Interstitial Cystitis/Painful Bladder Syndrome in Women and Nursing Approach

Year 2022, Volume: 4 Issue: 3, 147 - 152, 17.12.2022

Fatma Soylu Çakmak Ümran Oskay

https://doi.org/10.48071/sbuhemsirelik.1132491

Abstract

Interstitial Cystitis/Painful Bladder Syndrome is an inflammatory bladder disease evaluated in chronic pelvic pain syndromes. It is often seen that there are other accompanying diseases with the bladder. The etiology, diagnosis and treatment of the disease are complex and diverse. It is more common in women than men and occurs in women of all age groups. It has been reported that the exacerbation periods of the disease are more common in women than in men. Its symptoms are a feeling of pressure in the pelvic region, pain and burning in the urinary bladder, frequent urination and urinary tract infection-like complaints. The complex situation in the diagnosis and treatment of the disease makes the patient feel alone and hopeless. Interstitial Cystitis/Painful Bladder Syndrome requires care and follow-up in women's health, especially because of its impact on quality of life and sexual health. Many current options are proposed and implemented in the treatment algorithm. The training and counseling given to the patient by the nurse are in the first step of the treatment. The aim of this review is to share the current diagnosis and treatment approaches of Interstitial Cystitis/Painful Bladder Syndrome and the literature information about patient education.

Keywords

Interstitial cystitis, nursing care, painful bladder syndrome, women health

Kadınlarda İnterstisyel Sistit/Ağrılı Mesane Sendromu ve Hemşirelik Yaklaşımı

Abstract

İnterstisyel Sistit/Ağrılı Mesane Sendromu kronik pelvik ağrı sendromları içerisinde değerlendirilen inflamatuar bir mesane hastalığıdır. Çoğunlukla mesaneyle birlikte eşlik eden başka hastalıklar olduğu görülür. Hastalığın etiyolojisi, teşhisi ve tedavisi karmaşık ve çeşitlidir. Kadınlarda erkeklerden daha fazla görülür ve her yaş grubundaki kadınlarda ortaya çıkmaktadır. Hastalığın alevlenme dönemlerinin kadınlarda erkeklerden daha sık yaşandığı bildirilmektedir. Belirtileri pelvik bölgede baskı ve basınç hissi, mesanede ağrı ve yanma, sık idrara çıkma ile idrar yolları enfeksiyonu benzeri şikâyetlerdir. Hastalığın teşhisi ve tedavisindeki karmaşık durum hastaya kendisini yalnız ve çaresiz hissettirir. İnterstisyel Sistit/Ağrılı Mesane Sendromu kadın sağlığında özellikle yaşam kalitesi ve cinsel sağlığa olan etkisi nedeni ile bakımı ve takibi gerekir. Tedavi algoritmasında pek çok güncel seçenek önerilmekte ve uygulanmaktadır. Hemşire tarafından hastaya verilecek eğitim ve danışmanlık tedavinin ilk basamağında yer almaktadır. Bu derlemenin amacı kadınlarda görülen İnterstisyel Sistit/Ağrılı Mesane Sendromunun güncel tanı ve tedavi yaklaşımları ile hasta eğitimi konusunda güncel literatür bilgisinin paylaşılmasıdır.

Keywords

İnterstisyel Sistit, Ağrılı mesane Sendromu, Hemşirelik, Kadın sağlığı

References

• Beckett, M.K., Elliott, M.N., Clemens, J.Q., Ewing, B., & Berry, S.H. (2014). Consequences of interstitial cystitis/bladder pain symptoms on women’s work participation and income: Results from a national household sample. The Journal of Urology, 191(1), 83–88. doi:10.1016/j.juro.2013.07.018.
• Choe, J.H., Son, H., Song, Y.S., Kim, J.C., Lee, J.Z., & Lee, K. (2011). Prevalence of painful bladder syndrome/interstitial cystitis-like symptoms in women: A population-based study in Korea. World Journal of Urology, 29, 103–108. doi:10.1007/s00345-010-0536-4.
• Clemens, J.Q., Mullins, C., Ackerman, A.L., Bavendam, T., Bokhoven, A.V., Ellingson, B.M., … Landis, J.R. (2019). Urologic chronic pelvic pain syndrome: Insights from the MAPP research network. Nature Reviews: Urology, 16, 187–200. doi:10.1038/s41585-018-0135-5.
• Cox, A. (2018). Management of interstitial cystitis/bladder pain syndrome. Canadian Urological Association Journal, 12 (6Suppl3), 157-160. doi:10.5489/cuaj.5324.
• Friedlander, J.I., Shorter, B., & Moldwin, R.M. (2012). Diet and its role in Interstitial Cystitis/Bladder Pain Syndrome (IC/BPS) and comorbid conditions. BJU International, 109, 1584–1591. doi:10.1111/j.1464-410X.2011.10860.x.
• Garzon, S., Laganà, A.S., Casarin, J., Raffaelli, R., Cromi, A., Sturla, D., …Ghezzi, F. (2020). An update on treatment options for interstitial cystitis. Menopause Review/Przegląd Menopauzalny, 19 (1), 35-43. doi:10.5114/pm.2020.95334.
• Gordon, B., Shorter, B., Sarcona, A., & Moldwin, R.M. (2015). Nutritional considerations for patients with interstitial cystitis/bladder pain syndrome. Journal of the Academy of Nutrition and Dietetics, 9 (115). doi:10.1016/j.jand.2015.03.021.
• Hanno. P. (2018). Intravesical therapy of interstitial cystitis, In P. M. Hanno, J. Nordling, D. R. Staskin, A. J. Wein, J. J. Wyndaele (Eds.), Bladder pain syndrome –An evolution (pp. 95-100). Cham, Switzerland: Springer Nature.
• Imamura, M., Scott, N.W., Ogah, J.A., Ford, A.A., Wallace, S.A., Dubos, Y.A., Brazzelli, M. (2019). Interventions for treating people with symptoms of bladder pain syndrome: A network meta-analysis (Protocol). Cochrane Database of Systematic Reviews, 5, 1-13. doi:10.1002/14651858.CD013325.
• Inoue, Y., Mita, K., Kakehashi, M., Kato, M., & Usui, T. (2009). Prevalence of Painful Bladder Syndrome (PBS) symptoms in adult women in the general population in Japan. Neurourology and Urodynamics, 28, 214–218. doi:10.1002/nau.20638.
• Karamık, K., ve Ölçücü, M.T. (2019). Mesane ağrı sendromu. Ş. Kabay, Y, Özlülerden, S. Çelen, K.Ö. Günseren ve A. Başer (Ed.) Ürolojide temel yaklaşım ve yönetim içinde (s. 281-289). Ankara: Akademisyen Kitabevi.
• Lai, H.H., Vetter, J., Song, J., Andriole, G.L., Colditz, G.A., & Sutcliffe, S. (2019). Management of symptom flares and patient-reported flare triggers in Interstitial Cystitis/ Bladder Pain Syndrome (IC/BPS) –Findings from one site of the MAPP research network. Urology, 126, 24–33. doi:10.1016/j.urology.2019.01.012.
• Lee, M., Chang, K., & Tsai, W. (2018). Morbidity rate and medical utilization in interstitial cystitis/painful bladder syndrome. International Urogynecology Journal, 29(7), 1045-1050. doi:10.1007/s00192-018-3574-x.
• Leppilahti, M., Tammela, T.L.J., Huhtala, H., & Auvinen, A. (2002). Prevalence of symptoms related to interstitial cystitis in women: A population based study in Finland. The Journal of Urology, 168, 139–143.
• Lusty, A., Kavaler, E., Zakariasen, K., Tolls, V., & Nickel, J.C. (2018). Treatment effectiveness in interstitial cystitis/bladder pain syndrome: Do patient perceptions align with efficacy-based guidelines? Canadian Urological Association Journal, 12(1), E1-5, doi:10.5489/cuaj.4505.
• Macmullen, N.J., Dulski, L.A., Martin, P.B., & Blobaum, P. (2016). Nursing care of women with interstitial cystitis/painful bladder syndrome. Nursing for Women’s Health, 20(2), 168-180, doi:10.1016/j.nwh.2016.01.006.
• Malde, S., Palmisani, S., Al-Kaisy, A., & Sahai, A. (2018). Guideline of guidelines: Bladder pain syndrome. BJU International, 122, 729–743. doi:10.1111/bju.14399.
• Meijlink, J.M. (2022). Interstitial Cystitis/Bladder Pain Syndrome: An overview of diagnosis & treatment. International Painful Bladder Foundation Publication No.1. Retrieved from(04.10.2022): https://www.painful-bladder.org/pdf-2/IPBF_Diagnosis&Treatment.pdf
• Merwe, J.P.V.D. (2019). Sjögren’s syndrome information for patients and professionals. Retrived from (04.10.2022): http://www.painful-bladder.org/pdf/Sjogren_book.pdf
• Özkürkçügil, E., Yılmaz, H., ve Çiftçi, S. (2016). Ağrılı mesane sendromu (interstisyel sistit). S. Tekgül, L. Türkeri, A. Esen ve B. Alıcı (Ed.), Üroloji masaüstü başvuru kitabı içinde (s. 113-123). Ankara: İris Yayıncılık.
• Panzera, A.K. (2007). Interstitial cystitis/painful bladder syndrome. Urologic Nursing, 27(1), 13-19.
• Panzera, A.K., Reishtein, J. & Shewokis, P.A. (2011). Sleep disruption and interstitial cystitis symptoms in women. Urologic Nursing, 31(3), 159-65, 172. doi:10.7257/1053-816X.2011.31.3.159.
• Pape, J., Falconi, G., Lourenco, T.D.R.M., Doumouchtsis, S.K., & Betschart, C. (2019). Variations in bladder pain syndrome/interstitial cystitis (IC) definitions, pathogenesis, diagnostics and treatment: A systematic review and evaluation of national and international guidelines. International Urogynecology Journal, 30(11), 1795-1805. doi: 10.1007/s00192-019-03970-5.
• Rosenberg, M.T., & Hazard, M. (2005). Prevalence of interstitial cystitis symptoms in women: A population based study in the primary care office. The Journal of Urology, 174, 2231–2234. doi:10.1097/01.ju.0000181203.82693.95.
• Sacco, E., D'Addessi, A., Racioppi, M., Pinto, F., Totaro, A., & Bassi, P. (2012). Bladder pain syndrome associated with highest impact on sexual function among women with lower urinary tract symptoms. International Journal of Gynecology and Obstetrics, 117, 168–172. doi:10.1016/j.ijgo.2011.12.015.
• Sutcliffe, S., Colditz, G.A., Pakpahan, R., Bradley, C.S., Goodman, M.S., Andriole, G.L., & Lai, H.H. (2015). Changes in symptoms during urologic chronic pelvic pain syndrome symptom flares: Findings from one site of the Mapp research network. Neurourol Urodyn, 34(2), 188–195. doi:10.1002/nau.22534.
• Temml, C., Wehrberger, C., Riedl, C., Ponholzer, A., Marszalek, M., & Madersbacher, S. (2007). Prevalence and correlates for interstitial cystitis symptoms in women participating in a health screening project. European Urology, 51, 803–809.
• Troxel, W.M., Booth, M., Buysse, D.J., Elliott, M.N., Suskind, A.M., Clemens, J.Q., & Berry, S.H. (2014). Sleep disturbances and nocturnal symptoms: Relationships with quality of life in a population-based sample of women with interstitial cystitis/bladder pain syndrome. Journal of Clinical Sleep Medicine, 10(12), 1331-1337. doi:10.5664/jcsm.4292.
• Ulupınar, S. (2016). Bakımda hasta eğitiminin önemi. Sağlıkla Hemşirelik Dergisi, Aralık, 37-39.
• Vasudevan, V., & Moldwin, R. (2017). Addressing quality of life in the patient with interstitial cystitis/bladder pain syndrome. Asian Journal of Urology, 4(1) 1-5. doi:10.1016/j.ajur.2016.08.014.
• Vignoli, G. (2018). UDS in Pain Bladder Syndrome (PBS) and overactive pelvic floor dysfunction. In urodynamics for urogynecologists (pp.169-182). Italy: Springer Nature.
• Wehbe, S.A., Whitmore, K., & Kellogg-Spadt, S. (2010). Urogenital complaints and female sexual dysfunction (Part 1). The Journal of Sexual Medicine, 7, 1704–1713.
• Whitmore, K., Siegel, J.F., & Kellogg-Spadt, S. (2007). Interstitial cystitis/painful bladder syndrome as a cause of sexual pain in women: A diagnosis to consider. The Journal of Sexual Medicine, 4, 720–727. doi: 10.1111/j.1743-6109.2007.00497.x.
• Whitmore, K.E., & Theoharides, T.C. (2011). When to suspect interstitial cystitis. The Journal of Family Practice, 60(6), 340-348.