Urology Specialists of Ohio
Thank you for choosing the Urology Specialists of Ohio. Your care and well-being are our primary concerns, and we want your stay
to be as comfortable as possible. Please call us if you have any questions at (937) 342-9260
PAINFUL BLADDER (INTERSTITIAL CYCTITIS)
Painful Bladder Pain Syndrome (BPS), also known as Interstitial cystitis (IC), painful bladder syndrome (PBS) or hypersensitive bladder syndrome (HBS), is a condition that results in “an unpleasant sensation (pain, pressure, discomfort) perceived to be related to the urinary bladder, associated with lower urinary tract symptoms of more than 6 weeks duration, in the absence of infection or other identifiable causes.” (2009 new American IC/BPS Guidelines).
The symptoms can vary greatly between individuals and even for the same person throughout the month, including an urgent need to urinate (urgency), a frequent need to urinate (frequency) and, for some, pressure and/or pelvic pain. People with severe cases of IC/PBS may urinate as many as 60 times a day, including frequent nighttime urination (nocturia).
Pain levels can range from mild tenderness to intense, agonizing pain. Pain typically worsens as the bladder fills and is then relieved after urination. Pain occurring after urination may relate to pelvic floor tension and/or muscle spasms. Pain may also radiate to the lower back, upper legs, vulva and penis. Women’s symptoms may fluctuate with their menstrual cycle, often flaring during ovulation and/or just before their periods. Men and women may experience discomfort during or after sexual relations. During flares, patients may also experience the “IC Belly,” a sudden and random swelling of the lower abdomen.
When painful bladder is examined using a procedure called hydrodistention with cystoscopy, physicians often find small, bleeding wounds, also known as petechial hemorrhages or glomerulations. About ten percent of patients may have larger, more painful wounds, called Hunner’s Ulcers. Some patients with mild IC may have bladders that appear normal during a cystoscopy. IC patients rarely test positive for infection in standard urinalysis and urine cultures.
In recent years, there has been much debate about renaming PBS. In the United States, we typically use the term interstitial cystitis (IC) or interstitial cystitis/painful bladder syndrome IC/PBS) though many believe that patients are being frequently misdiagnosed with overactive bladder and/or chronic prostatitis. In Europe, physicians appear to favor the term bladder pain syndrome (BPS). In Japan, the term hypersensitive bladder syndrome is generally used. We urge you not to become invested in any specific name but rather focus on symptoms. If someone has frequency, urgency, pressure and/or pain, they clearly require medical care and should be treated with compassion.
Thank you for choosing our group of doctors and staff for your Urology needs. In order for us to better serve you, below is a checklist of things to know and bring to your first appointment. If you do not have the paperwork filled out prior to your appointment, please arrive 15 minutes early to complete in the office. If you do not have the paperwork filled out prior to your appointment time then your appointment will be rescheduled to another date.
Urology Specialists of Ohio has been a committed part of the Springfield community for more that 10 years, and now serves Springfield, Beavercreek, London, Xenia, and Urbana striving to improve the medical community, with excellence in all areas of urology.
Our goals are to provide state of the art medical treatment for patients with genitourinary problems. We provide this in the most compassionate and cost effective way possible. We take pride in providing excellent care with attention to detail and respect in a friendly atmosphere.
There is no definitive test to make the diagnosis of PBS. It is a diagnosis of exclusion. Evaluation usually involves a detailed history, review of old medical records/ urine culture results, physical exam, urine tests, and voiding diary. Abdominal/pelvic imaging studies such as ultrasound or CT may be used. Urodynamics, a test to evaluate bladder function, may be recommended as well as cystoscopy (look inside the bladder).
There is no cure for PBS, but there are many therapies that can help decrease and at times eliminate the symptoms of PBS. There is no one therapy that works for every patient. Usually a therapeutic plan is created with input from the patient working with the physician. Some therapies used include behavioral therapies such as diet modification, bladder retraining; oral medications such as Elmiron, nortriptyline, hydroxyzine; pelvic floor physical therapy; bladder instillations (medication placed directly into the bladder); bladder hydrodistension (stretching of the bladder while the patient is under a general anesthetic); neurmodulation therapies.
Come and visit
We look forward to your visit. be assured that your great health is our focused passion. click below to see our 5 locations.
1164 E. Home Road
Springfield, Ohio 45503