What are the American Urological Association (AUA) treatment guidelines for 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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Key AUA guideline recommendations for disease management include the following [3] :

  • Consider surgical treatments (other than fulguration of Hunner lesions) only after other treatment alternatives have been exhausted, or in the rare instance when an end-stage, small, fibrotic bladder has been confirmed and the patient's quality of life suggests a positive risk-benefit ratio for major surgery
  • Initial treatment type and level should depend on symptom severity, clinician judgment, and patient preferences
  • Multiple, simultaneous treatments may be considered if that is in the best interests of the patient
  • Baseline symptom assessment and regular re-assessment are required to gauge the efficacy of single and combined treatments
  • Treatments that fail to demonstrate efficacy should be stopped once a clinically meaningful interval has elapsed
  • Pain management should be continually assessed because of its importance to quality of life; if pain management is inadequate, consideration should be given to a multidisciplinary approach and the patient referred appropriately
  • The IC/BPS diagnosis should be reconsidered if no improvement occurs after multiple treatment approaches

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