The American Urological Association defines BPS/interstitial cystitis as “an unpleasant sensation (pain, pressure, discomfort) perceived to be related to the urinary bladder🎈, associated with lower urinary tract symptoms of more than six weeks duration, in the absence of infection or other identifiable causes.” Many may describe their pain as “flares” of worsening symptoms triggered by stress, intercourse, menses, or diet.
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⚕️The diagnosis is based on a detailed history and physical examination rather than specialized diagnostic tests.
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💊Pharmacotherapy alone, particularly with opioids, should be discouraged. A multidisciplinary, multimodal approach starting with the least invasive therapies is recommended.
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Pelvic floor physical therapy (PFPT) is recommended to address musculoskeletal abnormalities that may be contributing to the pain. This type of specialized physical therapy has been shown to be highly successful for bladder pain/IC.
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Source: JAMA December 24/31, 2019 Volume 322, Number 24
How Common Is Bladder Pain?
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