UNMC | Interstitial cystitis

Interstitial cystitis is a chronic condition in which the bladder wall is tender and easily irritated.

Symptoms:

Bladder pressure or pain
Pain in the genitals or anus
Painful intercourse
Urinary frequency and urgency

Interstitial cystitis is diagnosed by process of elimination - by ruling out other reasons for the symptoms. In addition to a physical examination and a review of the patient's medical history, the doctor may order laboratory examination of the urine, urodynamic studies to determine how the bladder is working, and/or a visual examination of the bladder via cystoscopy.

Treatment modalities:

Biofeedback to teach muscle control
Bladder hydrodistention (stretching the bladder with water) or instillation (bladder washing)
Electrical stimulation to block nerve sensations, improve blood flow, and strengthen pelvic muscles
Lifestyle changes
- Certain foods may increase your symptoms: Watch consumption of alcohol, caffeine, carbonated beverages, chocolate, citrus, and tomatoes.
- Control stress.
- Retrain/stretch your bladder by holding urine for longer periods of time.
Massage of the abdominal muscles to relieve pain
Medical therapy