IC and Systemic Mastocytosis

    
      Re: IC and Systemic Mastocytosis
    


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Posted by HFHS M.D.-MS on January 19, 1998 at 14:10:15:

In Reply to: IC and Systemic Mastocytosis posted by Sam Scamardo on January 16, 1998 at 20:51:13:
  Has anyone noted the association of IC with sytemic mastocytosis?
    I have experienced tremendous urethral and bladder pain during cystocopies (for badder cancer, CIS) and during catheter insertion for BCG treatments.  Even though Xylocaine was being used with each cystocopy, it was still a very painful procedure.  After some experimenting, it was discovered that the pain could be minimized noticeably if the Xylocaine was allowed to remain in the urethra for twenty five to thirty minutes, before insertion of the cystocope.  Because the urethral pain was so excruciating during cathaeter insertion for BCG treatments, a decision was made to use Xylocaine in the same manner now used for my cystocopies.
  During each cystocopy, my urologists have noticed a high degree of bladder inflamation (inflammation), but have not been able to pinpoint the cause.  One doctor now suspects some form of IC because of the consistent pain, and my bladder being one of the body organs involved with Systemic Mastocytosis.  Any applicable information would be very much appreciated.  Sam  
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Dear Sam:
Thank you for your question.
As you know, everyone has different pain thresholds.   BCG causes an intense bladder irritation  which can be  painful especially with the first few installations.  Anesticon package insert( company biased) found in the Physician Desk Reference states  15 ml of 2% jelly should be instilled into the male urethra then left in place for