Patient with bladder pain ≥ 6 weeks

Obtain history, exam, urinalysis, urine culture

UTI present?

Treat UTI, then reassess

End

Other causes? (neurologic, gynecologic, urologic, radiation, prolapse, tumor)

Manage according to alternate cause

End

Further evaluation needed?

Post-void residual, cystoscopy, imaging, specialist referral

Findings suggest alternate diagnosis?

Manage according to findings

End

Diagnosis: Interstitial cystitis / bladder pain syndrome