Bladder Pain Syndrome

All too often the terms Interstitial Cystitis and Bladder Pain Syndrome are erroneously combined. For example, many publications refer to IC/PBS, when in fact these are two separate conditions. Interstitial Cystitis is a bladder disease, which can be identified in 10% of patients diagnosed with IC/BPS. Bladder Pain Syndrome is a syndrome, that is, a constellation of symptoms, which include pelvic pain and bladder symptoms. However, on inspection and biopsy of the bladder, no abnormality is detected.

Comprehensive evaluation of this syndrome is essential to better understand the specific condition affecting the patient. Bladder Pain Syndrome may be caused by an orthopoedic problem, a childbirth injury, pelvic floor muscle tension, Myofascial Pain or Central Sensitization Syndrome. Each of these conditions require specific therapies and can often overlap. Formulation of the diagnosis and personalized care are paramount.