Conservative management of chronic interstitial cystitis: transcutaneous electrical nerve stimulation and transurethral resection.
Transcutaneous electrical nerve stimulation was used in a prospective series of 23 patients with classical interstitial cystitis. This treatment reduced pain in 18 patients and urinary frequency returned to normal in 8. Four women with a history of cystitis for 1 or 2 decades had no symptoms during transcutaneous electrical nerve stimulation for 7 or more years and lesions disappeared or were hardly detectable. A 2 to 3-fold increase in bladder capacity with anesthesia also was registered. Complete transurethral resection of visible lesions in 30 patients resulted in initial disappearance of pain in all and a decrease in urinary frequency in 21. The mode of action of the 2 methods and registered complications are discussed.
D000368:Aged; D001706:Biopsy; D002908:Chronic Disease; D003131:Combined Modality Therapy; D003556:Cystitis / Q000473:pathology / Q000628:therapy*; D003558:Cystoscopy; D004599:Electric Stimulation Therapy / Q000009:adverse effects; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000453:epidemiology; D011446:Prospective Studies; D004561:Transcutaneous Electric Nerve Stimulation / Q000009:adverse effects; D014521:Urethra; D001743:Urinary Bladder / Q000473:pathology / Q000601:surgery*