Painful Bladder Syndrome
The term Painful Bladder Syndrome (PBS) has become the new “catch-all” diagnosis for women who experience pain with their bladder, and has become interchangeable and/or incorporated with the diagnosis of Interstitial Cystitis (IC).
IC is a pain syndrome of the bladder that must fit a tight research definition, as is often considered in women presented with pelvic pain or a painful bladder. PBS, on the other hand, is defined simply as the complaint of suprapubic pain during bladder filling, in addition to other symptoms of urinary urgency (day or night), when other bladder issues (such as infection) and other pelvic issues (endometriosis) have been ruled out.
PBS can be seen in teenagers as well as adults. As mentioned, the main symptoms are pain during bladder filling that is relieved after voiding and can be cyclical, especially with menses. IC will often demonstrate transient relief or no relief after voiding, and is thought to be more pelvic pain in nature. PBS pain can also be experienced in the urethra or flank area (kidney), with urinary urgency, frequency or burning (dysuria).
Examination must rule out several other common problems with bladder and pelvic pain overall with other GYN sources.
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