Cystoscopic characteristic findings of interstitial cystitis and clinical implications

Interstitial cystitis/bladder pain syndrome (IC/BPS) is a chronic inflammatory bladder disease of unknown etiology, characterized by bladder pain and frequency urgency symptoms. Based on the cystoscopic findings after hydrodistention under anesthesia, the phenotype of IC/BPS includes no glamerulatio...

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Main Authors: Wan-Ru Yu, Yuan-Hong Jiang, Jia-Fong Jhang, Hann-Chorng Kuo
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2024-01-01
Series:Tzu Chi Medical Journal
Subjects:
Online Access:http://www.tcmjmed.com/article.asp?issn=1016-3190;year=2024;volume=36;issue=1;spage=30;epage=37;aulast=
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author Wan-Ru Yu
Yuan-Hong Jiang
Jia-Fong Jhang
Hann-Chorng Kuo
author_facet Wan-Ru Yu
Yuan-Hong Jiang
Jia-Fong Jhang
Hann-Chorng Kuo
author_sort Wan-Ru Yu
collection DOAJ
description Interstitial cystitis/bladder pain syndrome (IC/BPS) is a chronic inflammatory bladder disease of unknown etiology, characterized by bladder pain and frequency urgency symptoms. Based on the cystoscopic findings after hydrodistention under anesthesia, the phenotype of IC/BPS includes no glamerulation, characteristic glomerulation, and with Hunner's lesion. IC is specifically defined if there are characteristic Hunner's lesion appeared in cystoscopy or after hydrodistention. If there are glomerulations without Hunner's lesion, BPS should be considered. The definition of Hunner's lesion and glomerulations differs based on different definition and observations. Currently, there has been no clear description and grading of the glomerulations and Hunner's lesion. Because the classification of IC/BPS has an impact on the treatment strategy and associated with therapeutic outcome, it is unmet to have a clear definition and consensus on the characteristic cystoscopic findings of IC/BPS. This article reviews the literature and presents the figures of Hunner's lesions and description of different mucosal lesions after cystoscopic hydrodistention.
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spelling doaj-art-006f47bf2f9e475d97948e7fe7e4e09c2025-08-20T02:55:13ZengWolters Kluwer Medknow PublicationsTzu Chi Medical Journal1016-31902223-89562024-01-01361303710.4103/tcmj.tcmj_172_23Cystoscopic characteristic findings of interstitial cystitis and clinical implicationsWan-Ru YuYuan-Hong JiangJia-Fong JhangHann-Chorng KuoInterstitial cystitis/bladder pain syndrome (IC/BPS) is a chronic inflammatory bladder disease of unknown etiology, characterized by bladder pain and frequency urgency symptoms. Based on the cystoscopic findings after hydrodistention under anesthesia, the phenotype of IC/BPS includes no glamerulation, characteristic glomerulation, and with Hunner's lesion. IC is specifically defined if there are characteristic Hunner's lesion appeared in cystoscopy or after hydrodistention. If there are glomerulations without Hunner's lesion, BPS should be considered. The definition of Hunner's lesion and glomerulations differs based on different definition and observations. Currently, there has been no clear description and grading of the glomerulations and Hunner's lesion. Because the classification of IC/BPS has an impact on the treatment strategy and associated with therapeutic outcome, it is unmet to have a clear definition and consensus on the characteristic cystoscopic findings of IC/BPS. This article reviews the literature and presents the figures of Hunner's lesions and description of different mucosal lesions after cystoscopic hydrodistention.http://www.tcmjmed.com/article.asp?issn=1016-3190;year=2024;volume=36;issue=1;spage=30;epage=37;aulast=bladder paincystoscopyglomerulationinterstitial cystitis
spellingShingle Wan-Ru Yu
Yuan-Hong Jiang
Jia-Fong Jhang
Hann-Chorng Kuo
Cystoscopic characteristic findings of interstitial cystitis and clinical implications
Tzu Chi Medical Journal
bladder pain
cystoscopy
glomerulation
interstitial cystitis
title Cystoscopic characteristic findings of interstitial cystitis and clinical implications
title_full Cystoscopic characteristic findings of interstitial cystitis and clinical implications
title_fullStr Cystoscopic characteristic findings of interstitial cystitis and clinical implications
title_full_unstemmed Cystoscopic characteristic findings of interstitial cystitis and clinical implications
title_short Cystoscopic characteristic findings of interstitial cystitis and clinical implications
title_sort cystoscopic characteristic findings of interstitial cystitis and clinical implications
topic bladder pain
cystoscopy
glomerulation
interstitial cystitis
url http://www.tcmjmed.com/article.asp?issn=1016-3190;year=2024;volume=36;issue=1;spage=30;epage=37;aulast=
work_keys_str_mv AT wanruyu cystoscopiccharacteristicfindingsofinterstitialcystitisandclinicalimplications
AT yuanhongjiang cystoscopiccharacteristicfindingsofinterstitialcystitisandclinicalimplications
AT jiafongjhang cystoscopiccharacteristicfindingsofinterstitialcystitisandclinicalimplications
AT hannchorngkuo cystoscopiccharacteristicfindingsofinterstitialcystitisandclinicalimplications