Interstitial Cystitis

What to expect for the evaluation of IC/PBS...

  1. A detailed history and physical examination. This is the most important part of your visit, providing an insight into other tests that may be needed; and, most importantly, what therapies will likely be helpful. Patients have often been evaluated by multiple clinicians in the past. Records from these encounters should be obtained and brought with you on your first visit to our Center. These records may include information that will greatly facilitate your care. Typical records may include: office notes, operative reports, pathology reports, urodynamic evaluation (bladder function testing), urinalysis reports, urine culture reports, urine cytology reports, CAT scans, MRIs, etc.
  2. Laboratory exams may include a urinalysis, a urine culture, blood tests, and in some instances, a urine cytology (a test for cancer cells in the urinary tract).
  3. Other testing. Further testing depends upon the information obtained through your history, physical examination and initial laboratory testing. Other recommended tests may include:
    1. Testing for sexually transmitted diseases
    2. Assessment of bladder emptying. This is usually performed with a simple ultrasound (Bladder Scan) in the office
    3. Urodynamic evaluation. This is a sophisticated test that evaluates your bladder's function and may also provide information about your pelvic floor muscles.
    4. Cystoscopy. This procedure involves passing a flexible "telescope" into the bladder through your urethra (the tube that brings urine out of your bladder and through your penis). Cystoscopy can provide information about inflammation, scar tissue, cancers, bladder stones, or prostate enlargement that might be present. Placement of an anesthetic solution directly into the bladder is frequently performed during cystoscopy. This often relieves pelvic pain and may help define its source (if pain reduces with an instilled anesthetic, then the source of pain is likely the bladder).
    5. Ultrasound exams. May include ultrasound of the pelvis, prostate, and/or kidneys
    6. CAT scans or MRI of Abdomen and/or pelvis
    7. Cystoscopy with hydrodistention