Psychological changes in patients with interstitial cystitis after hydrodistension

Abstract

Objective To evaluate the effect of hydrodistension on interstitial cystitis and the psychological changes after hydrodistension. Methods Thirty two patients with interstitial cystitis underwent hydrodistension from May 2011 to Jun 2012 in Department of Urology, Beijing Hospital. Interstitial cystitis symptom index(ICSI), Visual onalogue Scale(VAS) pain score, quality of life questionnaire(QOL)score, self-rating anxiety scale(SAS) score, self-rating depression scale(SDS)score were recorded and analyzed before and at 1-3 month after hydrodistension surgery. The voiding diary and postoperative complications were cared. Results Symptoms were improved in twenty nine patients, the efficiency rate was 90.6% (29/32). There were significant differences in ICSI score, VAS pain score, QOL score, SAS score, SDS score between pre and 3 month post-surgery 〔(26.7±2.3) vs. (15.2±1.9), (4.6±2.5) vs. (1.8±1.1), (4.3±2.2) vs. (2.2±1.6), (53.8±3.7) vs. (40.8±2.3), (54.8±2.3) vs. (42.4±1.5), t=8.33, 7.94, 6.54, 7.20, 8.62, respectively, all P<0.05〕. No complication was found after surgery. Both the clinical symptoms and the anxiety and depression symptoms in patients were relieved, and QOL was improved. Conclusions For the patients with interstitial cystitis, the undergoing of hydrodistension surgery can relieve the anxiety and depression symptoms and improve quality of life. Key words: Dilatation; Cystitis, interstitial; Anxiety; Depression