Supratrigonal cystectomy and ileocystoplasty in management of interstitialcystitis

Background: Interstitial cystitis is a chronic non-infectious inflammatory disease of the bladder of unknown aetiology which is characterized by irrit ative voiding symptoms and suprapubic pain related to bladder filling. Surg ical treatment is indicated in severely symptomatic patients when medical t herapies have failed, usuary after a period of several years. The authors' experience with a modified technique of ileocystoplasty following supratrig onal cystectomy performed in five patients with interstitial cystitis is pr esented here. Methods: A modified technique of bladder augmentation using ileum following supratrigonal bladder resection is described. Results: All patients experienced relief from their symptoms. No patient ha d residual bladder pain and urinary frequency settled down in all. Bladder capacity was increased significantly. Three patients voided spontaneously p ostoperatively and two required clean intermittent self-catheterization. Conclusions: Supratrigonal cystectomy and ileocystoplasty can be a satisfac tory option in refractory cases of interstitial cystitis. A simplified tech nique of ileal bladder construction that provides satisfactory bladder capa city is presented. Most urologists an familiar with ileal surgery, having u sed the ileum as a conduit after cystectomy for urinary diversion.