Electrosurgical Management of Hunner Ulcers in a Referral Center's Interstitial Cystitis Population

Chennamsetty, Avinash; Khourdaji, Iyad; Goike, Jonathan; Killinger, Kim A.; Girdler, Benjamin; Peters, Kenneth M.

doi:10.1016/j.urology.2014.09.012

Cited by 63 publications

(62 citation statements)

References 7 publications

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“…169 Fulguration with a Bugbee electrode is another option that led to symptomatic improvement in 76-90% of 150 cases described. [170][171][172][173] Transurethral coagulation using neodymium:yttrium-aluminum-garnet (Nd:YAG) laser, has been reported in two small observational series with short-term improvements of 78% and 100%. 174,175 To prevent bladder or bowel perforation, low bladder filling volume and low-power setting (10-15 W), firing during 1-3 seconds in constant motion until the ulcer is blanched, are recommended.…”

Section: Treatment Of Hunner's Lesions (Recommended For Patients Withmentioning

confidence: 99%

“…176 Complications of these procedures include bladder perforation, hemorrhage, bowel injury, 175 and bladder fibrosis. 169,172 Lesions tend to recur and retreatment will likely be necessary over time. 169,171 Guideline: Based on consistent Level 3 evidence, endoscopic treatment of Hunner's lesions is recommended for IC/BPS patients with Hunner's lesions.…”

Section: Treatment Of Hunner's Lesions (Recommended For Patients Withmentioning

confidence: 99%

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

Cox

Golda

Nadeau

et al. 2016

CUAJ

111

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: Treatment Of Hunner's Lesions (Recommended For Patients Withmentioning

confidence: 99%

Section: Treatment Of Hunner's Lesions (Recommended For Patients Withmentioning

confidence: 99%

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

Cox

Golda

Nadeau

et al. 2016

CUAJ

111

121

View full text Add to dashboard Cite

show abstract

“…Transurethral surgery, laser resection, and hydro‐distention have been reported for the treatment of interstitial cystitis, especially for the ulcerative type . Electrical fulguration and resection are the two methods available for ulcer treatment.…”

Section: Discussionmentioning

confidence: 99%

Ulcerative interstitial cystitis in an adolescent successfully treated with complete transurethral ulcer resection: A case report

et al. 2018

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Introduction Interstitial cystitis is difficult to treat and may affect adolescents. Case presentation A 15‐year‐old girl presented with severe pain upon terminal micturition that persisted for approximately 2 hours. The pain had been present for more than 1 month. Cystoscopy revealed severe erosion throughout the trigone. Transurethral fulguration did not improve her symptoms. However, complete electric resection of the ulcer markedly reduced the symptom. After complete resection, pain on urination disappeared and she has had no pain without medication for 15 months. Conclusion Complete resection not fulguration of the ulcer is effective for interstitial cystitis in adolescent female patients.

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“…ст. в течение 1-2 минут, являются специфичными для СБМП и служат его диагностическим критерием [17][18][19]. На сегодняшний день принято следующее определение гуннеровского поражения: «Окрашен-ная в красный цвет зона слизистой с небольшими сосудами, сходящимися радиально к центрально-му рубцу, покрытому отложениями фибрина или сгустком, прикрепленным к этой зоне.…”

Section: обзор литературы 27unclassified

Current approaches to the diagnostic of bladder pain syndrome

2017

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The article reviews the current approaches in the diagnostic of bladder pain syndrome. The criteria for diagnosing of the disease are described, such as methods for objectifying the intensity of symptoms and quality of life of patients, possible cystoscopic findings, the most important biological markers of the disease. (For citation: Slesarevskaya MN, Ignashov YuA, Kuzmin IV. Current approaches to the diagnostic of bladder pain syndrome. Urologicheskie vedomosti. 2017;7(2):25-30. doi: 10.17816/uroved7225-30).

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Electrosurgical Management of Hunner Ulcers in a Referral Center's Interstitial Cystitis Population

Cited by 63 publications

References 7 publications

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

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

Ulcerative interstitial cystitis in an adolescent successfully treated with complete transurethral ulcer resection: A case report

Current approaches to the diagnostic of bladder pain syndrome

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