{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T16:40:20Z","timestamp":1792428020139,"version":"4.5.0"},"reference-count":18,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2025,4,3]],"date-time":"2025-04-03T00:00:00Z","timestamp":1743638400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Neurourology and Urodynamics"],"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>This study aimed to analyze the outcomes of clinical management of patients with interstitial cystitis (IC).<\/jats:p><\/jats:sec><jats:sec><jats:title>Patients and Methods<\/jats:title><jats:p>We retrospectively analyzed the electronic medical records of patients with IC who visited outpatient clinics with pelvic pain between October 2005 and December 2019. Pain was managed with cystoscopic surgery based on transurethral fulguration (TUF) for bladder ulcers. Cystectomy was performed for intractable pelvic pain. Patients were regularly followed and clinical outcomes were analyzed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of the 275 patients, 240 patients (57 men, 23.7% and 183 women, 76.3%) underwent initial cystoscopic surgery. Overall median follow\u2010up duration was 21.0 months and mean number of TUF was 1.0 (\u00b10.8). Of these 240 patients, 71 (29.6%) did not require further surgical treatment, whereas 64 (26.7%) required a second TUF for recurrent pelvic pain. The median recurrence interval was 12.0 (interquartile range: 6.0\u201325.0) months. Of the 64 patients who received a second TUF, 15 (23.4%) underwent a third TUF after a median of 12.0 (interquartile range: 12.0\u201332.0) months. Of the 15 patients who received a third TUF, five patients required a fourth TUF because of recurrence of pain. One patient received until a seventh TUF. Overall, 168 of 240 patients (70.0%) achieved pain control with TUF. Eighteen patients (7.5%) underwent cystectomy (six patients with urinary diversion and 12 patients with cystectomy with bladder replacement).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>TUF\u2010based cystoscopic surgery is an effective basic treatment for pelvic pain management in patients with IC.<\/jats:p><\/jats:sec>","DOI":"10.1002\/nau.70051","type":"journal-article","created":{"date-parts":[[2025,4,4]],"date-time":"2025-04-04T20:12:48Z","timestamp":1743797568000},"page":"1047-1053","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Transurethral Fulguration of Hunner Lesion Was Effective for Primary Management of Pelvic Pain in Patients With Interstitial Cystitis: A Long\u2010Term Follow\u2010Up Study"],"prefix":"10.1002","volume":"44","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-3818-9626","authenticated-orcid":false,"given":"Hyun Ju","family":"Jeong","sequence":"first","affiliation":[{"name":"Department of Medical Device Development Seoul National University College of Medicine Seoul Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yu Jin","family":"Kang","sequence":"additional","affiliation":[{"name":"Department of Urology Pohang St. Mary's Hospital Pohang\u2010si Gyeongsangbuk\u2010do Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7852-5822","authenticated-orcid":false,"given":"Min Soo","family":"Choo","sequence":"additional","affiliation":[{"name":"Department of Urology, Seoul National University College of Medicine Seoul National University Hospital Seoul Republic of Korea"},{"name":"Seoul Metropolitan Government\u2010Seoul National University Boramae Medical Center Seoul Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Seong Jin","family":"Jeong","sequence":"additional","affiliation":[{"name":"Department of Urology, Seoul National University College of Medicine Seoul National University Hospital Seoul Republic of Korea"},{"name":"Department of Urology Seoul National University Bundang Hospital Seongnam\u2010si Gyeonggi\u2010do Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Seung\u2010June","family":"Oh","sequence":"additional","affiliation":[{"name":"Department of Medical Device Development Seoul National University College of Medicine Seoul Republic of Korea"},{"name":"Department of Urology, Seoul National University College of Medicine Seoul National University Hospital Seoul Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,4,3]]},"reference":[{"key":"e_1_2_11_2_1","unstructured":"International Continence Society.ICBPS Terminology Discussion [Internet].2024[cited 2024 Dec 26]. 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