Presentation and Management of Interstitial Cystitis/Painful Bladder Syndrome-VIDEO: Presentation and Management of Interstitial Cystitis/Painful Bladder Syndrome

Video Transcription

Video Summary

In the video, Dr. Zevlin Koop presents on painful bladder syndrome and interstitial cystitis. He discusses the history, epidemiology, etiology, diagnosis, and treatment of these conditions. Painful bladder syndrome and interstitial cystitis are classified as hypersensitivity or sensory disorders. The symptoms of these conditions include bladder pain, frequency, and urinary discomfort. Dr. Koop explains that the definitions for interstitial cystitis have changed over the years, starting with a restrictive definition in 1987, and moving to broader definitions in later years. The prevalence of painful bladder syndrome and interstitial cystitis is estimated to be around 12.6% of the population, with women being affected twice as often as men. The etiology of these conditions is unknown, but several proposed factors include genetics, infectious agents, and abnormalities in the bladder and urinary tract. Diagnosis is often a process of exclusion, as other conditions with similar symptoms must be ruled out. Treatment options range from conservative measures such as patient education, trigger avoidance, stress management, and pain control, to more invasive treatments like bladder installations and sacral neuromodulation. Dr. Koop discusses various medications and therapies that can be used to manage the symptoms of painful bladder syndrome and interstitial cystitis, including amitriptyline, heparin, Botox injections, and cystoscopy with hydrodistension. He emphasizes the importance of patient education and working closely with patients to find the most effective treatment approach. The video concludes with a patient vignette and a Q&A session.

Keywords

painful bladder syndrome

interstitial cystitis

hypersensitivity disorders

bladder pain

diagnosis

treatment options

patient education