Role of inflammation in bladder function and interstitial cystitis

Sonal Grover, Abhishek Srivastava, Richard Lee, Ashutosh K. Tewari, Alexis E. te

Research output: Contribution to journalReview articlepeer-review

150 Scopus citations

Abstract

Cystitis, or inflammation of the bladder, has a direct effect on bladder function. Interstitial cystitis is a syndrome characterized by urinary bladder pain and irritative symptoms of more than 6 months duration. It commonly occurs in young to middle-aged women with no known cause and in fact represents a diagnosis of exclusion. Many factors have been suggested, including chronic or subclinical infection, autoimmunity and genetic susceptibility, which could be responsible for initiating the inflammatory response. However, a central role of inflammation has been confirmed in the pathogenesis of interstitial cystitis. Patients with interstitial cystitis are usually managed with multimodal therapy to break the vicious cycle of chronic inflammation at every step. Patients who develop irreversible pathologies such as fibrosis are managed surgically, which is usually reserved for refractory cases.

Original languageEnglish
Pages (from-to)19-33
Number of pages15
JournalTherapeutic Advances in Urology
Volume3
Issue number1
DOIs
StatePublished - Feb 2011
Externally publishedYes

Keywords

  • bladder
  • inflammation
  • interstitial cystitis
  • management
  • painful bladder syndrome

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