Bladder pain syndrome.
Hanno P, Nordling J, Fall M
Perelman Center for Advanced Medicine, Hospital of the University of Pennsylvania, West Pavilion 3rd Floor, 3400 Civic Center Boulevard, Philadelphia, PA 19104, USA. hannop@uphs.upenn.edu
Bladder pain syndrome is a deceptively intricate symptom complex that is diagnosed on the basis of chronic pelvic pain, pressure, or discomfort perceived to be related to the urinary bladder, accompanied by at least one other urinary symptom. It is a diagnosis of exclusion in a patient who has experienced the symptoms for at least 6 weeks in the absence of any confusable diseases that may give rise to the symptoms. Symptoms compatible with the diagnosis are now thought to affect up to 3% of the female population in the United States with a 5:1 female-to-male preponderance. Diagnosis and treatment can be challenging, and misdiagnosis as a psychological problem, overactive bladder, or chronic urinary infection has plagued patients with the problem.
Published 24 November 2010 in Med Clin North Am, 95(1): 55-73.
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