Interstitial Cystitis

Interstitial Cystitis or Bladder Pain Syndrome is a unique disease characterized by symptoms like lower abdominal pain, difficulty in passing urine, and lower urinary tract symptoms like urgency, feeling to pass urine multiple times and getting up at night to pass urine. These symptoms are severe enough to impair the quality of life.

How is the Diagnosis Made ?

The diagnosis of Interstitial Cystitis is presently one of exclusion. The diagnosis is made when all other conditions which may cause these symptoms like UTI, Stone, Foreign Body, Cancer, Tuberculosis, Diverticula, Sinuses and Fistulae have been excluded. There are many signs that point to a diagnosis of Interstitial Cystitis. These Include:

  • High Levels of Anti-Proliferative-Factor
  • Hunner’s Ulcer (Seen on Cystoscopy)
  • Glomerulations (Seen on Cystoscopy)

What are the suggested tests for the management of IC/BPS ?

The tests that may be required to diagnose and manage this condition depend upon the symptoms that the patient presents with. These tests may include:

  • Urine culture
  • Semen Culture
  • Uroflowmetry
  • Cystoscopy with hydrodistension
  • Bladder biopsy
  • Micturition diary
  • Pelvic floor muscle testing
  • Phenotyping


How can the severity of Interstitial Cystitis be assessed ?


Usually Dr. Tanwar follows the international consortium’s  guidelines. The severity and type of interstitial cystitis can be characterized by the presence of ulcers and glomerulations. This requires a cystopanendoscopy. It is an important step to categorize the disease into ulcerative IC and non-ulcerative IC. It allows a more strict and effective protocol based management to be followed.


Why Dr. Raman Tanwar for management of Interstitial Cystitis ?

Dr. Raman Tanwar has a vast experience in management of Interstitial Cystitis and he has been internationally trained for various procedures for the mangement of IC/BPS. He has been involved as the organizing secretary of the ESSIC 2016 meeting of the International Society of Study of IC/BPS, which has been the first international meeting on Intertsitial Cystitis and Bladder pain syndrome in the country.

  • Fellow of the Global Society for IC/BPS
  • Internationally recognized expert on IC/BPS
  • Well versed with all management programs
    • Medical Therapy
    • Hydrodistension
    • Intravesical Therapy
    • Botulinum Toxin Injection
  • Successful IC/BPS Lifestyle Program adopted by numerous patients
  • In house team for perfect pain management

What is the IC/BPS Lifestyle Program ?

The IC/BPS Lifestyle program is an online program which includes videos and presentations along with various lifestyle and dietary modification tips and articles that slowly bring in a positive change in the approach of patients towards the disease. The program also includes testimonials and stories of patients who have been succesful in the battle with against this disease who would like to provide tips from their side as well. The program is easily accessible and is a part of education and counselling by Dr. Raman Tanwar.

What are some of the Educational Resources that I can go through ?

Dr. Tanwar would strongly recommend that patients who have been diagnosed by him to have interstitial cystitis to go through the following resources:

The diagnosis and treatment of IPBF