interstitial cystitis Flashcards
1
Q
what
A
chronic condition causing inflammation bladder resulting in LUTS
2
Q
typical presentation
A
> 6wks of
- suprapubic pain relieved by emptying bladder
- frequency
- urgency
symptoms may be worse during menstruation
3
Q
Ix
A
urinalysis
swabs for STI
cystoscopy
prostate examination
4
Q
cystoscopy findings
A
Hunner lesions - red, inflamed patches mucosa
Granulations - tiny haemorrhages on bladder wall
5
Q
supportive management
A
avoid alcohol, caffeine, tomatoes stop smoking pelvic floor exercises bladder retraining CBT TENS
6
Q
oral medication options
A
analgesia antihistamines anticholinergics mirebegron pentosan polysulfate sodium
7
Q
intravesical medication
A
lidocaine
pentosan polysulfate sodium
hylarounic acid
chondroitin sulphate
8
Q
surgical interventions
A
cauterisation Hunner lesions Botox injecions neuromodulation augnentation cystectomy
