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| The purpose
of this website is to SURVEY PATIENTS who have symptoms of "frequency
and urgency" of urination, and sometimes burning and other pelvic
pain. (The survey was primarily written by a patient with these symptoms,
with encouragement and added questions by New York urologist Dr. Elizabeth
Kavaler, and designed by a second patient and her husband. See below.) |
| "Frequency
and urgency" are clinical terms for the feeling that one has to pee,
urgently and sometimes every minute of the day, while tending children,
doing errands, working in or outside the home, talking to friends, watching
a movie, and even having sex. This urgency, and often pain, no matter how
empty the bladder, affects every aspect of a woman's life, and affects millions
worldwide. Please see "numbers" below. |
| CYSTITIS is the word
that will be used to describe these symptoms on this website, whether the
symptoms are only for a few days, or chronic. Sometimes cystitis involves
one or more bladder infections and sometimes not. Other diagnoses besides
"cystitis" are often given for these symptoms, for example urethral
syndrome, urethritis, trigonitis, interstitial cystitis, chronic urinary
infection, etc.. But on this site, the word "cystitis" will be
used in place of all of them.
The RESULTS of this survey will be published on this website, for patients,
urologists and all to see. No names will be used. We will publish
numerical totals for each question. We want this information to be a matter
of public record, with patients' privacy protected. Please see the
disclaimer page.
WHY FILL OUT THE SURVEY?
Cystitis can be difficult and often impossible to cure, if it is more
than one or two bladder infections. There is no known cause or cure, beyond
antibiotics for non-chronic infections. There are many tests and treatments
offered by urologists, but there has been ongoing disagreement among both
urologists and patients for decades about several of the tests and treatments,
many of which are invasive. Researchers from the departments of Urology
and Academic Computing at the University of Texas Southwestern Medical
Center write about dilation of the urethra, a popular treatment for cystitis
for three-quarters of a century: "...there remains skepticism about
the effectiveness of urethral dilation largely because of a paucity of
long-term, well-controlled studies and the lack of scientific evidence
that would support its use on the basis of technical merit." (UROLOGY
1999, July, 54:1, 37-43)
Some patients are "horrified," by dilation, others "swear
by it," I am told. As a cystitis patient for 30 years, I had 10 dilations
and my symptoms became much worse and chronic after a great deal of urological
intervention following one bladder infection in 1970. I want to know,
and many other patients and urologists I have talked to want to know whether
dilation and the many other tests and treatments offered are working for
you. You may want to know what other patients think, also.
This survey asks you, the patient, whether the tests and treatments you
have experienced have provided relief, made symptoms worse, or had no
effect. And it asks you what you have found to be helpful in lessening
the symptoms, whether from urologists, other specialists, or alternative
treatment. Finally, the survey asks how cystitis has affected your life.
We hope you will take the time to fill out this survey. It has taken
us nearly a year to write and design it, a first effort for all of us,
and a volunteer effort. It is long; if you don't have time for all of
it, please just answer the questions you feel are most important or relevant
for you. Results will be published as they come in, beginning with the
first 100 submitted surveys.
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Note: Cystitis is primarily a female disorder, but does affect some men
and children. Please forgive me for using only the word "women"
throughout the website; this is done for the sake of simplicity only.
It is not meant to slight men or children with cystitis and of course
we want men to fill out the survey too, and parents to fill it out for
children who have cystitis.
THANK YOU.
|
AUTHORS of this
site: Kay Zakariasen, a cystitis patient for more than 30 years, is the
author of this site. My early cystitis history can be read on the PREVENTION
MAGAZINE page of this site, an article I wrote in 1983. Dr. Elizabeth
Kavaler, New York Urological Associates, wrote a number of the questions
on the survey and has provided invaluable advice and encouragement.
PLEASE CONTRIBUTE: Lena Aronson and her husband, Mikhail Markov designed this
website. Lena has had cystitis for many years and her daughters also have
it, intermittently. All of us are volunteers.
This is a nonprofit website and cannot continue without support from those
of you who would like to contribute. Please see the "contributions"
item on
the menu. Thank you.
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| NUMBERS
of cystitis patients: |
|
Quantifying the numbers of cystitis sufferers is difficult, partly because
of the vagueness of the diagnosis, I.e. the inconsistent use of terms
like cystitis, urethritis, trigonitis, urethral syndrome and interstitial
cystitis, by doctors. The following, however, may provide an idea of the
numbers, for women. Remember that there are also many children and men
who have cystitis. I have not been able to find numbers for them.
5,000,000 office visit's a year within the US alone to gynecologists for
urethral syndrome - chronic cystitis, not just a bladder infection. (Western
Journal of Medicine, California Medical Association, May, 1996)
*700,000 diagnosed cases of interstitial cystitis in the US
(Interstitial Cystitis Association webstite)
*2.5 million people a year, mostly women, have "cystitis" in
Britain (painful and/or frequent urination), half with bacteria/infection,
half without. (British Medical Journal, London, Saturday 6, July 1991)
*Between one half and one third of women who visit a family doctor with
symptoms of urinary frequency and pain do not have an infection, and this
is referred to as urinary syndrome. (Lancet, 9/25/ 82, p. 694-5)
Symptoms of urgency, frequency and painful urination (in the absence
of structural abnormalities and infection) were estimated to effect as
many as 20-30% of women and in one cliniic affected as many as 719 out
of 928 visits by women over a two year period. (Scotti, RJ, Ostergard
DR: The urethral syndrome. Clin Obstet Gynecol 27:515, 1984, and Smith,
P: Age changes in the female urethra (Br J Urol 44:667, 1972) |
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