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How to diagnose BPS/IC

The diagnosis of BPS/IC is based on patient symptoms and the exclusion of other urinary system disorders with similar symptoms. Therefore, an assessment should include a careful multidisciplinary patient history and physical examination. If the patient is failing to respond to antibiotic treatment, it’s important to carry out a urine culture, not just dipstick tests, to ensure bacterial infection can be excluded.1,44,47,48

Ultrasound, urodynamics or a cystoscopy and biopsy of the bladder wall can also be considered. And, in men, laboratory examination of prostate cells.47–50

If your patients have recurrent symptoms, you could try using the Bladder Smart Consultation Guide to focus on getting enough relevant information to help them further or refer them to a specialist. It could also be helpful to ask them to record their symptoms in a Bladder Smart Diary to ensure the information you receive is as accurate as possible.51