Effectiveness of hydrodistention procedure under local anesthesia in the treatment of bladder pain syndrome/interstitial cystitis

Authors : Kubilay SARIKAYA, Çağri ŞENOCAK, Muhammed Arif İBİŞ, Fahri Erkan SADİOĞLU, Mehmet ÇİFTÇİ, Ömer Faruk BOZKURT

Pages : 357-362

Doi:10.32322/jhsm.1032338

View : 32 | Download : 13

Publication Date : 2022-03-15

Article Type : Research Paper

Abstract :Objective: We aimed to indicate the effectiveness of local anesthesia in the treatment of hydrodistention in women with Bladder Pain Syndrome/interstitial Cystitis insert ignore into journalissuearticles values(BPS/IC); in our study. Material and Method: The data of a total of 77 female patients who underwent hydrodistention treatment for BPS/IC in our clinic between January 2015 and July 2021 were analyzed retrospectively. The patients were divided into two groups as local anesthesia insert ignore into journalissuearticles values(LA, n=41); and spinal anesthesia insert ignore into journalissuearticles values(SA, n=36); groups according to the type of anesthesia applied. The groups were compared by determining the preoperative and postoperative O`Leary symptom index insert ignore into journalissuearticles values(SI); and problem index insert ignore into journalissuearticles values(PI);, minimum voiding volume insert ignore into journalissuearticles values(MinVV);, maximum voiding volume insert ignore into journalissuearticles values(MaxVV);, average voiding volume insert ignore into journalissuearticles values(AvgVV); and daily frequency. Results: The mean age of the patients was 48.97±11.09 years in the LA group and 45.19±14.35 years in the SA group insert ignore into journalissuearticles values(p=0.197);. There was no significant difference between the groups in terms of the preoperative European Society for the Study of Interstitial Cystitis insert ignore into journalissuearticles values(ESSIC); group insert ignore into journalissuearticles values(p=0.999);. During the postoperative period, a median insert ignore into journalissuearticles values(IQR); improvement of 11.0 insert ignore into journalissuearticles values(2.0); points was observed in the SI of the LA group, while a median improvement of 11.0 insert ignore into journalissuearticles values(2.0); points were observed in the SA group insert ignore into journalissuearticles values(p=0.437);. The median improvement in PI score was 8.4 insert ignore into journalissuearticles values(4.0); points in the SA group, while it was 7.0 insert ignore into journalissuearticles values(3.0); points in the LA group insert ignore into journalissuearticles values(p=0.415);. There was no significant difference between the groups in terms of improvements in minVV, maxVV, avgVV and daily frequency insert ignore into journalissuearticles values(p=0.480, p=0.460, p=0.614 and p=0.910, respectively);. Conclusion: Hydrodistention treatment in women with BPS/IC can be performed safely and with high success rate under local anesthesia and it is well tolerated by the patients. Local anesthesia offers a minimally invasive treatment option as well as the advantage of avoiding possible complications of spinal, epidural or general anesthesia.
Keywords : Bladder pain, hydrodistention treatment, local anesthesia