Amita Ashok Mahendru1, Hamed Al-Taher. 1. Colchester Hospital University Foundation Trust, Turner Road, Colchester, CO4 5JL, UK. amita_mahendru@hotmail.com
Abstract
INTRODUCTION AND HYPOTHESIS: Cystodistension is not a standardised procedure; however, it is being used for various indications. METHODS: Four hundred eighty-six questionnaires were posted to consultant gynaecologists, urologists and urogynaecologists in the UK to evaluate the current practice with regards to the indications, technique, benefits and complications of cystodistension. RESULTS: The response rate was 39%. The analysis of each question was done separately. 58.8% of respondents were urogynaecologists or gynaecologists. The most common indication to perform cystodistension was interstitial cystitis both for diagnosis and treatment followed by reduced bladder capacity (40.7%) and overactive bladder (35.4%). Most of the respondents (96%) performed short-duration distension for <20 minutes. CONCLUSIONS: It appears that cystodistension has a role in practice; however, its indications and benefits are still controversial and there is a wide variation in the technique of cystodistension due to lack of standardisation. Further research is needed before any conclusions about its benefits and safety can be made.
INTRODUCTION AND HYPOTHESIS: Cystodistension is not a standardised procedure; however, it is being used for various indications. METHODS: Four hundred eighty-six questionnaires were posted to consultant gynaecologists, urologists and urogynaecologists in the UK to evaluate the current practice with regards to the indications, technique, benefits and complications of cystodistension. RESULTS: The response rate was 39%. The analysis of each question was done separately. 58.8% of respondents were urogynaecologists or gynaecologists. The most common indication to perform cystodistension was interstitial cystitis both for diagnosis and treatment followed by reduced bladder capacity (40.7%) and overactive bladder (35.4%). Most of the respondents (96%) performed short-duration distension for <20 minutes. CONCLUSIONS: It appears that cystodistension has a role in practice; however, its indications and benefits are still controversial and there is a wide variation in the technique of cystodistension due to lack of standardisation. Further research is needed before any conclusions about its benefits and safety can be made.