How do you approach the management of patients with interstitial cystitis?

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Sample interview questions: How do you approach the management of patients with interstitial cystitis?

Sample answer:

  • Take a detailed history and perform a thorough physical examination. This will help to rule out other conditions that may be causing the patient’s symptoms, such as urinary tract infection, sexually transmitted infection, or endometriosis.
  • Order appropriate diagnostic tests. These may include urinalysis, urine culture, cystoscopy, and/or biopsy.
  • Start the patient on a trial of conservative therapy. This may include lifestyle modifications such as avoiding caffeine and alcohol, dietary changes, and stress management techniques. Medications that may be helpful include pain relievers, antispasmodics, and tricyclic antidepressants.
  • Refer the patient to a specialist if conservative therapy fails. This may be a urologist, gynecologist, or pain management specialist. Additional treatment options that may be considered include surgery, neuromodulation, and intravesical instillations.

Additional tips for managing patients with interstitial cystitis:

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