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Bladder Pain Syndrome: A Review

Adams, Kerrie MD; Denman, Mary Anna MD

Female Pelvic Medicine & Reconstructive Surgery: November-December 2011 - Volume 17 - Issue 6 - p 279-289
doi: 10.1097/SPV.0b013e31823a8174
Fellows Lecture Series

Objective: Bladder pain syndrome (BPS), including the specific variant interstitial cystitis, is a chronic condition characterized by bladder, urethral, and pelvic pain; urinary urgency; and urinary frequency. Bladder pain syndrome poses many clinical challenges: (1) The diagnosis is one of exclusion and is often inappropriately assigned; (2) a wide-range spectrum of symptoms can be noted in the population from minimally affected to debilitated; and (3) the etiology for the disease is unknown, which has made the development of directed therapies problematic. The objective of this article was to review the current theories of etiology of BPS and the diagnosis of BPS and understand treatment options including surgical, complementary, and pharmaceutical.

From the Division of Urogynecology and Reconstructive Pelvic Surgery, Oregon Health & Science University, Center for Women's Health, Portland, OR.

Reprints: Kerrie Lynn Adams, MD, Division of Urogynecology and Reconstructive Pelvic Surgery, Oregon Health & Science University, Center for Women's Health, 3181 SW Sam Jackson Park Rd, Mail Code L466, Portland, OR 97239. E-mail: adamske@ohsu.edu.

The authors declare that they have nothing to disclose.

© 2011 by Wolters Kluwer Health | Lippincott Williams & Wilkins