Interstitial Cystitis (IC) Support Group
Interstitial Cystitis (IC) is a urinary bladder disease of unknown cause characterised by pelvic and intense bladder pain, urinary frequency (as often as every 10 minutes), and pain with urination. It is not unusual for patients to experience nocturia and pain with sexual intercourse. IC is also known as painful bladder syndrome (PBS), particularly outside of the USA.
Deb
Surgery
Doctors rarely use surgery as interstitial cystitis treatment because removal of part or all of the bladder doesn't relieve pain and can lead to other complications. People with severe pain and people whose bladders can hold only very small volumes of urine are possible candidates for surgery, but even then surgery is usually considered only after other treatments have failed. Surgical options include:
Bladder augmentation. In this procedure, surgeons remove the damaged portion of the bladder and replace it with a piece of the colon, but the pain still remains and some women need to empty their bladders with a catheter multiple times a day.
Fulguration. This minimally invasive method involves insertion of instruments through the urethra to burn off ulcers that may be present with interstitial cystitis.
Resection. This is another minimally invasive method that involves insertion of instruments through the urethra to cut around any ulcers.
Fulguration and resection are not always effective and could potentially worsen your symptoms.
I am not here to scare other IC sufferers. I wanted to make sure that everyone had all the information before going through with a procedure. Surgery can cause scarring on the bladder. That's how I got IC.
Hang in there,
Gloria
Hunner's ulcer treatment does involve surgery like you're talking about. But it is much different:
"Hunner's ulcers, also called Hunners lesions or patches, are not ulcers in the usual sense. They are distinctive areas of inflammation on the bladder wall that characterize the classic form of IC. Hunners ulcers are the one diagnostic feature that clinches the IC diagnosis, but this classic form of IC affects only about 5 to 10 percent of patients. Often, patients with this form of IC have more severe symptoms than patients with nonulcerative IC.
To look for Hunners ulcers, your doctor will perform a procedure called cystoscopy with hydrodistention while you are under general or spinal anesthesia. The physician uses a cystoscope to look inside your bladder while slowly stretching it with fluid (hydrodistention) and then while draining it.
It is important to note that Hunner's ulcers are different from glomerulations, which are also often present in IC patients. Glomerulations are pinpoint-sized areas of bleeding in the bladder wall. Unlike Hunner's ulcers, glomerulations do not automatically lead to a diagnosis of IC.
Treating Hunners ulcers themselves can reduce symptoms significantly. Your physician will use one of these procedures:
Fulguration: "burning off" the ulcers by using a special instrument with a heated tip or a laser technique.
Resection of ulcers: cutting around and removing the ulcers from the bladder wall.
Submucosal injection: injecting a steroid (triamcinolone or Kenalog) into the ulcer. Although still being researched, this procedure can be safer and may prove to be as effective as the other two.
All these procedures are done while you are under general or spinal anesthesia."
http://216.235.204.192/Page.aspx?pid=557
I'm in the process of finding a doc too, I think I might have developed those ulcers.
Did the distention help?
-Gloria
Hang in there,
G
All the other things that you mentioned I have had done with the exception of scraping the bladder. I have had the hydrodistention and it would only help keep me from going to the bathroom every 15 minutes for about a month. Please, please, please think twice and think again before having some major stuff done.