Interstitial cystitis / bladder pain syndrome (IC/BPS)
- Education + trigger/behavior modification first
- Pelvic-floor physical therapy when tenderness is present
- Oral/intravesical options are individualized
- Amitriptyline is a common oral option
- Pentosan has retinal-toxicity concerns
- Refractory disease may need procedures/neuromodulation
Use at a glance
- Education + trigger/behavior modification first
Escalation / refractory disease
- Refractory disease may need procedures/neuromodulation
Practical pearls
- Oral/intravesical options are individualized
- Amitriptyline is a common oral option
Choosing treatment
- Pelvic-floor physical therapy when tenderness is present
Other practical pearls
- Pentosan has retinal-toxicity concerns
Self-check
- What comes first in IC/BPS?
Education + trigger/behavior modification. - When is pelvic-floor physical therapy used for IC/BPS?
When tenderness is present.
Drugs used for this (1)
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