Interstitial cystitis is a chronic inflammatory reaction of the bladder without microbiological agents with complaints of pain in the pelvic region (especially in the bladder region), frequent urination, constant tightness, urinary incontinence.
90% of patients are female, the age of onset of symptoms is often between 30-50 years.

What Are The Symptoms?

Bladder pain,
Frequent urination,
Constant desire to urinate,
The sensation of pain usually becomes evident as the bladder fills, and decreases at different rates when urinating.
Patients' complaints are usually in the form of flare-ups and recovery periods.
Sexual intercourse is often painful for both men and women.
Fibromyalgia, musculoskeletal pain, constipation, irritable bowel syndrome, autoimmune diseases, depression, allergies and migraines are more common.

How To Diagnose?

The diagnosis of interstitial cystitis is made by excluding other diseases with similar findings. The following tests can be performed to make this distinction:

Detailed Story
Physical Examination
Urine Analysis and Culture
Inquiry Forms and Pissing Schedule
Potassium Sensitivity (Parsons) Test
Urodynamics
Cystoscopy


Conservative Approach: Informing the patient about the disease;
Life style changes: avoiding stress, playing sports, learning to relax the pelvic floor muscles, warm shower baths, etc.
Diet: Especially citrus fruits such as onions, tomatoes, legumes, bananas, apples, apricots, oranges, tangerines and lemons, peaches, nectarines, yogurt, mayonnaise, ketchup, mustard and especially spicy foods, vinegar, some salad dressings, artificial sweeteners, caffeine such as alcohol or coffee and colas from drinks, some fruit juices and tea are known to increase the complaints of patients. It will be useful to remove those who increase the complaints by trying them individually from the diet.

1. Step: Drug therapies in interstitial cystitis and medical treatment are primarily started with oral tablets. Depending on the situation, it can switch to drugs applied in the bladder.
2. Step Treatment: Cystoscopy + Hydrodistension and Resection of Hunner Ulcers.
3. Step Treatment: Intra-Bladder Botox Application and Sacral Neuromodulation.
4. Step Treatment: Cyclosporine A and intramural injections of botulinum toxin A.
4. Step Treatment: Urinary Diversion + Cystectomy