PFD Week 2016-Narrow Band Imaging in Interstitial Cystitis/Bladder Pain Syndrome

Narrow Band Imaging in Interstitial Cystitis/Bladder Pain Syndrome

Video Transcription

Video Summary

In this video, the use of Narrowband Imaging (NBI) in evaluating patients with interstitial cystitis, bladder pain syndrome is demonstrated. NBI is an optical image enhancement technology that enhances the visualization of vessels on the mucosal surface. It uses specific bands of light that are absorbed by hemoglobin to enhance the visualization of capillaries closer to the surface (in brownish color) and deeper vessels (in cyan). NBI is valuable in identifying bladder pathology such as carcinoma in situ and bladder tumors. It aids in identifying cracks or fissures in the mucosal surface, which may correlate with the severity of symptoms. Hunter's lesions, characterized by reddened areas with small vessels radiating towards a central scar, can also be easily seen with NBI. Hydrodistension and fulguration are recommended for therapeutic purposes, and submucosal steroid injections have shown symptom improvement. NBI facilitates precise fulguration by identifying easily identifiable bleeders and avoiding unnecessary thermal damage. (No credits granted)

Asset Subtitle

Dominique El-Khawand, MD

Meta Tag

Category Pelvic Pain

Category Imaging

Keywords

Narrowband Imaging

Interstitial Cystitis

Bladder Pain Syndrome

Optical Image Enhancement

Bladder Pathology