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How to treat BPS/IC

If it’s left untreated BPS/IC can lead to reduced bladder capacity, bleeding from the bladder lining and bladder lesions. Scarring and stiffening may pressurise the bladder and cause incontinence or kidney damage.1,51,52

The initial type and level of treatment should depend on the severity of symptoms, clinician judgement and patient preferences.51,53

Multiple, simultaneous treatments may be considered if it’s in the best interests of the patient; baseline symptom assessment and regular symptom level reassessment are essential to document the efficacy of single and combined treatments.51,53 Pain management should be considered continually; if the impact on quality of life is significant the patient should be referred appropriately.51,53


  • 1.Meijlink JM. Interstitial Cystitis/Bladder Pain Syndrome. Int Painful Bl Found. 2014.
  • 51.Tirlapur S, Birch J, Carberry C, et al. Management of Bladder Pain Syndrome: RCOG Green-Top Guideline No. 70. Vol 124.; 2016. doi:10.1111/1471-0528.14310.
  • 52.London Urology. Painful bladder syndrome (PBS) and Interstitial Cystitis (IC) Painful. www.londonurology.org.uk/services/bladder-pelvic-pain/. Published 2017. Accessed September 1, 2017.
  • 53.Jerauld A, Wormuth L, Carlson B. New Approaches in Managing Interstitial Cystitis/Bladder Pain Syndrome. US Pharm. 2016;41(9):29-33.