Bladder Hydrodistension in 2017
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The role of bladder hydrodistension as diagnostic and therapeutic tool in bladder pain syndrome/interstitial cystitis (BPS/IC), as popularized by Messing and Stamey in 1978, has been significantly questioned within the last years. While hydrodistension under anesthesia may give temporary symptom relief in BS/IC, it does not cure the disease. Combination with EMDA, hyaluronic acid or fulguration may improve response rates. No data about effectiveness of repeat treatments exist. However, as with repeated fulgurations or resections, repeated hydrodistension may induce bladder fibrosis and shrinkage and finally lead to cystectomy consequent to minimal bladder capacity.
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