Summary
Definition
History and exam
Key diagnostic factors
- food or stress triggers
- urinary urgency
- urinary frequency
- urinary incontinence
- nocturia
- dysuria
- pelvic-floor pain
- dyspareunia
- worsening of symptoms before menses
- urethral pain
- bladder neck pain
- suprapubic pain
- levator ani pain
- pain after placement of Foley catheter
Other diagnostic factors
- fibromyalgia
- vulvar vestibulitis
- vulvodynia
- features of systemic lupus erythematosus
- migraine
- features of rheumatoid arthritis
- features of chronic fatigue syndrome
- allergies
- sexual/domestic abuse
- scrotal or anal pain
Risk factors
- age 20 to 60 years
- female sex
- positive family history
- sexual or domestic abuse
- white ethnicity
Diagnostic tests
1st tests to order
- urinalysis with microscopy and culture
- vaginal wet prep
- voiding diary
- urine cytology
Tests to consider
- cystoscopy with hydrodistention of bladder
- bladder biopsy
Emerging tests
- stress protein gene assay
- urine antiproliferative factor
- urine nerve growth factor (NGF)
Treatment algorithm
nonulcerative interstitial cystitis
ulcerative interstitial cystitis
Contributors
Authors
Kenneth M. Peters, MD
Professor and Chairman
Department of Urology
Oakland University William Beaumont School of Medicine
Chair
Department of Urology
Beaumont Health System
Royal Oak
MI
გაფრთხილება:
KMP declares that he has no competing interests.
Hailey Eisner, DO
Fellow, FPMRS Urology
Oakland University William Beaumont School of Medicine
Auburn Hills
MI
გაფრთხილება:
HE declares that she has no competing interests.
Priya Padmanabhan, MD, MPH
Professor of Urology
Oakland University William Beaumont School of Medicine
Auburn Hills
MI
გაფრთხილება:
PP declares that she has no competing interests.
მადლიერება
Dr Kenneth M. Peters, Dr Hailey Eisner, and Dr Priya Padmanabhan would like to gratefully acknowledge Dr Lauren Tennyson, Dr Natalie Gaines, Dr Serge P. Marinkovic, Dr Robert Moldwin, Dr Stuart L. Stanton, Dr Lisa M. Gillen, Dr Christina Marinkovic, and Dr Michael Ehlert, the previous contributors to this topic.
გაფრთხილება:
LT, NG, SPM, RM, SLS, LMG, CM, and ME declare that they have no competing interests.
რეცენზენტები
Nissrine Nakib, MD
Assistant Professor
Director of Female Urology and Urodynamics
University of Minnesota
Minneapolis
MN
გაფრთხილება:
NN declares that she has no competing interests.
Neil Baum, MD
Urologist
Touro Medical Office
New Orleans
LA
გაფრთხილება:
NB declares that he has no competing interests.
Charles Butrick, MD
Director
The Urogynecology Center
Overland Park
KS
გაფრთხილება:
CB declares that he has no competing interests.
წყაროები
ძირითადი სტატიები
Clemens JQ, Erickson DR, Varela NP et al. Diagnosis and treatment of interstitial cystitis/bladder pain syndrome: AUA guideline amendment. J Urol. 2022 July;208(1):34-42.სრული ტექსტი
Engeler D, Baranowski AP, Berghmans B, et al. European Association of Urology. Guidelines on chronic pelvic pain. 2022 [internet publication].სრული ტექსტი
van de Merwe JP, Nordling J, Bouchelouche P, et al. Diagnostic criteria, classification, and nomenclature for painful bladder syndrome/interstitial cystitis: an ESSIC proposal. Eur Urol. 2008 Jan;53(1):60-7. აბსტრაქტი
Cox A, Golda N, Nadeau G, et al. CUA guideline: diagnosis and treatment of interstitial cystitis/bladder pain syndrome. Can Urol Assoc J. 2016 May-Jun;10(5-6):E136-55.სრული ტექსტი აბსტრაქტი
Imamura M, Scott NW, Wallace SA, et al. Interventions for treating people with symptoms of bladder pain syndrome: a network meta-analysis. Cochrane Database Syst Rev. 2020 Jul 30;7(7):CD013325.სრული ტექსტი აბსტრაქტი
გამოყენებული სტატიები
ამ თემაში მოხსენიებული წყაროების სრული სია ხელმისაწვდომია მომხმარებლებისთვის, რომლებსაც აქვთ წვდომა BMJ Best Practice-ის ყველა ნაწილზე.
დიფერენციული დიაგნოზები
- Endometriosis
- Irritable bowel syndrome (IBS)
- Urinary tract infection
მეტი დიფერენციული დიაგნოზებიგაიდლაინები
- Diagnosis and treatment of interstitial cystitis/bladder pain syndrome
- Chronic pelvic pain
მეტი გაიდლაინებიშედით სისტემაში ან გამოიწერეთ BMJ Best Practice
ამ მასალის გამოყენება ექვემდებარება ჩვენს განცხადებას