Interstitial Cystitis

The symptoms of interstitial cystitis can fluctuate over time and may include:

• Chronic pelvic pain or pressure
• A persistent, urgent need to urinate
• Frequent urination, often in small volumes, throughout the day and night
• Pain that worsens as the bladder fills and eases after urination
• Pain during sexual intercourse
• Discomfort in the lower abdomen, urethra, or perineum

There is no single test for interstitial cystitis. Diagnosis is typically reached by excluding other conditions that cause similar symptoms. Dr Naudé will carry out a detailed assessment, which may include a medical history review, physical examination, urine analysis, cystoscopy, and bladder capacity testing under anaesthesia.

The goal is to build a clear clinical picture and to rule out infection, bladder cancer, and other treatable causes of your symptoms.

There is no single treatment that works for everyone with IC. Management is typically multimodal, meaning it involves a combination of approaches. Options may include:

• Dietary modifications to avoid known bladder irritants
• Oral medications such as pentosan polysulfate, antihistamines, or low-dose antidepressants
• Bladder instillations with therapeutic solutions designed to coat and protect the bladder lining
• Pelvic floor physiotherapy
• Bladder hydrodistension performed during cystoscopy
• Neuromodulation in selected cases

IC is a chronic condition, and treatment is aimed at reducing symptoms and improving quality of life. Many patients find meaningful relief through a tailored combination of therapies. Dr Naudé will discuss the available options with you and develop a plan that takes your specific symptoms and circumstances into account.