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) Institial Cystitis Association
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 734-232-1610
Clinic Contact Information Physicians: 800-962-3555
Patients: 734-936-7030
Clinic Location Sites Brighton Health Center
Livonia Center for Specialty Care
Taubman Healthcare Center
UM Consulting Physician Diane Marie Collin, PA
Ann L Oldendorf, MD
Stanley Gitau Mukundi, PA
Revised on: 02/29/2016



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