Hunner's Ulcer

Hunner's ulcer (Hunner S Ulcer) is a complication of interstitial cystitis. Interstitial cystitis is a chronic bladder disease characterized by pain, frequent urination, and inability to hold urine. Hanner's ulcer is a form of interstitial cystitis that is characterized by the formation of ulcers on the walls of the bladder.

Hanner's ulcer got its name in honor of the American urologist Herman Hanner, who first described this complication in 1914. Hanner's ulcer is a rare complication of interstitial cystitis and occurs in less than 10% of patients with this disease.

With Hanner's ulcer, patients may experience severe pain in the bladder area that gets worse during urination. The pain can be so severe that it disrupts the patient's normal lifestyle. Also, urination may be accompanied by bleeding.

Diagnosis of a Hanner's ulcer is based on symptoms as well as an examination of the bladder. Cystoscopy, a procedure in which a thin tubular instrument with a camera on the end is inserted into the bladder, may be used to examine the bladder.

Treatment for Hanner's ulcer is aimed at reducing pain and inflammation in the bladder. For this purpose, drugs such as antibiotics, anti-inflammatory and analgesic agents can be used. In some cases, surgery may be considered.

In general, Hanner's ulcer is a serious complication of interstitial cystitis, which can lead to severe pain and disruption of the patient's normal lifestyle. Early diagnosis and treatment of Hanner's ulcer can help prevent the development of serious complications and improve the patient's quality of life.

In the daily practice of a urologist, there are various types of bladder pathology. Inflammatory changes of any nature may appear on the surface of the organ wall, be it angioma, tuberculous bladder, vesicoureteral reflux and other manifestations. And one of the most dangerous diseases is called Hanner's ulcer. The so-called cystic (interstitial) cystitis just belongs to the group of ulcerative diseases of the bladder according to the location. An ulcer is a wall defect that violates the integrity of an organ, in our case the bladder. The layers themselves that form the wall of the bladder are affected - the muscles, mucous membrane and submucosal tissue.

According to statistics, ulcers occur in middle-aged patients. There is a direct connection between this disease and stress. In patients with their own chronic diseases: overactive bladder, urgency, urinary incontinence, irritable stage of overactive bladder syndrome, as well as in smokers, this disease occurs 2 times more often. The cause of ulceration is also the patient's prolonged stay on a cystostomy or continuous radiation therapy for a long time.