interstitial cystitis is prevalent in the 5th decade women, characterized by frequency, urgency and elvic pain. To diagnose intersitial cystitis, NIH diagnostic criteria was used. Patients underwent overddistention and all patients were evaluated
with
IPSS symptom score and urodynamic study in preoperative period, post operastive(POD) 1 week and 1 month. The age distribution was 4th decade in 1 patient, 5th decade in 3, 6th decade in 2, 7th decade in 4 and then above 7th decade in 2. Symptom
durations was less than 7 years in 7 patients, between 7-10 years in 2 and more than 10 years in 3. Changes in bladder irrtative symptom score between preop. And POD 1 week, an preop. And POD 1 month were 6.00±4.40(p<0.05) with statistical
significance, respetively. Changes in obstructioe symptom scores were 4.91±4.27(P<0.05) and 3.91±4.76(P<0.05) with statistical significance. On urodynamic study, the volume of first voiding sensation between preop and POD 1 week was
29.45±52.04(p>0.05) but statistically insignificant. However, the change between prep op. And POD 1 month was 97.45±90.29(p<0.05) with stastical significance. Difference in maximal capacity between preop. And POD 1 week was stastically
significant as
87.55±126.39(p<0.05). Bladder functional capacity changes between with and without anesthesia was stastically significant.(p<0.05) Postop. complications were bladder rupture in 1 case, and hematuria in 12.
The results of overdistention was useful in the diagnosis and treatement of mtersitial cystitis. Then more evaluation and follow up will be needed.
|