interstitial cystitis

Question 1

what

Answer 1

chronic condition causing inflammation bladder resulting in LUTS

Question 2

typical presentation

Answer 2

> 6wks of

• suprapubic pain relieved by emptying bladder
• frequency
• urgency

symptoms may be worse during menstruation

Question 3

Ix

Answer 3

urinalysis
swabs for STI
cystoscopy
prostate examination

Question 4

cystoscopy findings

Answer 4

Hunner lesions - red, inflamed patches mucosa

Granulations - tiny haemorrhages on bladder wall

Question 5

supportive management

Answer 5

avoid alcohol, caffeine, tomatoes
stop smoking 
pelvic floor exercises
bladder retraining 
CBT 
TENS

Question 6

oral medication options

Answer 6

analgesia
antihistamines
anticholinergics
mirebegron 
pentosan polysulfate sodium

Question 7

intravesical medication

Answer 7

lidocaine
pentosan polysulfate sodium
hylarounic acid
chondroitin sulphate

Question 8

surgical interventions

Answer 8

cauterisation Hunner lesions
Botox injecions
neuromodulation 
augnentation 
cystectomy