文档介绍：American Urological Association (AUA) Guideline
DIAGNOSIS AND TREATMENT OF
INTERSTITIAL CYSTITIS/BLADDER PAIN SYNDROME
Philip M. Hanno, David Allen Burks, J. Quentin Clemens, Roger R. Dmochowski, Deborah Erickson, Mary
Pat FitzGerald, John B. Forrest, Barbara Gordon, Mikel Gray, Robert Dale Mayer, Diane Newman, Leroy
Nyberg Jr., Christopher K. Payne, Ursula Wesselmann, Martha M. Faraday
Approved by the AUA
Board of Directors
January 2011 Purpose: The purpose of this Guideline is to provide a clinical framework
Authors’ disclosure of for the diagnosis and treatment of interstitial cystitis/bladder pain syn-
potential conflicts of drome (IC/BPS).
interest and author/staff
contributions appear at Methods: A systematic review of the literature using the MEDLINE® data-
the end of the article. base (search dates 1/1/83-7/22/09) was conducted to identify peer-
© 2011 by the American reviewed publications relevant to the diagnosis and treatment of IC/BPS.
Urological Association Insufficient evidence was retrieved regarding diagnosis; this portion of the
guideline, therefore, is based on Clinical Principles and Expert Opinion.
The review yielded an evidence base of 86 treatment articles after appli-
cation of inclusion/exclusion criteria. These publications were used to cre-
ate the majority of the treatment portion of the guideline. When sufficient
evidence existed, the body of evidence for a particular treatment was as-
signed a strength rating of A (high), B (moderate), or C (low). Additional
treatment information is provided as Clinical Principles and Expert Opinion
when insufficient evidence existed. See text and algorithm for definitions
and detailed diagnostic, management, and treatment frameworks.
Guideline Statements
Diagnosis:
1. The basic assessment should include a careful history, physical exami-
nation, and laboratory examination to rule in symptoms that characterize
IC/BPS and rule out