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Surgical Technique for IC/BPS Works Better When Combined with Hydrodistention

Lee SW, Kim WB, Lee KW, Kim JM, Kim YH, Lee B, Kim JH. Transurethral Resection Alone Versus Resection Combined with Therapeutic Hydrodistention as Treatment for Ulcerative Interstitial Cystitis: Initial Experience with Propensity Score Matching Studies. Urology. 2016 Oct 5. pii: S0090-4295(16)30688-4. doi: 10.1016/j.urology.2016.09.038. [Epub ahead of print]

In this study, investigators studied a surgical technique called transurethral resection (TUR) in patients with ulcerative interstitial cystitis (IC). They wanted to see if the efficacy of the procedure could be improved when it’s combined with hydrodistention, a therapeutic technique that, like it sounds, involves filling the bladder with water. The study included 44 women with recently diagnosed IC, 22 of whom received TUR alone, and 22 who underwent TUR plus hydrodistention. Both groups had marked reductions in pain, and the improvement was the same, suggesting no difference between the two strategies. However, TUR combined with hydrodistention did improve bladder capacity, and also improved voiding symptoms, suggesting the combination offers benefits over and above TUR alone for women who have ulcerative interstitial cystitis.