Interstitial Cystitis: Symptoms, Diagnosis, and Surgical Impact - Urology

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Interstitial cystitis (IC), also known as painful bladder syndrome, is a chronic condition characterized by bladder pressure, bladder pain, and sometimes pelvic pain. The symptoms can vary widely among individuals, and they may include frequent urination, urgency to urinate, and discomfort in the bladder area. In your case, it appears that you have undergone a thorough evaluation and treatment for a bladder polyp, and your concerns about interstitial cystitis stem from the findings during that process.

1. Can excessive irrigation during surgery cause blood in the bladder wall?
Yes, excessive irrigation during bladder surgery can lead to the appearance of blood in the bladder wall. When the bladder is distended with fluid, it can cause minor trauma to the bladder lining, resulting in bleeding. This is particularly true if the bladder wall is manipulated during the procedure. The presence of blood in the bladder wall post-surgery is not uncommon and can be attributed to the surgical technique and the volume of fluid used. It is essential to differentiate between surgical trauma and pathological conditions like interstitial cystitis.

2. Could I be an asymptomatic interstitial cystitis patient?
Given that you have not experienced the hallmark symptoms of interstitial cystitis—such as bladder pain, urgency, and frequency—over the past three years, it is less likely that you are an asymptomatic patient. IC typically presents with a specific set of symptoms that are persistent and can significantly impact quality of life. Your doctor's assessment that you do not have interstitial cystitis is supported by your lack of symptoms. However, it is important to note that IC can sometimes have periods of remission and exacerbation, but the absence of symptoms for an extended period is a positive sign.

In summary, while surgical procedures can lead to transient changes in the bladder, including bleeding, your lack of symptoms over the last three years suggests that you are not suffering from interstitial cystitis. If you continue to have concerns, it may be beneficial to seek a follow-up consultation with a urologist who specializes in bladder disorders. They can provide reassurance and possibly conduct further evaluations if necessary.

In terms of managing your anxiety about potential bladder conditions, consider discussing your fears with a healthcare professional. They can help you understand the nature of your previous diagnosis and the implications of your surgical history. Additionally, if you experience any new symptoms or changes in your urinary habits, it is crucial to seek medical advice promptly. Regular follow-ups with your healthcare provider can help monitor your bladder health and address any concerns you may have.