OBJECTIVE: To characterize electrocautery (EC) as a valid treatment option in interstitial cystitis (IC) patients with Hunner ulcers (HUs).
METHODS: From 1997 to 2013, a single urologist's IC population was retrospectively reviewed to identify HU patients as well as their demographics, operative characteristics, and response to a 2-page questionnaire evaluating parameters of their experience with EC. Descriptive statistics, Pearson chi-square test, Student t test, and Pearson coefficient were used.
RESULTS: Two hundred fourteen EC procedures were performed in 76 patients (87% women; mean age, 66 ± 1.67 years). Fifty-one patients (69%) who underwent multiple EC had mean initial bladder capacity of 438.62 ± 27.90 mL and final bladder capacity of 422.40 ± 30.10 mL. Mean number of EC procedures was 2.98 ± 0.25 (range, 1-11). Mean time between sessions was 14.52 ± 1.34 months (range, 1-121 months). Fifty-two patients (68%) completed our questionnaire, with 13.54 ± 1.28 years of symptoms and 10.66 ± 0.96 years since diagnosis. Ranking IC treatments, 37 patients (84%) reported EC most beneficial. On a 0-10 (none to worst possible) scale before and after EC, frequency improved from 9.04 ± 1.30 to 3.65 ± 2.75 (P < .001), urgency from 8.40 ± 2.38 to 3.28 ± 2.71 (P < .001), and pain from 8.62 ± 2.36 to 2.68 ± 2.55 (P < .001). Overall, 89.6% of patients noted some degree of symptom improvement after EC; 56.3% of patients had marked improvement. A total of 98% of patients would undergo EC again.
CONCLUSION: EC of HU is an effective and safe procedure with high patient satisfaction that does not diminish bladder capacity.
Chennamsetty A, Khourdaji I, Goike J, Killinger KA, Girdler B, Peters KM. Are you the author?
Department of Urology, Beaumont Health System, Royal Oak, MI; Oakland University William Beaumont School of Medicine, Rochester, MI; Division of Urology, University of Colorado Health, Fort Collins, CO; Oakland University William Beaumont School of Medicine, Rochester, MI.
Reference: Urology. 2015 Jan;85(1):74-8.