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IC/PBS Society

IC/PBS Society was established by Swati Spentose Pvt. Ltd in a meeting held in Goa, India on the 20th and 21st of June, 2009 respectively. The meeting witnessed leading experts, on the subject of IC, from all across the nation.

The IC/PBS Society is currently working on an Indian Clinical Guideline. The members of this new society have undertaken to carry out time-bound research for a period of one year to consolidate and validate the new guideline.

The main objective of the meeting was to establish the following points:

  • Names :

                        The nomenclature to be used is IC/PBS

  • Definition:

                         Recurrent pelvic pain or discomfort (pressure, burning, throbbing, etc.) of at least 4-6 weeks’ duration, which increases with bladder filling and/or decreases with micturition in the absence of definable pathology associated with urinary frequency and/or urgency.

  • Investigations:

  • Frequency volume chart for 24 hours
  • Urine routine and culture
  • Ultrasonography of kidney, ureter and bladder with post void residue
  • Cystoscopy under anaesthesia. Biopsy to be done if any other lesion is suspected.

  • Management:

  • Therapeutic hydrodistension
  • Oral drug therapy in second stage if hydrodistension is not effective.
  • therapy if oral therapy fails or patient develops flare-up.
  •             The following decisions were also taken by the Society members: Multi-centre research will be undertaken during the coming year to consolidate the expert views in the guidelines. Research work has been delegated to various members to study the sensitivity and specificity of the definition, the role of biopsy, the role of urodynamics, the role of testing for genitourinary tuberculosis and the role of urinary cytology. It is expected that preliminary results will be available in one year.
  •              The guidelines will be reviewed after one year and if necessary changes will be incorporated. All the centres taking part in research will maintain a net-based database and share patient data after the legal requirements of participating centres are met. Furthermore, every endeavour will be made to establish a World IC/PBS Society and convene an international meeting.
  •              This platform will undoubtedly ensure that every urologist is updated with all the advanced news from the world of IC.

References
  1. Panzera AK. Interstitial cystitis/Painful bladder syndrome. Urol Nurs. 2007;27(1):13-19.
  2. Carr LK, Corocs J, Njckel C, Teichman J. Diagnosis of Intersitial cystitis June 2007. Can Urol Assoc J. 2009;3(1):81-86.
  3. Van de Merve JP, Nordling J, Bouchelouche P, et al. Diagnostic criteria, classification, and nomenclaturefor painful bladder syndrome/interstitial cystitis: An ESSIC proposal. European Urology. 2008;53(1):60-67.
  4. Hanno PM. Interstitial cystitis - Epidemiology, Diagnostic criteria, Clinical Markers. Rev Urol. 2002;4(1):S3-S8.
  5. Heck BN. Interstitial cystitis:Enhancing early identification in primary care settings. JNP. 2007;3(8):509-519.
  6. Mattox TF. Interstitial cystitis in adolscents and children:a review. J Pediatr Adolesc Gynecol. 2004;17:7-11.
  7. Teichman JMH, Parsons CL. Contemporary clincal presentation of interstitial cystitis. Urology. 2007;69(4A):41-47.
  8. Association of Reproductive Health Professionals. Screening, treatment, and management of IC/PBS. www arhp org. Accessed March 9, 2009.
  9. Evans RJ. Pathophysiology and clinical presentation of interstitial cystitis. Avd Stud Pharm. 2005;8-14.
  10. National Kidney and Urologic diseases Information Clearinghouse(NKUDIC). Interstitial cystitis/ painful bladder syndrome. www kidney niddk nih gov. Accessed March 9, 2009.