Interstitial cystitis (IC) is a chronic inflammation and irritation of the bladder including perineum. The bladder may be spastic while at the same time be irritated, allowing acid to penetrate the bladder lining. The pain may increase as the bladder is filled with urine, causing sudden urges to urinate.
What kind of treatment is there for interstitial cystitis?
We have learned all about the cause for Bladder Pain Syndromes / IC. It typically involves therapy directed toward healing the lining of the bladder such as a low acid diet, special medications placed directly into the bladder (by my staff, your local doctor or we can teach you how to do this) and oral medications like Elmiron or Cyclosporin A. At least 85% of patients also have other pelvic pain generators and these must be treated as well. These other sources of pain include overly tight pelvic floor muscles, bowel problems (like IBS) and Vulvodynia (chronic burning at the vaginal opening). Proper treatment after a carefully evaluation places most patients’ symptoms into remission.
What causes pelvic pain?
Most patients have more than one cause or pain generator. Pelvic floor muscle pain and bladder pain (interstitial cystitis or painful bladder syndrome) are the most common. Irritable bowel and endometriosis are also seen. At The Urogynecology Center, we will always carefully evaluate your history and your examination to determine what is triggering your pain. Rest assured… it is not in your head.
How do you treat myofascial (muscle) pain?
Myofascial pain must be treated by first determining why your muscles are in spasm. Causes include an injury, stress or other painful organs nearby – like your bladder, your vulva or your bowels. Treatments include treating the trigger as well as treating the muscles. Muscle therapies include muscle relaxers, physical therapy, injections (called trigger point injections) or even BOTOX®.
How do you treat vulvodynia/vulvar pain?
Establishing the proper diagnosis is key. Typically, patients with vulvodynia have hypersensitive nerves and tight or spastic pelvic floor muscles. Therapy must be directed toward both. Treatment includes physical therapy, muscle relaxers and a special compounded cream that involves the topical application of drugs that relax muscles and turn down the hypersensitive nerves.
Our mission at the Urogynecology Center is to provide the highest level of care possible for women with incontinence, pelvic pain and/or pelvic organ prolapse. We provide this care in an individualized and highly compassionate manner, always keeping the needs of the patient in the forefront.
TUC is involved in two research studies for the management of various types of pelvic pain. 1 involves the treatment of interstitial cystitis and the other involves a new therapeutic option for pelvic floor myofascial pain disorders.
Dr. B. has had his article concerning persistent postoperative pain published in the Journal of Female Pelvic Medicine and Reconstructive Surgery. It was so well received they are planning on a podcast so that this ground breaking information can be more widely disseminated. Click here to read the article!... read more
Dr. B. has been asked to do to round table discussions “meet the experts” for the upcoming 2016 annual AUGS meeting. The topics he has been asked to discuss includes neurodiagnostic testing during the placement of InterStim and persistence of postoperative pain-identification and prevention.