Does cystitis require surgery?

Written by Zeng Zhong
Urology
Updated on September 02, 2024
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Patients with cystitis do not need surgery. Cystitis mainly occurs when the bladder's mucous membrane is infected by bacteria, causing inflammation inside the bladder. Patients often experience symptoms such as frequent urination, urgent urination, painful urination, and lower abdominal pain. Cystitis is primarily treated with medication, usually under a doctor’s guidance, either orally or through intravenous antibiotics. Additionally, patients are advised to drink more water and urinate frequently, which generally can cure cystitis.

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Written by Guan Hai Fang
Urology
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What is cystitis?

Cystitis, simply put, is inflammation of the bladder and can be divided into acute bacterial cystitis and chronic bacterial cystitis. Acute cystitis typically affects women more often due to the shorter female urethra. Infections can occur following sexual intercourse, catheterization, poor personal hygiene, or reduced resistance to bacteria, such as during a cold, which might lead to an ascending infection. Symptoms are generally most pronounced at the superficial bladder, particularly near the internal urethral orifice and the trigone of the bladder. Chronic cystitis often develops from an acute upper urinary tract infection or through chronic infection and may also be triggered or followed by certain lower urinary tract conditions, such as benign prostatic hyperplasia, chronic prostatitis, urethral stricture, bladder stones, hymenal fusion at the urethral opening, or paraurethral gland inflammation. It is generally characterized by persistent frequent urination, urgency, painful urination, and discomfort in the suprapubic bladder area.

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Written by Zeng Zhong
Urology
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Does cystitis require surgery?

Patients with cystitis do not need surgery. Cystitis mainly occurs when the bladder's mucous membrane is infected by bacteria, causing inflammation inside the bladder. Patients often experience symptoms such as frequent urination, urgent urination, painful urination, and lower abdominal pain. Cystitis is primarily treated with medication, usually under a doctor’s guidance, either orally or through intravenous antibiotics. Additionally, patients are advised to drink more water and urinate frequently, which generally can cure cystitis.

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Written by Zeng Zhong
Urology
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How many days can cystitis get better?

Patients with cystitis can generally be cured within about one week if treated with standard medications. The main symptoms of cystitis include frequent urination, urgent urination, painful urination, and even visible blood in the urine and discomfort in the lower abdomen. Patients can visit the urology department of a local hospital for formal examination and treatment. Under the guidance of a consulting physician, treatment can be administered orally or via intravenous injection with broad-spectrum antibiotics. Additionally, patients should rest more, consume light and easily digestible foods, drink plenty of water, and urinate frequently.

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Written by Wang Shuai
Urology
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What is tested for cystitis?

After suffering from cystitis, a definitive diagnosis can be made through routine urine tests, ultrasonography, urine culture, and antibiotic sensitivity tests. Typically, the routine urine test will show a significant increase in white blood cells, possibly accompanied by pus cells, and often an increase in red blood cells as well. Ultrasonography may reveal inflammatory changes such as thickening and roughness of the bladder wall. Combined with the patient's clinical symptoms, such as frequent urination, urgency, painful urination, or even blood in urine, a clear diagnosis can be established. Once the diagnosis is confirmed, it is advisable to promptly treat with antibiotics. Oral antibiotics, such as levofloxacin tablets or cephalosporins like cefuroxime axetil capsules, are commonly used. During treatment, it is recommended to eat a light diet, avoid spicy and irritating foods, drink plenty of water, and urinate frequently.

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Written by Zeng Zhong
Urology
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Bladder inflammation moxibustion site

Cystitis is primarily treated with antibiotics, so moxibustion can only serve as an auxiliary treatment method. Commonly chosen acupoints include Zhongji and Guanyuan. Moxibustion involves igniting a moxa stick, targeting the body's meridians and channels to achieve a therapeutic effect. Moxibustion can effectively unblock the body's meridians, and for certain symptoms of diseases like cystitis, it can have a significant effect. It is a treatment method in traditional Chinese medicine. From the perspective of Chinese medicine, the treatment of cystitis with moxibustion is considered a form of internal and external medicine, where blood and qi play a direct role.