Diagnosis and Treatment of Interstitial Cystitis/ Bladder Pain Syndrome (IC/BPS) – A Phenotype Driven Approach_On-Demand-Diagnosis and Treatment of IC/BPS

Diagnosis and Treatment of IC/BPS – A Phenotype Driven Approach

Video Transcription

Video Summary

In the video, Dr. Henry Lai discusses the diagnosis and treatment of interstitial cystitis (IC) and bladder pain syndrome (BPS). He explains that IC/BPS is a heterogeneous condition and emphasizes the importance of identifying different subtypes of patients for tailored treatment. He highlights four main phenotypes: bladder-centric, pelvic floor-centric, localized pain, and widespread pain. He suggests specific approaches for each phenotype, such as transuminal treatment for bladder-centric patients, pelvic floor physical therapy for pelvic floor-centric patients, intravesical installations for localized pain, and systemic therapy for widespread pain. Dr. Lai also discusses the use of hydrodistention and fulguration for Hunter's lesions and the importance of identifying these lesions through cystoscopy. He advises using a phenotype-driven approach to optimize treatment outcomes and mentions the potential benefit of strategies like stress reduction and cognitive behavioral therapy. However, he acknowledges the need for further research to optimize treatment options and improve outcomes for ICBPS patients.

Keywords

interstitial cystitis

bladder pain syndrome

subtypes

phenotypes

tailored treatment

transuminal treatment

pelvic floor physical therapy

Hunter's lesions

cystoscopy