Interventional procedure overview of electrically stimulated intravesical therapy for interstitial cystitis or overactive bladder in adults
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Indications and current treatment
Interstitial cystitis
Interstitial cystitis, also known as bladder pain syndrome (BPS), is a chronic inflammatory condition of the bladder. The main symptoms are pelvic pain, urinary urgency, urinary frequency and nocturia. Symptoms can last for several months or years. It is diagnosed by exclusion and is challenging to treat.
Current treatment options aim to reduce symptoms and include:
lifestyle changes, such as dietary changes and stopping smoking
medication
intravesical therapy
intradetrusor botulinum toxin injection
neuromodulation
sacral nerve stimulation
cystoscopy plus hydrodistension.
Overactive bladder
OAB is defined as urinary urgency, usually with urinary frequency and nocturia, with or without urinary incontinence. In some people, it is accompanied by uncontrolled contractions of the detrusor muscle during bladder filling, called detrusor overactivity. It is diagnosed based on symptoms and is challenging to treat.
Current treatment options aim to reduce symptoms and include:
physical therapies, such as pelvic floor muscle training
medication
percutaneous posterior tibial nerve stimulation
intravesical therapy
intradetrusor botulinum toxin injection
sacral nerve stimulation.
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