Difference between revisions of "Interstitial cystitis"

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#redirect [[Urothelium#Interstitial_cystitis]]
'''Interstitial cystitis''' is a benign painful pathology of the [[urinary bladder]].
 
It is also known as '''painful bladder syndrome'''.<ref name=pmid21609485>{{Cite journal  | last1 = Tanaka | first1 = T. | last2 = Nitta | first2 = Y. | last3 = Morimoto | first3 = K. | last4 = Nishikawa | first4 = N. | last5 = Nishihara | first5 = C. | last6 = Tamada | first6 = S. | last7 = Kawashima | first7 = H. | last8 = Nakatani | first8 = T. | title = Hyperbaric oxygen therapy for painful bladder syndrome/interstitial cystitis resistant to conventional treatments: long-term results of a case series in Japan. | journal = BMC Urol | volume = 11 | issue =  | pages = 11 | month =  | year = 2011 | doi = 10.1186/1471-2490-11-11 | PMID = 21609485 }}</ref><ref name=pmid21568251>{{Cite journal  | last1 = French | first1 = LM. | last2 = Bhambore | first2 = N. | title = Interstitial cystitis/painful bladder syndrome. | journal = Am Fam Physician | volume = 83 | issue = 10 | pages = 1175-81 | month = May | year = 2011 | doi =  | PMID = 21568251 }}</ref>
 
''Hunner ulcer'' redirects here.<ref name=pmid23083651>{{Cite journal  | last1 = Hillelsohn | first1 = JH. | last2 = Rais-Bahrami | first2 = S. | last3 = Friedlander | first3 = JI. | last4 = Okhunov | first4 = Z. | last5 = Kashan | first5 = M. | last6 = Rosen | first6 = L. | last7 = Moldwin | first7 = RM. | title = Fulguration for Hunner ulcers: long-term clinical outcomes. | journal = J Urol | volume = 188 | issue = 6 | pages = 2238-41 | month = Dec | year = 2012 | doi = 10.1016/j.juro.2012.08.013 | PMID = 23083651 }}</ref>
 
==General==
*Chronic cystitis, culture negative.
 
Epidemiology:<ref name=pmid21568251/>
*Women > men.
 
Symptoms:<ref name=pmid21568251/>
*Urgency.
*Frequency.
*Pain.
 
Treatment:
*Difficult.<ref name=pmid21609485/>
*Fulguration of ulcers (if present) may provide symptomatic relief.<ref name=pmid23083651/>
 
==Gross==
*+/-Ulceration.
 
==Microscopic==
Features:<ref name=Ref_GUP124>{{Ref GUP|124}}</ref>
*+/-Ulceration (uncommon).
 
Note:
*[[Diagnosis]] requires clinical correlation.
 
DDx:
*[[Urothelial carcinoma in situ|Urothelial CIS]].
 
==Sign out==
<pre>
Urinary Bladder, Biopsy:
- Inflamed subepithelial tissue; NEGATIVE for appreciable amount of urothelium.
- NEGATIVE for evidence of malignancy.
 
Comment:
Deepers were cut (x4) and are non-contributory.
</pre>
 
==See also==
*[[Urothelium]].
 
==References==
{{Reflist|1}}


[[Category:Diagnosis]]
[[Category:Diagnosis]]
[[Category:Urothelium]]
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