International Urogynecology Journal

, Volume 19, Issue 10, pp 1379–1384

Treatment of interstitial cystitis with hydrodistention and bladder training

Authors

    • Department of Obstetrics and GynecologyTaipei Medical University-Wan Fang Hospital
    • Department of Obstetrics and GynecologyKuo General Hospital
  • Shao-Tung Chang
    • Department of MathematicsNational Taiwan Normal University
  • Chia-Jung Hsieh
    • School of MedicineFu Jen Catholic University
  • Chun-Sen Hsu
    • Department of Obstetrics and GynecologyTaipei Medical University-Wan Fang Hospital
  • Tsung-Cheng Kuo
    • Department of Obstetrics and GynecologyKuo General Hospital
  • Hui-Chin Chang
    • EBM CenterChung Shan Medical University Hospital
  • Yi-Hui Lin
    • Department of Obstetrics and GynecologyTaipei Medical University-Wan Fang Hospital
Original Article

DOI: 10.1007/s00192-008-0640-9

Cite this article as:
Hsieh, C., Chang, S., Hsieh, C. et al. Int Urogynecol J (2008) 19: 1379. doi:10.1007/s00192-008-0640-9

Abstract

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.

Keywords

Frequency Hydrodistention Interstitial cystitis Nocturia Painful bladder syndrome Urgency

Copyright information

© International Urogynecology Journal 2008