Interstitial cystitis

Selo-Ojeme, DO; Onwude, JL

doi:10.1080/01443610410001660652

Cited by 24 publications

(21 citation statements)

References 79 publications

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“…This supports previous research (Davis & Magilvy, 2000;Selo-Ojeme & Onwude, 2004;Ware, 1992) showing that health care providers misdiagnose these illnesses as depression or as psychosomatic. They believe that symptoms are due to stress and being a woman, which lends additional support to the fact that the principle of Cartesian dualism is alive and well in today's health care environment.…”

Section: Discussionsupporting

confidence: 88%

“…Interstitial cystitis is a painful chronic bladder condition that is more common in middle-aged Caucasian women and is characterized by urinary frequency, urgency, nocturia, and pelvic pain (Selo-Ojeme & Onwude, 2004). Because health care providers are unfamiliar with its symptoms, women are often misdiagnosed as experiencing stress or nerves and believe that they do not have a legitimate physical condition.…”

Section: Introductionmentioning

confidence: 99%

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Ambiguous Chronic Illness in Women: Community Health Nursing Concern

Johnson

Johnson²

2006

Journal of Community Health Nursing

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The purpose of this study was to explore how women with ambiguous chronic illness, such as celiac disease and interstitial cystitis, cope with the difficulty of being diagnosed and the subsequent realities of daily life. A convenience sample of 15 women with chronic ambiguous illness in 4 geographic areas was interviewed via qualitative methods. Data were analyzed using conceptual coding and constant comparative methods. These categories were identified: persistence in obtaining a correct diagnosis, trivialization and stigmatization, embarrassment, being an inconvenience, and ways of coping. Women were misdiagnosed for years (R = 2 to 11) and felt dismissed as being depressed or hysterical. Yet, they emphasized that persistence in obtaining a correct diagnosis is essential even though it may mean suffering embarrassment and inconvenience. Suggestions for community health nurses to improve the lives of women with ambiguous chronic illness are offered.

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Section: Discussionsupporting

confidence: 88%

Section: Introductionmentioning

confidence: 99%

Ambiguous Chronic Illness in Women: Community Health Nursing Concern

Johnson

Johnson²

2006

Journal of Community Health Nursing

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“…45 Other factors identified as possibly contributing to overall quality of life include improvements in lifestyle, exercise, stress reduction, and warm baths. 48 Bladder training through scheduled voiding patterns can help reduce frequency. This technique is most applicable in patients who have only mild pain upon bladder filling.…”

Section: Multimodal Therapymentioning

confidence: 99%

Interstitial Cystitis/Painful Bladder Syndrome: Appropriate Diagnosis and Management

Dell

2007

Journal of Women's Health

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Interstitial cystitis/painful bladder syndrome (IC/PBS) is characterized by urinary frequency, urgency, and pelvic pain in the absence of any other identifiable pathology. Initial identification of IC/PBS is challenging, as patients may have a range of symptoms that overlap with other disorders, including urinary tract infection (UTI). These patients may be treated empirically with antibiotics; however, many patients with such symptoms are actually culture negative and are later diagnosed with IC/PBS. This review describes the importance of recognizing the symptom overlap between IC/PBS and UTI and focuses on approaches to the diagnosis and management of IC/PBS. Physicians can improve patient care by considering IC/PBS early in the differential diagnosis.

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“…Improvements in lifestyle including warm tub baths and attempting to reduce stress; these appear to help improve quality of life [59]. Bladder training associated with pelvic floor exercises and scheduled voiding may be beneficial for patients with minimal discomfort [60].…”

Section: Behavioral Treatment For Icmentioning

confidence: 99%

Management of chronic pelvic pain

Paulson¹,

Gor

2007

Expert Review of Obstetrics & Gynecology

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Chronic pelvic pain is discomfort or pain greater than 6 months in duration. It is, usually, of sufficient discomfort that it requires medical or surgical intervention. It represents a cost of over US$3 billion in the USA, and accounts for a large percentage of visits to the gynecologist and surgical procedures performed, such as laparoscopies and hysterectomies. The most common gynecological causes of this pain are endometriosis, adhesions, interstitial cystitis and vulvodynia; however, the pain can be caused by systems in the body other than urogenital including gastrointestinal, musculoskeletal, urinary tract and psychological problems. Diagnosis is sometimes difficult and treatment is often frustrating. This article describes efficient ways to diagnose chronic pelvic pain and possible treatments depending on the cause of the pain.Expert Rev. Obstet. Gynecol. 2(1), 37-50 (2007) Chronic pelvic pain (CPP) is pain of greater than 6 months duration of sufficient discomfort requiring medical or surgical intervention [1]. In women, it often occurs in the reproductive age group. The discomfort is usually localized in the pelvis, the abdominal wall below the level of the umbilicus, the lower part of the back and the inner aspects of the thighs. One of the difficulties with CPP is the lack of specific characteristics. Seeking medical assistance from a gynecologist for chronic pelvic pain is a very common practice. It has been estimated that one in three women have had pelvic pain during their lifetime [2][3][4] and over 9 million women (15% of the adult female population in the USA) have been treated for chronic pelvic pain [2]. In the USA, 10-15% of all gynecological referrals are for pelvic pain [5] and it is estimated that 40% of all laparoscopies [6] and over 10% of hysterectomies performed by gynecologists are for CPP [4,5]. The estimated amount of money spent yearly on treating this painful illness is over US$3 billion dollars [2]. Due to lack of specific symptoms, it can lead to unnecessary and additional work-ups (BOX 1).

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Interstitial cystitis

Cited by 24 publications

References 79 publications

Ambiguous Chronic Illness in Women: Community Health Nursing Concern

Ambiguous Chronic Illness in Women: Community Health Nursing Concern

Interstitial Cystitis/Painful Bladder Syndrome: Appropriate Diagnosis and Management

Management of chronic pelvic pain

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