Japanese Journal of Psychosomatic Medicine
Online ISSN : 2189-5996
Print ISSN : 0385-0307
ISSN-L : 0385-0307
A Psychosomatic Aspect of Two Cases with Interstitial Cystitis
Tetsuya AbeMikihiko FukunagaHideyo MachidaShinji NishidaTadashi MatsudaYoshihide Nakai
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2000 Volume 40 Issue 8 Pages 637-643

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Abstract
Two cases are both females. Case 1 is 56 years old, and Case 2 is 28 who were diagnosed as interstitial cystitis. Only Case 1 had associated bladder pain. We used the frequency/volume chart to make clear one's pathology. In Case 1, the interval of voiding time and the voided volume were almost equal. In Case 2, there was some nocturia and the voided volume was variable. These results showed that Case 1 had organic disorder as its major pathology, and Case 2 had a functional disorder. As for the treatment, hydrodistension was effective in Case 1, and bladder training in Case 2. Interstitial cystitis has the mixed pathology of organic and functional disorder. The frequency/volume chart and the presence of bladder pain help us to understand the major pathology and treatment of interstitial cystitis. With regard to a case which seems to be a functional disease, we need to differentiate interstitial cystitis from chronic pain disorder or psychogenic urgency-frequency syndrome.
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© 2000 Japanese Society of Psychosomatic Medicine
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