Interstitial Cystitis but no bladder inflammation?

Is it possible to have IC if the cystocopy showed no inflammation inside the bladder?  

I have pressure pain in what I think is my ureters and I have to rush to get to a toilet. Once I am there I cant go sometimes and the pain is so intense.  I urination around 40 times a day and around 6 times before I fall asleep and once during the night. I have no infections and never have. I feel there is more when I finally go but it wont come out. I have to walk around and come back 5 mins later.

I also have Stage IV endometriosis which I know go hand in hand.  I had endo on my bladder ureters etc.. is it possible that there is scar tissue causing this or could this be IC?

[S. Kaul, MD]

Hi there!

Yes, it is still possible to have IC even in the absence of clearly visible inflammation on cystoscopy. Endometriosis would normally support IC diagnosis however for a diagnosis of IC all other possibilities for the symptoms such as obstruction by scar formation, neuro-muscular issues, other potential causes of infection/ inflammation etc may need to be considered and ruled out as well. It would be best to discuss the situation in detail with your urologist after a detailed evaluation.
Hope this information is helpful.

Take care!

[ticked]

Thanks so much.