Editing CUA: Interstitial Cystitis (2016) (section)

=== Recommended (4): ===

==== Labs ====
#'''<span style="color:#ff0000">Urinalysis +/- culture'''
#* If signs of UTI are identified on urinalysis (e.g. positive for leukocytes), a culture and sensitivity is required.
#** '''If sterile pyuria persists''', '''consider testing for Chlamydia trachomatis, Mycoplasma, Ureaplasma, Corynebacterium species, Candida species, and Mycoplasma tuberculosis.'''
#* '''Absence of leukocytes does not rule out IC/BPS'''

==== Other ====
#'''Symptom scores'''
#* '''Useful to establish baseline symptom severity and to track response to therapeutic intervention'''
#* Options include:
#*# Interstitial Cystitis Symptom Index (ICSI)
#*# Bladder Pain/IC Symptom Score (BPIC-SS)
#*# Pain, Urgency, Frequency (PUF)
# '''Frequency/volume chart'''
#* To differentiate polyuria from the classic small voided volumes expected with IC/BPS.
# '''Cystoscopy'''
#* Expected to be normal
#* Used to:
#*# Rule out bladder cancer/carcinoma in situ
#*# Identify Hunner’s lesions that reflect severe disease, or even different disease (information that may impact treatment decisions)
#*# Determine effect on pelvic pain during bladder filling and emptying
#*# Objectively evaluate “functional” bladder capacity
#*# Facilitate appropriate pelvic examination
#*# Reassure the patient