We provide the latest, cutting edge treatments for interstitial cystitis (IC) including sacral neuromodulation and Botox®. We are the best in treating IC in the Southeast. No one else can offer such comprehensive, advanced therapies in one location.
- Lifestyle modifications such as reducing or eliminating foods and beverages that are acidic, smoking cessation, sleep modification, exercise, and reducing stress.
- Prescription medications
- Antihistamines such as hydroxyzine and cimetidine have been shown to be helpful in the treatment of IC. Hydroxyzine reduces histaminic activity in the bladder wall. Cimetidine reduces acid production in the stomach. The main side effect is drowsiness.
- Amitriptyline is an antidepressant shown to improve the symptoms of IC. It reduces bladder spasms and slows the nerves that carry pain messages. The side effects make it hard for some patients to tolerate. They include drowsiness, constipation, and increased appetite.
- Uribel® is a urinary analgesic that reduces bladder pain, spasm, and urinary frequency. It is taken as needed for discomfort or pain.
- Elmiron® is an oral medication that is FDA approved for treating IC. Although its mechanism of action is unknown, it is thought to restore the inner surface of the bladder. It has been shown to improve urinary frequency, urgency, burning, and pain. The full effect may take up to 2-4 months.
- Bladder instillation places compounded solutions to heal the bladder lining into the bladder via a scope. The procedure only lasts several minutes and is done with anesthesia. This can tremendously help pain and inflammation.
- Botox® injections into the bladder to block the muscles and nerves that lead to a feeling of urgently needing to urinate.Results typically last for 6-9 months.
Learn more at www.botox.com
- InterStim® therapy delivers mild electrical pulses to your bladder similar to what a pacemaker does for the heart. Stimulating the sacral nerves reduces urinary urgency. A small wire is placed along the nerve to the bladder near the bone in your pelvis called the sacrum. The wire is attached to a small controller that can be buried underneath the skin of the buttocks.
How Interstim® Works
We have the most experience in the United States in treating hundreds of patients with InterStim® therapy. We use this experience to give you your best opportunity to return to the freedom of a normal life. InterStim® therapy is covered by Medicare and is also covered by many major private insurance companies.
With the therapy’s two-step process, you can test it out to see if it will work for you before making a long-term commitment. The testing period is called an “evaluation” or a “trial assessment.”
We will discuss the evaluation procedure with you and the options for using either a temporary lead (a thin wire) or long-term lead for the evaluation.
How Will I Know If InterStim® Therapy Works for Me?
We will decide together whether your evaluation was successful. The evaluation is considered a success if you experience a significant reduction in your symptoms.
For example, your evaluation may be considered a success if you went to the bathroom 20 times per day before the evaluation and went 10 or fewer times per day during the evaluation.
For long-term InterStim® Therapy, we will perform a minimally invasive procedure that is safe and FDA-approved; doctors have been performing the procedure for more than 15 years. The neurostimulator is placed under the skin of your upper buttock, above where you sit and below your waistline. The lead (thin wire) goes from the neurostimulator to a sacral nerve, located near the tailbone.
How Is Long-term Therapy Different from the Evaluation?
During the evaluation, you wear a temporary, external neurostimulator on your waistband. In long-term therapy, the long-term neurostimulator is placed under your skin during a minimally invasive, outpatient procedure, so the neurostimulator is internal rather than outside your body. You control the neurostimulator with a hand-held programmer that works like a remote control to turn the stimulation up and down or on and off.
Learn more at http://www.everyday-freedom.com/.
- Bladder distention is a procedure where your urologist fills your bladder with liquid or gas. Patients that have undergone a cystoscopy with hydrodistention sometimes find they experience relief. This procedure is repeated if the response is long lasting.
- Surgery may include diverting urine from the bladder or enlarging the bladder. It is reserved for the most severe cases. Urologists rarely use surgery as it can lead to other complications.