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If the above strategies fail there are several other options including Botox (botulinum toxin) injection into the bladder, neurostimulation and major bladder surgery. Treatment of ulceration has been shown to provide pain relief. If ulcerations are seen in the bladder wall they are burned or injected with medication. The procedure provides relief of IC/PBS symptoms for some time but typically must be repeated in the future. Interstitial Cystitis or Painful bladder syndrome is a condition which causes chronic or recurrent pain in the bladder and in the pelvic region due to. A scope is inserted into the bladder and the bladder is filled with fluid, stretching the bladder for several minutes. If first and secondline therapies are unsuccessful, a patient may benefit from a surgical procedure to stretch the bladder lining (hydrodistension). Bladder stretching and/or treatment of bladder ulceration.Some patients benefit from inoffice instillation of DMSO, heparin or lidocaine through a urethral catheter.Medications that decrease bladder spasms.Pain management: Nonsteroidal antiinflammatory medications (NSAIDs), painkillers that target bladder lining.Physical activity (walking, gentle stretching).Avoiding bladder irritants (link to bladder triggers / IC diet).Education on IC/PBS and determination of bladder triggers.Effective symptoms control may require trials of multiple therapeutic options. Therefore, there is not one treatment that can help all patients with this diagnosis. Unfortunately, there is no known cause of painful bladder syndrome. Causes and Risk Factors for Painful Bladder Syndrome. However, painful bladder syndrome is more specifically related to your bladder and associated with symptoms that are common in urinary tract infections.

It is a chronic condition that is treated with symptom management. Painful bladder syndrome, also referred to as interstitial cystitis, is a condition that causes similar symptoms to pelvic pain. Interstitial Cystitis & Painful Bladder Syndrome.Extracorporal Shockwave Lithotripsy (ESWL).