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KMID : 1234520070020010066
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Korean Journal of Urogenital Tract Infection Inflammation
2007 Volume.2 No. 1 p.66 ~ p.72
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Clinical Aspects and Short-term Results of Bladder Hydrodistention for Interstitial Cystitis in Young Adult Men
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Liu Chang-Seung
Min Seung-Ki
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Abstract
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Purpose: Interstitial cystitis (IC) is prevalent in the mid age women, characterized by frequency, urgency, nocturia, suprapubic pain and dysuria. We estimated the clinical aspects and short-term results of hydrodistention for young male IC patients.
Materials and Methods: A retrospective chart review was conducted of 8 patients who had treated for interstitial cystitis between March 2002 and June 2006. They were diagnosed with exclusive criteria from National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) group. All of them were normal in urine analysis, prostatic secretion and transrectal ultrasonography (TRUS), and were not improved with anti muscarinic agents. We performed urodynamic study (UDS), potassium chloride sensitivity test (PST) and cystoscopy with hydrodistention under spinal anesthesia.
Results: Symptom durations were less than 5 years in 4 (50%) patients, between 5-10 years in 2 (25%) and more than 10 years in 2 (25%). PST was positive in 6 (75%) patients. On cystoscopy, glomerulations were noted in all patients and one (12.5%) had the Hunner’s ulcer. On bladder mucosal biopsy, there were mast cells in 2 (25%) specimens. All patients had enlarged both the volume of first voiding sensation and the maximal capacity of bladder with statistical significance and improved symptoms at 1 month after hydrodistention.
Conclusions: Symptoms of young male IC patients were not different with general IC symptoms. Even though the results show short-term effects, simple bladder hydrodistention would be the effective treatment modality for them.
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KEYWORD
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Bladder, Cystitis, Symptoms, Therapy, Male
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