Weill Cornell Medicine Urology
Weill Cornell Medicine Urology
 Painful Bladder Syndrome/Interstitial Cystitis - Treatment Options

Painful Bladder Syndrome/Interstitial Cystitis - Treatment Options

While there is no cure for PBS/IC, there are several surgical and non-surgical treatment options available. A combination of these options is usually required for symptom control. Finding the combination of options that will provide relief often requires diligence and patience.

Non-surgical Treatments:

Bladder diet:

Following a bladder diet means avoiding food and beverages that irritate the bladder and intensify urinary symptoms of PBS/IC. A "bladder elimination diet" is a method to determine which particular foods and beverages make your symptoms worse.

Pelvic floor therapy:

Pelvic floor therapy consists of visits to a physical therapist with specialized training in pelvic floor disorders. These specialized physical therapists utilize a combination of various techniques, listed below, depending on the type of urogynecological condition they are treating.

Bladder training:

Bladder training consists of learning to use the pelvic floor muscles to suppress overactive bladder symptoms, including urinary urgency, frequency, nocturia, and urge urinary incontinence.

Functional electrical stimulation:

Functional electrical stimulation utilizes a device that can be used intravaginally or externally, delivering a gentle electrical current to activate or relax the nerves and muscles in the pelvis.

Joint and tissue mobilization:

This therapy involves gentle manipulation to help calm the muscles and nerves of the pelvis.

Bladder instillations:

Bladder instillations are repeated instillations of lidocaine, heparin and other substances into the bladder to decrease bladder pain. The mixture is instilled through a small catheter inserted into the urethra two times per week until the desired results are achieved.

Sacral nerve modulation:

Sacral nerve modulation is an FDA-approved treatment for urinary urgency, frequency, urge incontinence, and retention. Sacral nerve modulation uses a small device that is implanted under the skin of one of the upper buttocks. It works by gently stimulating the sacral nerves to help the bladder function more normally.

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Physicians & Faculty

Dr. Bilal Chughtai, M.D.

Bilal Chughtai


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