Abacterial cystitis

Definition

Noninfectious cystitis is irritation of the bladder not caused by a urinary tract infection.

Alternative Names

Abacterial cystitis; Radiation cystitis; Chemical cystitis; Urethral syndrome - acute

Causes

Noninfectious cystitis is most common in women of childbearing years. The exact cause of noninfectious cystitis is often unknown.

However, use of bubble baths, feminine hygiene sprays, sanitary napkins, spermicidal jellies, radiation therapy to the pelvis area, and chemotherapy with certain types of medications, and other irritants.

See also interstitial cystitis.

Symptoms

Additional symptoms that may be associated with this disease:

Exams and Tests

A urinalysis may reveal red blood cells (RBCs) and some white blood cells (WBCs).

A urine culture (clean catch) or catheterized urine specimen will not reveal any bacteria in the urine.

If the cystitis is related to radiation or chemotherapy, urine tests and cystoscopy (use of lighted instrument to look inside the bladder) may be needed.

Treatment

The goal of treatment is to manage the symptoms.

Medical Treatments:

Diet:

Other therapies:

Outlook (Prognosis)

Although most cases of cystitis are uncomfortable, they usually resolve over time.

Possible Complications

When to Contact a Medical Professional

Call your health care provider if symptoms indicate that cystitis may be present, symptoms worsen, or new symptoms develop, especially fever, back or flank pain, and vomiting.

Prevention

Avoid using items that may be irritants such as bubble baths, feminine hygiene sprays, sanitary napkins or tampons (especially scented products), and spermicidal jellies.

If you need to use such products, try to find those that do not cause irritation for you.

Walsh PC. Campbell's Urology. 8th ed. St. Louis, Mo: WB Saunders; 2002:572-575. 

Stenchever A. Comprehensive Gynecology. 4th ed. St. Louis, Mo: Mosby; 2001:831.