AUA Guideline Treatment Protocol
READ FIRST! Introduction to the AUA Guidelines for IC/BPS – The new six step treatment protocol for interstitial cystitis released in 2011 by the American Urology Association
Questions Worth Asking Your Doctor – Confused about what to ask your doctor? Here’s a list of questions you should ask as you discuss potential treatments, including: risk of side effects, success vs. failure rate, costs, etc.
Step One: First Line Therapies
Step Two: Second Line Therapies
Step Three: Third Line Therapies
Step Four: Fourth Line Therapies
- Neuromodulation – Urgent PC, Interstim
Step Five: Fifth Line Therapies
Step Six: Sixth Line Therapies
OTC Neutraceuticals & Supplements
In Step One of the AUA Guidelines, the use of OTC neutraceuticals is encouraged. Though they do not recommend brand names, several supplements are routinely suggested by practicing clinicians including:
- Prelief – reduces the acid level of food
- CystoProtek – developed by Dr. Theoharis Theoharides (Tufts)
- Desert Harvest Aloe
- CystaQ, CystaMD
- ProstaQ, Qurol
- CystoRenew – developed by Dr. Geo Espinosa (NYU)
References for Professionals
- USA – AUA Guidelines – Provides an extensive review of the literature and related studies of the six step treatment plan discussed above.
- International – International Society for the Study of BPS (ESSIC) – Treatment guidelines and suggestions offered by an international organization of IC researchers and clinicians.
- Japan – Clinical guidelines for IC and hypersensitive bladder syndrome
- Bladder Pain Syndrome: A Guide for Clinicians (2012) – For Clinicians & Researchers
Books For Patients
- IC Survival Guide – Written by Robert Moldwin MD, this book discusses, in depth, traditional IC therapies and pain care.
- Heal Pelvic Pain – Written by Amy Stein PT, this book is ideal for men and women who are struggling with pelvic floor dysfunction and/or pelvic pain.
- Ending Female Pain – Written by Isa Herrera PT, this book focuses on pelvic pain and pelvic floor dysfunction in women
- The Better Bladder Book – Written by Wendy Cohen RN, this book discusses alternative and complementary strategies for treating IC, including the role of gluten sensitivity in triggering bladder irritation.