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Diagnosis and Treatment of Interstitial Cystitis/Bladder Pain Syndrome (2022)

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Licenses for promotional or commercial use can be requested by contacting Keith Price at kprice@AUAnet.org.

Access FAQs on AUA clinical guideline usage and licensing.

By reading this guideline, you agree to AUA's Guidelines Terms and Conditions of Use.

Using AUA Guidelines

Access to AUA guidelines is provided free for individual clinical use only, in accordance with the AUA Guidelines Terms and Conditions of Use. Anyone accessing AUA guidelines for any other purpose must obtain a license/permission in advance. Licenses for academic, research and educational purposes (e.g., in course packs or employer-sponsored research) can be requested through the AUA by contacting permissions@AUAnet.org.

Licenses for promotional or commercial use can be requested by contacting Keith Price at kprice@AUAnet.org.

Access FAQs on AUA clinical guideline usage and licensing.

By reading this guideline, you agree to AUA's Guidelines Terms and Conditions of Use.

Using AUA Guidelines

Access to AUA guidelines is provided free for health care providers for their individual clinical use only. Patients and the general public are provided a summary of the guidelines. Patients who wish to discuss the full guidelines should consult with their healthcare provider.

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Interstitial Cystitis/Bladder Pain Guideline PDF

Interstitial Cystitis/Bladder Pain Algorithm


Purpose

This guideline's purpose is to provide direction to clinicians and patients regarding how to recognize interstitial cystitis /bladder pain syndrome (IC/BPS); conduct a valid diagnostic process; and approach treatment with the goals of maximizing symptom control and patient quality of life (QoL) while minimizing adverse events (AEs) and patient burden. The strategies and approaches recommended in this document were derived from evidence-based and consensus-based processes.

Key Takeaways

The diagnosis of IC/BPS can be challenging. Patients present with a wide spectrum of symptoms, physical exam findings, and clinical test responses. This complexity causes significant misdiagnosis, under-diagnosis, and delayed diagnosis. The most effective approach for a particular patient is best determined by the individual clinician and patient. Topics discussed include the following:

  • Diagnosis
  • Management approach
  • Treatment options
    • Behavioral/non-pharmacologic
    • Oral medications
    • Intravesical instillations
    • Procedures
  • Treatments that should not be offered

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AUA Clinical Practice Guidelines are developed by multidisciplinary panels of experts based on rigorous systematic review of current urologic research.