Recommendations to the primary care practitioners and the patients for managing pelvic pain, especially in painful bladder syndrome for early and better prognosis

Painful bladder syndrome (PBS) is a common disease presenting with chronic pelvic pain and discomfort with at least one urinary symptom with no identifiable cause. The etiology is still unknown, and the medication has limited effects on pelvic pain or other urinary symptoms.

This article presents advanced insight regarding the approach to PBS, particularly pelvic pain for primary care practitioners and patients. We suggest six tips for medical staff and suspected patients for easy diagnosis and proper treatment of pelvic pain. These six tips cover: Self-awareness of the disease; immediate urine culture test; specifying the location of pain urinary incontinence; frequency, or urgency without functional disorder of an overactive bladder helpful dietary control; complementary, and alternative medicine, and finding an expert. These tips might be helpful in advancing the schematic approach and in achieving better prognosis of PBS. Further study should be conducted to achieve better treatment for this disease, including development of a definitive test and diagnosis.

Journal of exercise rehabilitation. 2015 Oct 30*** epublish ***

Kyung Jin Chung, Adelaide Na Yeon Han, Khae Hawn Kim

Department of Urology, Gachon University Gil Medical Center, Gachon University School of Medicine, Incheon, Korea. , Department of Psychology, Touro College Berlin, Berlin, Germany. , Department of Urology, Gachon University Gil Medical Center, Gachon University School of Medicine, Incheon, Korea.

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