Bladder pain syndrome (BPS) is a common cause of chronic pelvic pain with associated lower urinary symptoms. BPS is incurable; management requires an interdisciplinary team (nutritionist, physical therapist, behavioral health specialist) focusing on maximizing patient function. For patients, dietary changes (avoiding acidic, spicy, and caffeinated foods) are effective at relieving symptoms. Medications may be considered in patients who do not respond to these treatments. Referral to urology or urogynecology should be considered if bladder cancer is suspected (especially in patients who smoke or have environmental exposures) and in patients with refractive symptoms for consideration of intravesicular therapy.
Primary care. 2019 Apr 01 [Epub]
Miranda M Huffman, Aniesa Slack, Maris Hoke
Department of Family and Community Medicine, Meharry Medical College, 1005 Dr. DB Todd Jr Boulevard, Nashville, TN 37208, USA. Electronic address: ., Department of Community and Family Medicine, University of Missouri-Kansas City, 7900 Lee's Summit Road, Kansas City, MO 64139-1236, USA.