What are the Canadian Urological Association (CUA) recommendations for the diagnosis of interstitial cystitis/bladder pain syndrome (IC/BPS)?

Updated: Dec 04, 2020
  • Author: Eric S Rovner, MD; Chief Editor: Edward David Kim, MD, FACS  more...
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The CUA recommendations are in agreement with AUA that all evauations should begin with history, physical examination, and laboratory testing and that baseline voiding and pain levels should be used to track response to treatment. However, the CUA recommends that cystoscopy be performed for most patients, to do the following [4] :

  • Rule out bladder cancer/carcinoma in situ
  • Identify Hunner lesions
  • Determine the effect of bladder filling and emptying on pelvic pain
  • Evaluate functional bladder capacity
  • Facilitate pelvic examination
  • Reassure the patient

The CUA considers cystoscopy optional only for young women with symptoms of IC/BPS but no risk factors for bladder cancer or other pelvic conditions. [4]

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