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Interstitial cystitis is a condition characterized by recurring pelvic pain, frequent urination, and pressurein the bladder. Hydrodistention is the most commonly used techniquetodiagnoseand treat this condition. The procedure involves the telescopic inspection of the bladder, complete distention ofthe bladder with fluid to create internal pressure, possible bladder biopsy and removal of any abnormalities.

Hydrodistention is performed under general or spinal anesthesia. You may be given an antibiotic injection before the procedure to prevent infection. Your doctor inserts a cystoscope (a tube with a miniature camera at the end) into your bladder through the urethra to detect abnormalities. Your bladder is filled with saline fluid at a low pressure of 60 to 80 centimeters and maintained full for 1 to 5 minutes before releasing the fluid. This causes the bladder wall to distend.Your doctor re-examines the bladder wall with the cystoscope to detect abnormalities.A tissue sample may be taken for biopsy.

After the examination, a catheter may be inserted into the bladder to drain the urine. You may be discharged from the hospital once you pass urine satisfactorily. It may take a few weeks for you to notice reduced pain and discomfort following hydrodistension. The pain relief may last for 3 to 6 months after which your doctor may repeat the procedure for extended relief. It is not understood why, but hydrodistension does not relieve symptoms in all patients.

Like all surgical procedures, hydrodistention may involve complications such as:

  • Bladder infection
  • Blood in urine
  • Temporary urinary retention
  • Damage of the bladder wall
  • Worsening of symptoms
  • No relief of symptoms

NMC UroCare provides specialized and experienced urologists and the best quality treatments available. For further information on Hydrodistension, please contact NMC UroCare at http://www.nmcurocare.ae/contact-us/.