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AUA 2015 Webcast – Update of AUA Guidelines for IC/BPS

Dr. Phil Hanno presented the updated AUA Guidelines for the treatment of interstitial cystitis. First announced in 2011, the AUA Guidelines offer a comprehensive yet simple treatment plan for the diagnosis and treatment of interstitial cystitis. Presented in six phases, patients generally begin with Step One Interventions and then slowly work there way through additional levels. The phases are arranged with respect to the risk of adverse events with interventions in Step One considered low risk while the treatments in Step Six (i.e. surgery) are considered high risk. You can read the full discussion of the AUA guidelines here!

In Fall 2o14, a minor update was released that included two key changes.

A. Added to Second-Line Treatments, the AUA encourages the use of manual physical therapy to resolve pelvic, abdominal and/or hip muscular trigger points and connective tissue restrictions. They also strongly state that pelvic floor strengthening exercises (i.e. kegels) should be avoided.

B. Botox was reclassified from a Step Five to a Step Four treatment based upon new research which showed that a lower dose reduced the risk of urinary retention. The patient must, however, still be willing to accept the need for intermittent catheterization for an unknown period of time if the treatment does block their ability to empty their bladders naturally. Granted, that risk is lower but still possible.

Dr. Hanno briefly summarizes the guidelines and discusses the changes in this webcast!

Watch the webcast – http://www.aua2015.org/webcasts/webcast_play.cfm?videoID=1959&agendaid=7293


By |2015-05-26T22:15:12+00:00May 26th, 2015|Conference Reports, Interstitial Cystitis Network Blog, News, Research|Comments Off on AUA 2015 Webcast – Update of AUA Guidelines for IC/BPS

About the Author:

My Google Profile+ Jill Heidi Osborne is the president and founder of the Interstitial Cystitis Network, a health education company dedicated to interstitial cystitis, bladder pain syndrome and other pelvic pain disorders. As the editor and lead author of the ICN and the IC Optimist magazine, Jill is proud of the academic recognition that her website has achieved. The University of London rated the ICN as the top IC website for accuracy, credibility, readability and quality. (Int Urogynecol J - April 2013). Harvard Medical School rated both Medscape and the ICN as the top two websites dedicated to IC. (Urology - Sept 11). Jill currently serves on the Congressionally Directed Medical Research Panel (US Army) where she collaborates with researchers to evaluate new IC research studies for possible funding. Jill has conducted and/or collaborates on a variety of IC research studies on new therapeutics, pain care, sexuality, the use of medical marijuana, menopause and the cost of treatments, shining a light on issues that influence patient quality of life. An IC support group leader and national spokesperson for the past 20 years, she has represented the IC community on radio, TV shows, at medical conferences. She has written hundreds of articles on IC and its related conditions. With a Bachelors Degree in Pharmacology and a Masters in Psychology, Jill was named Presidential Management Intern (aka Fellowship) while in graduate school. (She was unable to earn her PhD due to the onset of her IC.) She spends the majority of her time providing WELLNESS COACHING for patients in need and developing new, internet based educational and support tools for IC patients, including the “Living with IC” video series currently on YouTube and the ICN Food List smartphone app! Jill was diagnosed with IC at the age of 32 but first showed symptoms at the age of 12.