Interstitial cystitis: urgency and frequency syndrome
Interstitial cystitis is a chronic, severely debilitating disease of the urinary bladder. Excessive urgency and frequency of urination, suprapubic pain, dyspareunia, chronic pelvic pain and negative urine cultures are characteristic of interstitial cystitis. The course of the disease is usually mark...
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| Veröffentlicht in: | American family physician 2001-10, Vol.64 (7), p.1199-1206 |
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| description | Interstitial cystitis is a chronic, severely debilitating disease of the urinary bladder. Excessive urgency and frequency of urination, suprapubic pain, dyspareunia, chronic pelvic pain and negative urine cultures are characteristic of interstitial cystitis. The course of the disease is usually marked by flare-ups and remissions. Other conditions that should be ruled out include bacterial cystitis, urethritis, neoplasia, vaginitis and vulvar vestibulitis. Interstitial cystitis is diagnosed by cystoscopy and hydrodistention of the bladder. Glomerulations or Hunner's ulcers found at cystoscopy are diagnostic. Oral treatments of interstitial cystitis include pentosan polysulfate, tricyclic antidepressants and antihistamines. Intravesicular therapies include hydrodistention, dimethyl sulfoxide and heparin, or a combination of agents. Referral to a support group should be offered to all patients with interstitial cystitis. |
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Excessive urgency and frequency of urination, suprapubic pain, dyspareunia, chronic pelvic pain and negative urine cultures are characteristic of interstitial cystitis. The course of the disease is usually marked by flare-ups and remissions. Other conditions that should be ruled out include bacterial cystitis, urethritis, neoplasia, vaginitis and vulvar vestibulitis. Interstitial cystitis is diagnosed by cystoscopy and hydrodistention of the bladder. Glomerulations or Hunner's ulcers found at cystoscopy are diagnostic. Oral treatments of interstitial cystitis include pentosan polysulfate, tricyclic antidepressants and antihistamines. Intravesicular therapies include hydrodistention, dimethyl sulfoxide and heparin, or a combination of agents. Referral to a support group should be offered to all patients with interstitial cystitis.</description><identifier>ISSN: 0002-838X</identifier><identifier>PMID: 11601802</identifier><identifier>CODEN: AFPYBF</identifier><language>eng</language><publisher>United States: American Academy of Family Physicians</publisher><subject><![CDATA[Administration, Intravesical ; Administration, Oral ; Analgesics, Non-Narcotic - administration & dosage ; Anti-Inflammatory Agents, Non-Steroidal - administration & dosage ; Anticoagulants - administration & dosage ; Antidepressive Agents, Tricyclic - administration & dosage ; Cystitis, Interstitial - complications ; Cystitis, Interstitial - diagnosis ; Cystitis, Interstitial - drug therapy ; Cystitis, Interstitial - pathology ; Cystitis, Interstitial - therapy ; Cystoscopy ; Decision Trees ; Diagnosis, Differential ; Dimethyl Sulfoxide - administration & dosage ; Drug Therapy, Combination ; Excretory system ; Health care ; Heparin - administration & dosage ; Histamine H1 Antagonists - administration & dosage ; Humans ; Medical disorders ; Pentosan Sulfuric Polyester - administration & dosage ; Recurrence ; Urine]]></subject><ispartof>American family physician, 2001-10, Vol.64 (7), p.1199-1206</ispartof><rights>Copyright American Academy of Family Physicians Oct 1, 2001</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,777,781</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11601802$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Metts, J F</creatorcontrib><title>Interstitial cystitis: urgency and frequency syndrome</title><title>American family physician</title><addtitle>Am Fam Physician</addtitle><description>Interstitial cystitis is a chronic, severely debilitating disease of the urinary bladder. Excessive urgency and frequency of urination, suprapubic pain, dyspareunia, chronic pelvic pain and negative urine cultures are characteristic of interstitial cystitis. The course of the disease is usually marked by flare-ups and remissions. Other conditions that should be ruled out include bacterial cystitis, urethritis, neoplasia, vaginitis and vulvar vestibulitis. Interstitial cystitis is diagnosed by cystoscopy and hydrodistention of the bladder. Glomerulations or Hunner's ulcers found at cystoscopy are diagnostic. Oral treatments of interstitial cystitis include pentosan polysulfate, tricyclic antidepressants and antihistamines. Intravesicular therapies include hydrodistention, dimethyl sulfoxide and heparin, or a combination of agents. 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administration & dosage</subject><subject>Histamine H1 Antagonists - administration & dosage</subject><subject>Humans</subject><subject>Medical disorders</subject><subject>Pentosan Sulfuric Polyester - administration & dosage</subject><subject>Recurrence</subject><subject>Urine</subject><issn>0002-838X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2001</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNpdkE1LxDAURbNQnHH0L0hx4a6Qz6ZxJ4M6AwNuFNyVNHmRDm1ak2bRf28Yx42r-y4cHod7gdYYY1rWrP5coesYj7lKQdQVWhFSYVJjukZi72cIce7mTveFWU5XfCxS-AJvlkJ7W7gA3-nU4uJtGAe4QZdO9xFuz7lBHy_P79tdeXh73W-fDuVEGZ_LmleKtUZw1zpDuBEENLWUtJYpTDVUitQuO0knLMcSG90KKQkDx1lVGcM26OH37xTGrBDnZuiigb7XHsYUG0mJUoLLDN7_A49jCj67NdmEKiwkztDdGUrtALaZQjfosDR_a7Afa6BZsQ</recordid><startdate>20011001</startdate><enddate>20011001</enddate><creator>Metts, J F</creator><general>American Academy of Family Physicians</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88C</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M0T</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20011001</creationdate><title>Interstitial cystitis: urgency and frequency syndrome</title><author>Metts, J F</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p234t-84693bc54fbfc14c51ea2d21bd3902ae6918f0757f5d4070cab57713ef4366cc3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2001</creationdate><topic>Administration, Intravesical</topic><topic>Administration, Oral</topic><topic>Analgesics, Non-Narcotic - 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Excessive urgency and frequency of urination, suprapubic pain, dyspareunia, chronic pelvic pain and negative urine cultures are characteristic of interstitial cystitis. The course of the disease is usually marked by flare-ups and remissions. Other conditions that should be ruled out include bacterial cystitis, urethritis, neoplasia, vaginitis and vulvar vestibulitis. Interstitial cystitis is diagnosed by cystoscopy and hydrodistention of the bladder. Glomerulations or Hunner's ulcers found at cystoscopy are diagnostic. Oral treatments of interstitial cystitis include pentosan polysulfate, tricyclic antidepressants and antihistamines. Intravesicular therapies include hydrodistention, dimethyl sulfoxide and heparin, or a combination of agents. Referral to a support group should be offered to all patients with interstitial cystitis.</abstract><cop>United States</cop><pub>American Academy of Family Physicians</pub><pmid>11601802</pmid><tpages>8</tpages></addata></record> |
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| subjects | Administration, Intravesical Administration, Oral Analgesics, Non-Narcotic - administration & dosage Anti-Inflammatory Agents, Non-Steroidal - administration & dosage Anticoagulants - administration & dosage Antidepressive Agents, Tricyclic - administration & dosage Cystitis, Interstitial - complications Cystitis, Interstitial - diagnosis Cystitis, Interstitial - drug therapy Cystitis, Interstitial - pathology Cystitis, Interstitial - therapy Cystoscopy Decision Trees Diagnosis, Differential Dimethyl Sulfoxide - administration & dosage Drug Therapy, Combination Excretory system Health care Heparin - administration & dosage Histamine H1 Antagonists - administration & dosage Humans Medical disorders Pentosan Sulfuric Polyester - administration & dosage Recurrence Urine |
| title | Interstitial cystitis: urgency and frequency syndrome |
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