ASSOC. PROF. DR.ARİF DEMİRBAŞUrologistMENUTESTIMONIALS+90 532 485 0016Contact Information

Painful Bladder Syndrome (Interstitial Cystitis)

Interstitial Cystitis (painful bladder syndrome) is chronic condition which is non-microbial inflammation of the bladder.

Painful Bladder Syndrome (Interstitial Cystitis)

It is a difficult disease to diagnose and treat, which seriously impairs the quality of life. The reason has not been clarified. It was thought that there could be any cause that may induce damage to the bladder mucosa (autoimmune, infectious, etc.).

Painful Bladder Syndrome Symptoms

  • It is typical for the patient to have unbearable suprapubic (under-belly area) pain when urinating.
  • Moreover, this feeling is mostly realized with less urine volume than normal individuals and bladder capacity is decreased.
  • Frequent urination, persistent urge to urinate, and a feeling of urine even after urination, as in overactive bladder disease, are also common.

How is Interstitial Cystitis Diagnosed?

The patient's history and complaints are very important in the diagnosis of Interstitial Cystitis. Diagnosis is made by performing one or more of the tests such as physical examination, urinalysis and urine culture, cystoscopy (bladder endoscopy),uroflowmetry and urodynamics.

Interstitial Cystitis Treatment

Making some lifestyle changes is essential for painful bladder syndrome. It is known that some foods and beverages, in particular, exacerbate the symptoms of this disease.

It is difficult to give a general diet list, as the foods and beverages that increase symptoms may be different for each patient. However, citrus fruits, tea, caffeinated beverages, tomatoes, spicy foods, acidic beverages, fortified fruit juices, ketchup and mustard have been experienced to increase these symptoms in most patients.

Dietary recommendations are sometimes not sufficient and medical treatment may be required. Pentosan polysulfate sodium and antihistamines are the most commonly used agents.

Some drug treatments applied with a catheter into the bladder have also been found to be successful in relieving symptoms. Intra-bladder botox application in patients resistant to these treatments, sacral neuromodulation, and bladder removal surgery (cystectomy) in more resistant cases are other treatment steps.

Note: Page contents are for informational purposes only and a doctor's application is required for your diagnosis and treatment.

Update Date: 28.04.2022
Assoc. Prof. Dr. Arif Demirbaş
Doç. Dr. Arif Demirbaş
Üroloji Uzmanı
The content of this page is for informational purposes only.
Please consult your physician for diagnosis and treatment.
Assoc. Prof. Dr. Arif Demirbas
Urology Specialist
Dr. Arif Demirbaş was born in 1985 in Turkey. He graduated from Uludag University Faculty of Medicine in 2010. He completed his urology residency training at Ankara Training and Research Hospital between 2011-2016. As a result of intensive academic studies after his specialization, he received the title of Associate Professor in March 2021.

Although he has experience with each of urological diseases, he has a special interest in the diagnosis, medical treatment and surgical treatment of urological cancers (prostate cancer, kidney cancer, bladder cancer and testicular cancer),kidney stone diseases, benign prostate enlargement, adrenal gland diseases (surrenal gland) and pediatric urology diseases (ureteropelvic stenosis, vesicoureteral reflux, undescended testicles). If possible, the surgeries are planned laparoscopically and endoscopically in a way that creates the least discomfort for the patient as required by the era.
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