Objective
To evaluate the clinical efficacy of intensive systematic dietary manipulation (ISDM)
for female patients with interstitial cystitis (IC)/bladder pain syndrome (BPS) in
stable condition who were followed up in our hospital.
Materials and Methods
In cooperation with the nutrition control team, we created a basic IC/BPS diet menu
for 1 month. Data regarding daily food intake and food-related symptoms were collected
by conducting a detailed interview of each patient, and we set meal menu to control
IC/BPS symptoms and advised the patients to reduce the intake of specific food items
to the maximum possible extent. The following food items were removed from or restricted
in the diet of patients: tomatoes, tomato products, soybean, tofu product, spices,
excessive potassium, citrus, high-acidity-inducing substances, etc. We evaluated the
following factors 3 months and 1 year after the start of the intervention: O'Leary-Sant
symptom index, O'Leary-Sant problem index, urgency visual analogue scale score, bladder
or pelvic pain visual analogue scale score, and numerical patient-reported quality
of life index.
Results
All evaluated factors improved statistically significantly when the intensive group
was compared with the nonintensive group (baseline to 3 months and 3 months to 1 year
ISDM, P <.05, respectively).
Conclusion
ISDM was found to alleviate the symptoms of IC/BPS in almost 3 months and continued
clinical efficacy for at least 1 year. ISDM as one of the conservative treatment modality
for IC/BPS should be attempted more strictly because of its noninvasiveness, without
alterations to the other treatments.
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to UrologyAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Interstitial cystitis—the great enigma.J Urol. 2000; 164: 1921
- Japanese guideline for diagnosis and treatment of interstitial cystitis.Int J Urol. 2009; 16: 4-16
- What's new in the diagnosis and management of painful bladder syndrome/interstitial cystitis?.Curr Urol Rep. 2008; 9: 349-357
- Interstitial cystitis. Diagnosis and treatment-1.in: Guideline Committee of the Society of Interstitial Cystitis in Japan Interstitial Cystitis Guidelines. 1st ed. Blackwell Publishing, Tokyo2007: 20-32 (33-37)
- Interstitial cystitis patients' use and rating of complementary and alternative medicine therapies.Int Urogynecol J. 2013; 24: 977-982
- Practical use of the new American Urological Association interstitial cystitis guidelines.Curr Urol Rep. 2012; 13: 394-401
- Conservative therapy of interstitial cystitis.Semin Urol. 1991; 9: 143-147
- Scientific Committee of Dietary Reference Intakes for Japanese Dietary Reference Intakes for Japanese. 1st ed. Daiichi Shuppan, Tokyo2009: 43-109 (2010)
- Diagnosis and treatment of interstitial cystitis/bladder pain syndrome: AUA guideline amendment.J Urol. 2015; 193: 1545-1553
- The 2013 EAU guidelines on chronic pelvic pain: is management of chronic pelvic pain a habit, a philosophy, or a science? 10 years of development.Eur Urol. 2013; 64: 431-439
- CUA guideline: diagnosis and treatment of interstitial cystitis/bladder pain syndrome.Can Urol Assoc J. 2016; 10: E136-E155
- Diet and its role in interstitial cystitis/bladder pain syndrome (IC/BPS) and comorbid conditions.BJU Int. 2012; 109: 1584-1591
- Predictors of symptom severity in patients with chronic prostatitis and interstitial cystitis.J Urol. 2006; 175: 963-966
- Significance of complications of allergic diseases in young patients with interstitial cystitis.Int J Urol. 2003; 10: S56-S58
- Diagnostic criteria, classification, and nomenclature for painful bladder syndrome/interstitial cystitis: an ESSIC proposal.Eur Urol. 2008; 53: 60-67
- Immunomodulators for treatment of interstitial cystitis.Urology. 2005; 65: 633-638
- Epithelial dysfunction in nonbacterial cystitis (interstitial cystitis).J Urol. 1991; 145: 732-735
- Randomized multicenter clinical trial of myofascial physical therapy in women with interstitial cystitis/painful bladder syndrome and pelvic floor tenderness.J Urol. 2012; 187: 2113-2118
Article info
Publication history
Published online: April 20, 2017
Accepted:
February 15,
2017
Received:
December 6,
2016
Footnotes
Financial Disclosure: The authors declare that they have no relevant financial interests.
Identification
Copyright
© 2017 Elsevier Inc. All rights reserved.
