SUFU 2021: Differences in Cystoscopic Findings Between Men and Women With Interstitial Cystitis in the VA Healthcare System

( The aim of this retrospective chart review was to determine if there were differences in cystoscopic findings between genders. All hospital visits of men and women at the Veteran Health Affairs Hospital System between October 2004 – July 2016 were analyzed.

Patients> 18 years of age with an established diagnosis of interstitial cystitis/bladder pain syndrome (IC/BPS) and who underwent cystoscopy were included. Patient demographics and cystoscopic findings of ulceration, glomerulation, inflammation, trabeculation, and tumors were analyzed.

A total of 570 patients met inclusion criteria and underwent analysis (57.9% female). The female cohort was of younger age (48.0 vs. 63.0 years) and had a lower rate of diabetes (16% vs. 30%). Bladder inflammation was the most commonly reported finding in both groups. Males were more likely to have cystoscopic findings of ulceration (9.6% vs. 4.1%, p=0.001), trabeculation (19.0% vs. 9.0%, p=0.001). The majority of patients with IC/BPS had normal findings on cystoscopy, but a large minority had either ulcerations, inflammation, or glomerulations. The authors felt this study demonstrates the important role of cystoscopy as a diagnostic tool in these patients.

Presented by: Andrew Chen, MD, Catherine Bresee, MS, Amanda De Hoedt, MS, Jayoung Kim, Ph.D., Stephen Freedland, MD, Jennifer Anger, MD, MPH Cedars-Sinai Medical Center

Written by: Diane K. Newman, DNP, CRNP, FAAN, BCB-PMD, Nurse Practioner and Co-Director, Penn Center for Continence and Pelvic Health Adjunct Professor of Urology in Surgery during the 2021 Society of Urodynamics, Female Pelvic Medicine & Urogenital Reconstruction (SUFU) Winter Meeting