Cystoscopy and Hydrodistension for IC

Cystoscopy with hydrodistension is a minimally invasive procedure that serves both diagnostic and therapeutic purposes for patients with interstitial cystitis (IC). During this procedure, your urologist uses a thin, flexible camera (cystoscope) to examine the inside of your bladder while simultaneously stretching it with sterile water or saline solution.

This procedure allows your doctor to:

• Visualize the bladder wall for signs of IC, including Hunner's lesions or glomerulations
• Assess bladder capacity and identify areas of inflammation
• Provide therapeutic benefit through controlled bladder stretching
• Rule out other bladder conditions such as cancer or stones

During the cystoscopy with hydrodistension, your urologist will carefully examine your bladder for specific signs of interstitial cystitis:

• Hunner's Lesions: Reddish, bleeding areas on the bladder wall that are characteristic of IC
• Glomerulations: Small pinpoint bleeding spots that appear when the bladder is stretched
• Reduced Bladder Capacity: The amount of fluid your bladder can hold under anesthesia
• Bladder Wall Thickness: Areas of scarring or thickening that may indicate chronic inflammation
• Other Abnormalities: Ruling out tumors, stones, or other bladder conditions

The presence of these findings, combined with your symptoms, helps confirm an IC diagnosis and guides treatment planning.

Immediate Recovery (First 24-48 Hours)

• Rest: Take it easy and avoid strenuous activities
• Hydration: Drink plenty of water to flush the bladder
• Pain Management: Over-the-counter pain relievers as directed
• Monitor: Watch for signs of infection (fever, increased pain)

What to Expect

• Mild burning or discomfort when urinating (normal for 1-2 days)
• Light pink-tinged urine from minor bleeding (normal)
• Temporary increase in urinary frequency
• Some patients may feel worse before improvement begins

When to Call Your Doctor

• Fever over 101°F (38.3°C)
• Severe or worsening pain
• Heavy bleeding or blood clots in urine
• Inability to urinate
• Signs of infection

Your recovery and treatment plan will be carefully monitored:

• Follow-up Appointment: Typically scheduled 1-2 weeks after the procedure
• Symptom Tracking: Keep a diary of your symptoms and improvements
• Additional Treatments: May be recommended based on findings and your response
• Long-term Management: Ongoing care plan tailored to your specific needs

Many patients find that hydrodistension provides valuable information about their condition and can offer significant, though temporary, relief from IC symptoms. Your urologist will work with you to determine if this procedure is appropriate for your situation.