimulation (TENS) uses mild electric pulses either through wires placed on the lower back, or through special devices inserted into the vagina in women or rectum in men.
Bladder training at designated times with relaxation techniques and distractions to maintain the schedule. Patients gradually lengthen time between scheduled voids.
You will receive a thorough diagnostic evaluation and receive clinically-proven treatment by a board-certified urologist who specializes in interstitial cystitis. Our goal is to alleviate symptoms so you can return to every life. Appointments are confidential and private.
Brigham and Women's Hospital practices a multidisciplinary approach to patient care, routinely collaborating with colleagues in other medical specialties. If your urologist discovers that an underlying illness has contributed to your interstitial cystitis, you will be referred to an appropriate BWH physician for an evaluation.