The Management of Chronic Interstitial Cystitis by Differential Sacral Neurotomy

'I wish to present for your consideration this evening a group of cases in which the lesion differs Jrom the so-called Fenwick ulcer which has been the type heretofore described as simple ulcer. This group presents a strikingly uniJorm picture, an appreciation oJ the ]eatures oJ which by our branch of the profession will save the patient Jrom much suffering, both from errors in diagnosis and consequent futile operations on other organs, and from the unnecessary prolongation of ordinary cystitis treatment when more radical measures are demanded . . . . There is nothing absolutely characteristic in the cystoscopic picture. Perhaps the most characteristic thing is the insignificance of the lesion as compared with the long duration and intensity of the patient's suffering. ''4,5