Hi, I actually saw this on ichelp.org but this is good to see as some doctors refuse to treat until a cysto with hydro is done (no matter what level of symptoms you have). This calls for more conservative approaches. I feel lucky my doctor seems to be following this protocol. I also love the last sentence as I know so many of you have doctors who won't help with pain management.
"The American Urological Association (AUA) announced the release of preliminary IC guidelines at the AUA 2010 annual meeting. On behalf of the AUA's IC guidelines committee, Phil Hanno, MD, presented the first-ever guidelines for diagnosis and treatment from the association. These guidelines do not support using the potassium sensitivity test as a valid one for IC, nor do they support cystoscopy with hydrodistention under anesthesia for "uncomplicated" cases, that is, cases that are not severe and don't have many accompanying conditions. The guidelines emphasize conservative, noninvasive approaches to start, for example, an IC-friendly diet, physical therapy aimed at pelvic floor dysfunction, and stress management. Therapies called first-line treatments include the oral medicines amitriptyline, histamine blockers such as hydroxyzine (Atarax, Vistaril) or cimetidine (Tagamet), pentosan polysulfate (Elmiron) and bladder instillation therapy. Treatment recommends then step up through five levels-no matter what level, the guidelines emphasize the importance of pain management."
There is more to it, here is the link: http://www.ichelp.org/Page.aspx?pid=429 there are some informative videos here too.
"The American Urological Association (AUA) announced the release of preliminary IC guidelines at the AUA 2010 annual meeting. On behalf of the AUA's IC guidelines committee, Phil Hanno, MD, presented the first-ever guidelines for diagnosis and treatment from the association. These guidelines do not support using the potassium sensitivity test as a valid one for IC, nor do they support cystoscopy with hydrodistention under anesthesia for "uncomplicated" cases, that is, cases that are not severe and don't have many accompanying conditions. The guidelines emphasize conservative, noninvasive approaches to start, for example, an IC-friendly diet, physical therapy aimed at pelvic floor dysfunction, and stress management. Therapies called first-line treatments include the oral medicines amitriptyline, histamine blockers such as hydroxyzine (Atarax, Vistaril) or cimetidine (Tagamet), pentosan polysulfate (Elmiron) and bladder instillation therapy. Treatment recommends then step up through five levels-no matter what level, the guidelines emphasize the importance of pain management."
There is more to it, here is the link: http://www.ichelp.org/Page.aspx?pid=429 there are some informative videos here too.
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