IC/BPS

Question 1

What are the components of the work up for interstitial cystitis or bladder pain syndrome in both males and females after you’ve completed the physical examination?

Answer 1

1. voiding diary
2. Validated questionnaire
3. UA/uCx
4. Cytology if the patient is high risk
5. UF/PVR
6. Consider UDS
7. Consider Cysto
8. Consider imaging

Question 2

What is the first line in management of interstitial cystitis or bladder pain syndrome in men and women?

Answer 2

1. Education
2. Pain management
3. Lifestyle modification including fluid restriction and avoidance of bladder irritants
4. Stress reduction

Question 3

What is second in line therapy in the management of interstitial cystitis or bladder pain syndrome in men and women?

Answer 3

1. Oral medications include hydroxyzine, cimetidine, amitriptyline, or Elmiron
2. Lidocaine/heparin/DMSO instillation
3. Physical therapy

Question 4

What are the third line therapies for interstitial cystitis or bladder pain syndrome in both men and women?

Answer 4

If hunters ulcers are present, a cystoscopy with hydrodistention and fold ration

Question 5

What our fourth line therapies for interstitial cystitis bladder pain syndrome in both men and women?

Answer 5

Botox or PTNS or Sacral Neuromodulation But none of these are FDA approved

Question 6

What are the fifth line therapies?

Answer 6

Cyclosporine A

Question 7

What are 6th line therapies?

Answer 7

CYSTectomy, diversion, augment

Question 8

SEs of amitriptylene

Answer 8

drowsy

Question 9

Cimetidine

Answer 9

Headaches, dizziness, diarrhea

Question 10

SE of hydroxyxine

Answer 10

dry mouth, drowsiness, dizziness

Question 11

SEs of elmiron

Answer 11

Rectal bleeding, alopecia, diarrhea