Painful Bladder Syndrome (PBS), also known as interstitial cystitis (IC), is a chronic condition characterized by bladder pain, pressure, and discomfort, often accompanied by frequent and urgent urination. Unlike common urinary tract infections, PBS does not involve bacterial infections, and its exact cause remains unclear. It may be linked to bladder inflammation, nerve dysfunction, or a compromised bladder lining. Symptoms can vary from mild discomfort to severe pain, significantly impacting daily life. Though there is no definitive cure, various treatments aim to manage symptoms and improve quality of life.

Procedures & Interventions

Bladder Augmentation (Augmentation Cystoplasty)

This surgical procedure enlarges the bladder using a segment of the intestine to improve its capacity and reduce symptoms like frequent urination and incontinence. It is often recommended when the bladder has lost elasticity or has become too small to store urine effectively.

Sling Surgery

Sling surgery involves placing a synthetic mesh or tissue strip to support the urethra or bladder neck, particularly for stress urinary incontinence caused by weakened pelvic floor muscles. This helps restore normal urinary control.

Transurethral Resection (TUR)

TUR is performed to remove obstructions or scarring within the bladder or urethra that may hinder urine flow. This minimally invasive procedure improves bladder emptying and relieves associated symptoms.

Sacral Nerve Stimulation (Neuromodulation)

This involves implanting a device that sends electrical impulses to the sacral nerves controlling bladder function. It helps regulate overactive bladder symptoms such as urgency, frequency, or retention.

Urinary Diversion Surgery

For severe cases, urinary diversion reroutes urine through an opening in the abdomen (stoma) using a segment of the intestine. This is typically used when the bladder is no longer functional or must be removed due to complications.

Urethral Dilation

Urethral dilation involves widening a narrowed urethra to alleviate bladder-emptying problems. This procedure is often repeated periodically and may be combined with other treatments to prevent scar tissue formation.

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