Non-bacterial cystitis.

Curr Opin Urol

Department of Urology, University of Innsbruck, Austraia.

Published: September 2000

AI Article Synopsis

  • * NBC is characterized by a complex interplay of factors affecting bladder control and urinary urges, which is essential to understand for proper diagnosis and treatment.
  • * Given the rise in cases of interstitial cystitis, it's important for healthcare providers to consider NBC if initial treatments like anticholinergics or antidepressants are ineffective.

Article Abstract

The concept of non-bacterial cystitis (NBC) combines sterile urine and cystitic symptoms as well as inflammatory changes, in particular in the mucosa and submucosa of the bladder. It includes a multiplicity of vicious circles along the entire continence reflex. An understanding of NBC presupposes knowledge of the origin of the normal urinary urge and its successful control. Against the background of the steadily increasing incidence of interstitial cystitis (often irreversible end-stage NBC), it is suggested here that in the face of a failure of first-line therapeutics (anticholinergics, cyclic antidepressants or oestrogens), one must consider without delay the possible presence of NBC.

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http://dx.doi.org/10.1097/00042307-200009000-00003DOI Listing

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