- Do you have an overactive bladder?
- How is incontinence treated?
- Overcoming an overactive bladder
- Overactive bladder in children: What to know
- Incontinence Treatments
- How do I stop bladder leakage?
- Wrong Diagnosis
- Urinary Tract Infection (UTI)
- Overactive Bladder
- Hemorrhagic Cystitis
- Pudendal Neuralgia
- Associated Conditions
- Learn More About IC
Do you have an overactive bladder?
If you feel a strong urge to urinate even when your bladder isn’t full, it might be related to overactive bladder, sometimes called urge incontinence. This condition occurs in both men and women and involves an overwhelming urge to urinate immediately, frequently followed by loss of urine before you can reach a bathroom. Even if you never have an accident, urgency and urinary frequency can interfere with your work and social life because of the need to keep running to the bathroom.
Urgency is caused when the bladder muscle, the detrusor, begins to contract and signals a need to urinate, even when the bladder is not full. Another name for this phenomenon is detrusor overactivity.
Overactive bladder can result from physical problems that keep your body from halting involuntary bladder muscle contractions. Such problems include damage to the brain, the spine, or the nerves extending from the spine to the bladder — for example, from an accident, diabetes, or neurological disease. Irritating substances within the bladder, such as those produced during an infection, might also cause the bladder muscle to contract.
Often there is no identifiable cause for overactive bladder, but people are more likely to develop the problem as they age. Postmenopausal women, in particular, tend to develop this condition, perhaps because of age-related changes in the bladder lining and muscle. African American women with incontinence are more likely to report symptoms of overactive bladder than stress incontinence, while the reverse is true in white women.
Fortunately, there are plenty of options for treating urge incontinence (and other kinds of incontinence). Pelvic floor exercises are a great first step. Medication that helps relax the bladder usually helps. For some, biofeedback is successful. And when these therapies don’t offer relief, you and your doctor might opt for surgery.
For more information on dealing with bladder and bowel conditions, buy Better Bladder and Bowel Control, a Special Health Report from Harvard Medical School.
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How is incontinence treated?
Figure 4. Side view. Supporting sutures in place following retropubic or transvaginal suspension (left). Sling in place, secured to the pubic bone (center). The ends of the transobturator tape supporting the urethra are pulled through incisions in the groin to achieve the right amount of support (right). The tape ends are removed when the incisions are closed.
Behavioral Remedies: Bladder Retraining and Kegel Exercises
By looking at your bladder diary, the doctor may see a pattern and suggest making it a point to use the bathroom at regular timed intervals, a habit called timed voiding. As you gain control, you can extend the time between scheduled trips to the bathroom. Behavioral treatment also includes Kegel exercises to strengthen the muscles that help hold in urine.
How do you do Kegel exercises?
The first step is to find the right muscles. One way to find them is to imagine that you are sitting on a marble and want to pick up the marble with your vagina. Imagine sucking or drawing the marble into your vagina.
Try not to squeeze other muscles at the same time. Be careful not to tighten your stomach, legs, or buttocks. Squeezing the wrong muscles can put more pressure on your bladder control muscles. Just squeeze the pelvic muscles. Don’t hold your breath. Do not practice while urinating.
Repeat, but don’t overdo it. At first, find a quiet spot to practice — your bathroom or bedroom — so you can concentrate. Pull in the pelvic muscles and hold for a count of three. Then relax for a count of three. Work up to three sets of 10 repeats. Start doing your pelvic muscle exercises lying down. This is the easiest position to do them in because the muscles do not need to work against gravity. When your muscles get stronger, do your exercises sitting or standing. Working against gravity is like adding more weight.
Be patient. Don’t give up. It takes just 5 minutes a day. You may not feel your bladder control improve for 3 to 6 weeks. Still, most people do notice an improvement after a few weeks.
Some people with nerve damage cannot tell whether they are doing Kegel exercises correctly. If you are not sure, ask your doctor or nurse to examine you while you try to do them. If it turns out that you are not squeezing the right muscles, you may still be able to learn proper Kegel exercises by doing special training with biofeedback, electrical stimulation, or both.
Medicines for Overactive Bladder
If you have an overactive bladder, your doctor may prescribe a medicine to block the nerve signals that cause frequent urination and urgency.
Several medicines from a class of drugs called anticholinergics can help relax bladder muscles and prevent bladder spasms. Their most common side effect is dry mouth, although larger doses may cause blurred vision, constipation, a faster heartbeat, and flushing. Other side effects include drowsiness, confusion, or memory loss. If you have glaucoma, ask your ophthalmologist if these drugs are safe for you.
Some medicines can affect the nerves and muscles of the urinary tract in different ways. Pills to treat swelling (edema) or high blood pressure may increase your urine output and contribute to bladder control problems. Talk with your doctor; you may find that taking an alternative to a medicine you already take may solve the problem without adding another prescription.
Scientists are studying other drugs and injections that have not yet received U.S. Food and Drug Administration (FDA) approval for incontinence to see if they are effective treatments for people who were unsuccessful with behavioral therapy or pills.
Biofeedback uses measuring devices to help you become aware of your body’s functioning. By using electronic devices or diaries to track when your bladder and urethral muscles contract, you can gain control over these muscles. Biofeedback can supplement pelvic muscle exercises and electrical stimulation to relieve stress and urge incontinence.
For urge incontinence not responding to behavioral treatments or drugs, stimulation of nerves to the bladder leaving the spine can be effective in some patients. Neuromodulation is the name of this therapy. The FDA has approved a device called InterStim for this purpose. Your doctor will need to test to determine if this device would be helpful to you. The doctor applies an external stimulator to determine if neuromodulation works in you. If you have a 50 percent reduction in symptoms, a surgeon will implant the device. Although neuromodulation can be effective, it is not for everyone. The therapy is expensive, involving surgery with possible surgical revisions and replacement.
Vaginal Devices for Stress Incontinence
One of the reasons for stress incontinence may be weak pelvic muscles, the muscles that hold the bladder in place and hold urine inside. A pessary is a stiff ring that a doctor or nurse inserts into the vagina, where it presses against the wall of the vagina and the nearby urethra. The pressure helps reposition the urethra, leading to less stress leakage. If you use a pessary, you should watch for possible vaginal and urinary tract infections and see your doctor regularly.
Injections for Stress Incontinence
A variety of bulking agents, such as collagen and carbon spheres, are available for injection near the urinary sphincter. The doctor injects the bulking agent into tissues around the bladder neck and urethra to make the tissues thicker and close the bladder opening to reduce stress incontinence. After using local anesthesia or sedation, a doctor can inject the material in about half an hour. Over time, the body may slowly eliminate certain bulking agents, so you will need repeat injections. Before you receive an injection, a doctor may perform a skin test to determine whether you could have an allergic reaction to the material. Scientists are testing newer agents, including your own muscle cells, to see if they are effective in treating stress incontinence. Your doctor will discuss which bulking agent may be best for you.
Surgery for Stress Incontinence
In some women, the bladder can move out of its normal position, especially following childbirth. Surgeons have developed different techniques for supporting the bladder back to its normal position. The three main types of surgery are retropubic suspension and two types of sling procedures.
Retropubic suspension uses surgical threads called sutures to support the bladder neck. The most common retropubic suspension procedure is called the Burch procedure. In this operation, the surgeon makes an incision in the abdomen a few inches below the navel and then secures the threads to strong ligaments within the pelvis to support the urethral sphincter. This common procedure is often done at the time of an abdominal procedure such as a hysterectomy.
Sling procedures are performed through a vaginal incision. The traditional sling procedure uses a strip of your own tissue called fascia to cradle the bladder neck. Some slings may consist of natural tissue or man-made material. The surgeon attaches both ends of the sling to the pubic bone or ties them in front of the abdomen just above the pubic bone.
Midurethral slings are newer procedures that you can have on an outpatient basis. These procedures use synthetic mesh materials that the surgeon places midway along the urethra. The two general types of midurethral slings are retropubic slings, such as the transvaginal tapes (TVT), and transobturator slings (TOT). The surgeon makes small incisions behind the pubic bone or just by the sides of the vaginal opening as well as a small incision in the vagina. The surgeon uses specially designed needles to position a synthetic tape under the urethra. The surgeon pulls the ends of the tape through the incisions and adjusts them to provide the right amount of support to the urethra.
If you have pelvic prolapse, your surgeon may recommend an anti-incontinence procedure with a prolapse repair and possibly a hysterectomy.
Recent women’s health studies performed with the Urinary Incontinence Treatment Network (UITN) compared the suspension and sling procedures and found that, 2 years after surgery, about two-thirds of women with a sling and about half of women with a suspension were cured of stress incontinence. Women with a sling, however, had more urinary tract infections, voiding problems, and urge incontinence than women with a suspension. Overall, 86 percent of women with a sling and 78 percent of women with a suspension said they were satisfied with their results. For more information, please visit www.uitn.net. Women who are interested in joining a study for urinary incontinence can go to www.ClinicalTrials.gov for a list of current studies recruiting patients.
Talk with your doctor about whether surgery will help your condition and what type of surgery is best for you. The procedure you choose may depend on your own preferences or on your surgeon’s experience. Ask what you should expect after the procedure. You may also wish to talk with someone who has recently had the procedure. Surgeons have described more than 200 procedures for stress incontinence, so no single surgery stands out as best.
If you are incontinent because your bladder never empties completely — overflow incontinence — or your bladder cannot empty because of poor muscle tone, past surgery, or spinal cord injury, you might use a catheter to empty your bladder. A catheter is a tube that you can learn to insert through the urethra into the bladder to drain urine. You may use a catheter once in a while or on a constant basis, in which case the tube connects to a bag that you can attach to your leg. If you use an indwelling — long-term — catheter, you should watch for possible urinary tract infections.
Other Helpful Hints
Many women manage urinary incontinence with menstrual pads that catch slight leakage during activities such as exercising. Also, many people find they can reduce incontinence by restricting certain liquids, such as coffee, tea, and alcohol.
Finally, many women are afraid to mention their problem. They may have urinary incontinence that can improve with treatment but remain silent sufferers and resort to wearing absorbent undergarments, or diapers. This practice is unfortunate, because diapering can lead to diminished self-esteem, as well as skin irritation and sores. If you are relying on diapers to manage your incontinence, you and your family should discuss with your doctor the possible effectiveness of treatments such as timed voiding and pelvic muscle exercises.
Overcoming an overactive bladder
Published: August, 2013
Get your life back if you’re experiencing this easily treatable condition.
An overactive bladder (OAB, also known as urge incontinence) causes a sudden urge to urinate, even when your bladder isn’t full. For some people it’s simply a nuisance. For others, the urge can’t be controlled, which leads not only to incontinence but also a severe impact on quality of life. “It’s a major problem which limits people’s social lives due to fear of embarrassing urine leakage. It is a significant contributory factor to depression. I have some patients who rarely venture outside of home because they are afraid they will wet themselves while in a public place,” says Dr. George Flesh, director of urogynecology and pelvic reconstructive surgery for Harvard Vanguard Medical Associates.
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Although overactive bladder can be treated, more than 80% of affected women do not seek treatment. In the United States, an estimated 33 million individuals suffer from the bothersome symptoms associated with overactive bladder (OAB), which is a common condition affecting 30% of men and 40% of women.1 OAB is characterized as a syndrome that causes an abrupt and unstoppable need to urinate, and it is considered to be one of the top 10 chronic medical issues that affect women between 45 and 64 years of age.2,3
Although OAB can be effectively treated, unfortunately more than 80% of women with OAB symptoms do not seek treatment, possibly because of embarrassment or because of a belief that OAB is due to the aging process.2 Contrary to popular belief, OAB is not a normal part of aging, but the risk of developing OAB symptoms increases with aging.4 Left untreated, OAB can negatively impact your life by interfering in daily activities such as work, social activities, exercise, and sleep.
Causes and Risk Factors
The cause of OAB is still unknown; however, research has determined that OAB symptoms are the result of the bladder’s inability to relax and hold more urine.1,2 OAB occurs when the nerve signals between your brain and your bladder alert your bladder to empty, even when it is not full or when the bladder muscles contract while the bladder is still filling.1,2 Men and women are at risk for OAB, but some risk factors may increase an individual’s chance of developing OAB.
According to the American Urology Association, women who are postmenopausal and men who have had prostate issues appear to be at greater risk for developing OAB. In addition, those with neurologic conditions such as multiple sclerosis, those who have had a stroke, and those with diabetic neuropathy have a greater risk of developing OAB.6 Diets high in foods and drinks that can irritate the bladder (eg, spicy foods, caffeine, alcohol) can worsen or aggravate OAB symptoms in some individuals.5,6
OAB may involve a variety of symptoms, such as:
- Urinary urgency: the inability to postpone the need to urinate
- Frequent urination: the need to urinate at least 8 times per day
- Urge incontinence: leakage of urine when an individual has the urge to urinate
- Nocturia: the need to interrupt sleep to urinate at least 2 times during the night
If you suspect that you have OAB or if you are experiencing any of the symptoms associated with OAB, it is important that you see your primary health care provider for a thorough evaluation. Your health care provider will ask you questions about your symptoms, diet, and medical and medication histories. An examination and tests may be required to determine the cause of your symptoms.
If you are given a diagnosis of OAB, your health care provider will determine the best treatment for you. Various measures can be taken to help you effectively manage and treat OAB. Treatment generally involves a combination of therapies, which may include lifestyle and dietary modifications, drug therapy, and behavior modifications. In 2013, the FDA approved Oxytrol for Women, a patch manufactured by MSD Consumer Care, Inc. This product became the first nonprescription treatment for OAB. In May 2014, AZO Bladder Control with Go Less (iHealth Inc), a drug-free dietary supplement, became available to manage OAB symptoms.
In addition, several prescription medications can be used to treat OAB. These medications, which are available in oral and topical formulations, relax the bladder and prevent it from contracting at the wrong time.1,3 The most common types of medications prescribed for the treatment of OAB include antimuscarinic medications and a relatively new medication that is classified as a beta-3 adrenergic agonist.3 Your health care provider will determine which medication, if any, is best for you. Your pharmacist will provide you with information about the medication, including its dosing and potential adverse effects.
Behavioral therapy techniques that may be used for OAB include bladder retraining and pelvic floor therapy exercises. Dietary changes that may help decrease or alleviate OAB symptoms include eliminating or decreasing your intake of tea, coffee, alcohol, chocolate, citrus juices, spicy or acidic foods, and foods or drinks that contain artificial sweeteners. Because smoking and excess weight can worsen OAB symptoms, it can help to maintain a healthy weight and stop smoking.
Living with OAB
Left untreated, OAB can negatively impact an individual’s life by causing embarrassment, depression, stress, and anxiety. But the good news is that with proper treatment, you can take control of OAB and live a healthy, active life without worrying about OAB symptoms. It is important to adhere to the recommended therapy, maintain routine visits with your primary health care provider to discuss your concerns, and immediately seek medical care if your condition worsens or any adverse effects develop. See Online Table 1 for patient education resources on OAB.
Table 1: Educational Resources for Overactive Bladder
- Bladder control: what women need to know. National Kidney and Urologic Diseases Information Clearinghouse website: http://kidney.niddk.nih.gov/kudiseases/pubs/bladdercontrol_ES/index.aspx
- It’s time to talk about OAB. Urology Care Foundation website: www.urologyhealth.org/oab/oab_ques.cfm
Ms. Terrie is a clinical pharmacist and medical writer based in Haymarket, Virginia.
Overactive bladder in children: What to know
The most common treatment options usually include bladder retraining and pelvic floor exercises.
Bladder retraining involves putting the child on a “voiding schedule” where they go to the restroom to urinate on a schedule. This helps to slowly train the bladder to hold more and more urine, as it is designed to.
Pelvic floor exercises provide a way to strengthen the muscles that are used to slow and stop the flow of urine and prevent wetting.
If these techniques do not work or seem to have no effect on the overactive bladder, there are some medications that can be used to calm the overactive bladder. However, this line of treatment often results in a return to the wetting behavior after the medications are stopped.
If an ultrasound scan shows that abnormalities in the bladder are causing the wetting, the child’s doctor may suggest surgical options for repairing the problem.
Surgery is usually the last option for treatment, however, as most children outgrow their wetting problems and never require surgical intervention.
Home remedies and lifestyle changes
There are a few lifestyle changes that caregivers can consider when trying to help a child with an overactive bladder. These changes include:
Share on PinterestNighttime wetting can be reduced by avoiding drinking fluids before bedtime.
- Cutting out caffeine. As mentioned before, caffeine can contribute to or cause an overactive bladder, especially in children. Caffeine can also have a negative effect on sleeping patterns in children, so it may be a good idea to cut it out of their diet altogether.
- Avoiding drinking before bed. This only works for nighttime wetting, but by stopping drinking fluids a couple of hours before bedtime; the risk of nighttime wetting is reduced.
As far as home or natural remedies go, there are a number of herbal remedies that show some benefit for the treatment of overactive bladder. However, these remedies are not regulated by the United States Food and Drug Administration (FDA).
The use of any natural remedies in children should definitely be discussed with a doctor before considering them.
Talking to a child’s doctor about their overactive bladder can be an awkward topic. However, it is an important conversation to have, especially if the child has not outgrown their bedwetting or other symptoms.
Caregivers should take the time to learn all they can about overactive bladder and take that information to their child’s doctor. The doctor will be best equipped to help caregivers make the best decisions about their child’s health.
How do I stop bladder leakage?
As you can see from the long list above, there are many things that can cause a weak bladder and subsequently lead to bladder leakage. Consequently, there are quite a few options to consider depending on the type of incontinence you have.
The first thing to remember is that you’re not alone and that this common condition, is easily managed and can, in some cases, may be cured altogether.
However, if you find the following methods aren’t helping, there may be another underlying medical problem affecting your particular instance of bladder leakage. Have a chat with your doctor if you’re concerned about your bladder leakage.
Here are some solutions that you may find can help a weak bladder.
One of the simplest ways to manage incontinence whether temporary or ongoing, is to use the Depend® or Poise® range of incontinence products. It doesn’t matter if your bladder leakage is light or quite heavy, Poise® and Depend® products have you covered with everything from liners to underwear.
- Make it easy to get to the toilet. This should be quite obvious really. Make sure there are no obstacles preventing you from getting to the toilet quickly. If mobility is an issue, consider in-home adaptations like handrails or a raised seat in your toilet, and a commode in the bedroom is also a good idea.
- Cut out or reduce your caffeine intake. Coffee, tea, cola, and some painkillers all contain caffeine, which has a diuretic effect (makes you wee more often). Caffeine itself may also directly stimulate the bladder making urgency symptoms worse. Try going a while without caffeine and see if your condition improves. If it does, it doesn’t mean the end of your morning coffee or your afternoon cuppa, it just means you’ll know to stay handy to a toilet when you have a drink.
- Alcohol. Some people are affected by alcohol in the same way that others are affected by caffeine. Again, try going a while without an alcoholic drink and see if your incontinence improves.
- Drink normal quantities of fluids. Drinking less may seem like a good idea, but in reality it actually makes your symptoms worse. That’s because your urine becomes more concentrated, which can irritate the bladder muscle. Aim to drink about two litres of fluid per day — about 6-8 cups, and more in hot conditions.
- Go to the toilet only when you need to. Don’t go to the toilet more often than you need to. You may think it’s a good idea to go often so as not to be ‘caught short,’ but all this does is promote an overactive bladder and make your symptoms worse in the long run. It also means your bladder becomes used to holding less urine making it even more sensitive and overactive at times when you need to hold on a bit longer.
- Lose weight. If you’re overweight, there is additional strain your pelvic floor muscles, so losing some weight can improve your symptoms.
- Check your medications. If you’re taking medications like antihistamines, tricyclics (antidepressants), or blood pressure tablets, they can interfere with muscle contraction in the bladder and urethral sphincter, making incontinence even worse. Ask your doctor about bladder-friendly alternatives.
Kegel exercises (pelvic floor exercises) are the main treatment for stress incontinence. These exercises are designed to strengthen the muscles that support the bladder, uterus (womb) and rectum. Pelvic floor exercises also help if you are doing bladder training.
Kegels are a mainstay of incontinence therapy. Women with stress incontinence who consistently do Kegel exercises experience a 70% improvement in symptoms, and experts believe building these muscles may also help with urge incontinence. Kegels work by thickening the muscles that hold your bladder, urethra and other organs in place.
If your just starting out try contracting your pelvic-floor muscles for five seconds, and then relax them for five seconds, repeat this five times, 10 to 20 times a day.
For those with urge incontinence, bladder training may help. With this form of behaviour therapy, you make yourself wait when you feel the urge to urinate, gradually increasing the intervals between bathroom trips. It’s a good idea to keep a bladder diary to keep track of your progress.
This is a flexible silicone ring inserted into your vagina where it pushes up on the vaginal wall and urethra to help support the bladder and uterus. A doctor or nurse can fit one for you, but you’ll need regular check ups to make sure it doesn’t irritate your vagina.
This painless process involves delivering gentle volts of electricity, through a vaginal probe to activate and strengthen pelvic-floor muscles. Sometimes, (and used only for urge incontinence), a device is implanted under the skin of the upper buttock to stimulate the sacral nerve, which connects to the bladder and pelvic floor.
If things don’t improve with bladder training, there are some medications called antimuscarinics (also called anticholinergics) which your doctor may recommend.
The drugs work by blocking certain nerve impulses to the bladder, which in turn relaxes the bladder muscle, thereby increasing the bladder’s capacity.
It works well if you take the medication in combination with the bladder training. A common plan is to try a course of medication for a month or so. If they help, you may be advised to continue for around six months and then stop the medication altogether to see how symptoms are without the medication.
By combining a course of medication with bladder training, the long-term outlook may be better and symptoms may be less likely to return when you stop the medication.
Diagnosing interstitial cystitis (IC) can be challenging. The IC diagnosis process requires healthcare providers to rule out other conditions prior to making the clinical judgment that you have IC. Common conditions that must be first ruled out include urinary tract infections and chronic prostatitis. In addition, the lack of a diagnostic test for IC may lead to a misdiagnosis such as:
Urinary Tract Infection (UTI)
IC is often mistaken for a urinary tract infection (UTI) or bladder infection, which it is not. Some IC patients do have low levels of bacteria in their urine that don’t normally qualify as a urinary tract infection and others may have atypical bacteria, such as ureaplasm. Also, IC patients do get full-blown UTIs—and antibiotics are usually prescribed to treat these urinary infections.
Gotta go? The diagnosis of IC and overactive bladder (OAB) are easy to confuse. Similar to IC, overactive bladder is a condition that results in the sudden need to urinate (urgency). OAB is caused by a sudden involuntary contraction of the detrusor, a muscle in your bladder wall which is controlled by the nervous system. Also called urge incontinence, OAB is a problem with the nerves and muscles in the bladder. OAB patients typically do not also experience the frequency (need to go often) or the pain of IC.
IC and chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) are conditions in men that are similar. IC in men may be mistaken for chronic prostatitis. If a man with CP/CPPS also has chronic lower urinary tract symptoms, such as urgency, frequency, nocturia, pain with bladder filling, suprapubic pressure, or painful urination, and does not respond to standard therapies for prostatitis, he may have IC.
You might confuse hemorrhagic cystitis with IC because the symptoms are similar. Hemorrhagic cystitis also presents with bladder pain and irritation, frequency, urgency, and nocturia. It can also damage the bladder wall and cause your bladder to shrink. However, patients with hemorrhagic cystitis often have additional symptoms such as blood in their urine, systemic infections, and urinary obstruction. Hemorrhagic cystitis is usually caused by cancer treatments such as chemotherapy or pelvic radiation treatments and typically goes away once the chemotherapy or radiation treatment causing the condition is stopped.
Controversy swirls around the idea that pudendal nerve problems might be mistaken for IC—or maybe cause it—and that surgery to fix it may be the best option. We talk to patients who’ve had surgery and the professionals on both sides of the issue to help you sort it out. Read more in the Spring 2011 issue of the ICA Update.
Many people with IC struggle with other conditions, including autoimmune, pelvic problems and chronic pain conditions. Researchers are studying this phenomenon. Much of the research about the causes of IC is striving to sort out the overlap of IC with other chronic conditions such as allergies, irritable bowel syndrome, and sensitive skin are three common overlapping conditions in the IC population. And, there are many other related conditions that affect people with IC.
- Individuals with allergies, migraine headaches, endometriosis, irritable bowel syndrome, asthma, or sensitive skin may have a greater chance of developing IC. And, some studies have reported that IC patients are as much as 100 times more likely than the general population to have irritable bowel syndrome.
- Vulvodynia, a syndrome marked by various painful vulvovaginal symptoms, is the fourth most common IC related condition. It is thought that a common defect in the bladder and vaginal tissues may contribute to both conditions.
- Individuals already suffering from IC may also have a greater chance of having fibromyalgia or chronic fatigue syndrome.
- IC patients have been shown to be 30 times more likely than the general population to have systemic lupus erythematosus.
- More recent research has revealed that IC may also be connected with other chronic conditions, such as panic attacks and pelvic floor dysfunction.
Learn More About IC
- Order resources from the ICA store
- Subscribe to the ICHelp YouTube Channel
- Follow ICHelp on Twitter
- Get an overview of IC from Dr. Robert Moldwin, director of the Pelvic Pain Center at the Arthur Smith Institute for Urology in New Hyde Park, NY
- Ask the ICA your questions about IC
- Check out the Interstitial Cystitis Reading Lists
Revised Wednesday, March 25th, 2015