CONSULT REQUEST GUIDELINES                                                                         Print

Interstitial Cystitis

Suggested Pre-Referral Evaluation and Management Guidelines
1)Timed voiding (e.g., empty bladder every 3-4 hours while awake)
2)Avoidance of caffeine, soda, acidic fruit juices
3)Pyridium for c/o burning
4)Antimuscarinic for c/o bladder spasms or pressure
Suggested Additional Test/Management Prior to Specialty Visit
1)Urinalysis and urine culture with sensitivities to confirm absence of infection
2)Urine cytology to screen for malignancy
Patient Education/Information (includes preps)
Interstitial Cystitis Network

Frequency Volume Chart
Incontinence Protection Pad Weight Test
Appointment Timeframe Within 8 weeks
How to Get Results to Consultant UMHS Patients: See MiChart
External Patients: Fax relevant clinic notes, laboratory results, diagnostic test results, operative notes to 734-936-9127
Clinic Contact Information Physicians: 800-962-3555
Patients: 734-936-7030
Clinic Location Sites Briarwood Center for Reproductive Medicine
Livonia Center for Specialty Care
Taubman Healthcare Center
UM Consulting Physician Diane Marie Collin, PA
James Quentin Clemens, MD
Allen McNeil Haraway, MD
John Thomas Stoffel, MD
Ann L Oldendorf, MD
Stanley Gitau Mukundi, PA

Referring Physician Bulletin Board
Revised on: 10/16/2014



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