Bladder Necrosis Following Hydrodistention in Patients With Interstitial Cystitis

Zabihi, Nasim; Allee, Tina; Maher, Mary Grey; Mourtzinos, Arthur; Raz, Shlomo; Payne, Christopher K.; Rodríguez, Larissa V.

doi:10.1016/j.juro.2006.08.095

Cited by 26 publications

(18 citation statements)

References 19 publications

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“…Complications of HD include flare of symptoms (9%), 19 bladder rupture, 166 and bladder necrosis. 167 Prolonged HD, where the bladder is distended with a balloon from minutes to hours, should be discouraged due to a high complication rate of 20%. 153 The long-term complication rate of repeated HD is unknown.…”

Section: Hydrodistension (Hd) (Option Grade C)mentioning

confidence: 99%

CUA guideline: Diagnosis and treatment of interstitial cystitis/ bladder pain syndrome

Cox

Golda

Nadeau

et al. 2016

CUAJ

109

121

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MethodologyThe following guidelines were based on MEDLINE and PUBMED searches of English language literature, in addition to consensus conference proceedings. Levels of evidence and grades of recommendation were assigned for each investigation and treatment, as per the modified Oxford Centre for Evidence-Based Medicine grading system. Where the literature was inconsistent or scarce, a consensus expert opinion was generated to provide treatment guidelines.

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Section: Hydrodistension (Hd) (Option Grade C)mentioning

confidence: 99%

CUA guideline: Diagnosis and treatment of interstitial cystitis/ bladder pain syndrome

Cox

Golda

Nadeau

et al. 2016

CUAJ

109

121

View full text Add to dashboard Cite

show abstract

“…The criteria which exclude the diagnosis of IC are bladder capacity >350 ml on awake cystometry, absence of an intense desire to void at 150 ml with a medium filling rate (30-100 ml/min), demonstration of phasic involuntary bladder contractions on cystometry, symptomatology of less than 9 months duration, absence of nocturia, symptoms relieved by antimicrobials, urinary antiseptics, anticholinergics, or antispasmodics, urinary diurnal frequency less than nine times, a diagnosis of bacterial cystitis within 3 months, bladder calculi, active genital herpes, gynecological malignancy, urethral diverticulum, chemical cystitis, tuberculosis, radiation cystitis, bladder tumors, vaginitis, and age <18 years. A diagnosis of IC is made mainly based on clinical symptoms and cystoscopic findings after hydrodistention (HD) when other disorders are excluded [4][5][6][7][8].…”

Section: Introductionmentioning

confidence: 99%

Treatment of interstitial cystitis with hydrodistention and bladder training

et al. 2008

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This study aimed to evaluate the efficacy of hydrodistention (HD) and bladder training for interstitial cystitis (IC). From 1997 to 2006, 361 consecutive IC patients were treated by HD, followed by bladder training. Each patient was followed up using a diary for 8 weeks after HD weekly and monthly thereafter. The efficacy of the treatment was evaluated using the average of the voided volumes and the voiding frequency. The mean +/- standard deviation of the pre-HD daytime voided volumes and voiding frequency were 110.0 +/- 47.0 ml and 14.7 +/- 11.0, respectively. Furthermore, the nocturnal values were 173.1 +/- 91.8 ml and 2.8 +/- 1.7, respectively. After 72 weeks post-HD, the 185 patients who completed the follow-up had volumes/frequency of daytime, 306.5 +/- 80 ml and 6.9 +/- 2.1, respectively, and nocturnal, 325.8 +/- 122.4 ml and 1.3 +/- 0.6, respectively. The implementation of HD and bladder training is crucially important for long-term remission among IC patients.

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“…Bladder rupture may occur as morbidity during hydrodistension 284,286,291 . Prolonged distension may cause bladder necrosis 292 . A suggested procedure is as follows.…”

mentioning

confidence: 99%

Clinical guidelines for interstitial cystitis and hypersensitive bladder syndrome

et al. 2009

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Abstract:A clinical guideline and algorism for interstitial cystitis and hypersensitive bladder syndrome has been developed by a group of East Asian urologists as a revised form of the Japanese guideline for interstitial cystitis. The guideline defines interstitial cystitis (IC) as a disease of the urinary bladder diagnosed by 3 requirements; 1) a characteristic complex of lower urinary tract symptoms, 2) bladder pathology such as Hunner's ulcer and bladder bleeding after overdistension, and 3) exclusions of confusable diseases. The characteristic symptom complex is termed as hypersensitive bladder syndrome (HBS), which is defined as bladder hypersensitivity, usually associated with urinary frequency, with or without bladder pain. For the definite diagnosis of IC, cytoscopy or hydrodistension is crutial; HBS is the diagnosis when IC is suspected but not confirmed by the 3 requirements. Numerous therapeutic options are available; however, most of them lack in high level of evidence, leaving a few as recommended therapies. Etiology of IC are multifactorial; the interaction among nervous, immune and endocrine factors forms a vicious cycle, provocating and maintaining inflammatory reactions in the bladder. The inclusion and efficacy criteria for clinical trials should be standardized to enhance the clinical research for this disabling disease, which has proved to be more prevalent than previously believed.

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Bladder Necrosis Following Hydrodistention in Patients With Interstitial Cystitis

Cited by 26 publications

References 19 publications

CUA guideline: Diagnosis and treatment of interstitial cystitis/ bladder pain syndrome

CUA guideline: Diagnosis and treatment of interstitial cystitis/ bladder pain syndrome

Treatment of interstitial cystitis with hydrodistention and bladder training

Clinical guidelines for interstitial cystitis and hypersensitive bladder syndrome

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