Bladder Pain Syndrome An Evolution

This updated volume provides reflections on the original edition, as well as information on the developments that have occurred within bladder pain syndrome since the publication of the first edition. The epidemiology, etiology, diagnosis, and management of bladder pain syndrome are all covered. The book aims to give healthcare providers up to date guidelines and management suggestions within a quick-reference text. This book is relevant to clinicians who focus on bladder pain syndrome, as well as the gynaecologists, general urologists, and primary care providers who see these patients as a part of their practice.

Bladder Pain Syndrome: A Guide for Clinicians provides a comprehensive update in the pathophysiology, epidemiology, terminology, evaluation and treatment of patients with pelvic pain perceived to be related to the urinary bladder. The volume covers the tremendous evolution during the last decade in our understanding of pain syndromes and their diagnosis and treatment. It is now clear that Bladder Pain Syndrome belongs to the family of pain syndromes, and therefore treatment has moved from the treatment of the bladder to the treatment of a pain syndrome with the special problems this presents when the pain syndrome involves urinary symptoms. Interstitial Cystitis was poorly defined and the interpretation and patient selection differed enormously around the world in many ways, making exchange of information unreliable and confusing. Bladder Pain Syndrome is clearly defined and the result is a much better patient selection. This volume provides state of the art background for making a correct evaluation and diagnosis of patients with pelvic pain and voiding problems resulting in a more focused treatment to the benefit of the patients. The volume also covers the close relationship between different pain syndromes including those outside the pelvis. Bladder Pain Syndrome: A Guide for Clinicians will be of great utility to urologists, gynecologists and all health professionals dealing with patients with pelvic pain.

Interstitial cystitis/painful bladder syndrome (IC/PBS) is one of several conditions that causes bladder pain and a need to urinate frequently and urgently. Some doctors have started using the term bladder pain syndrome (BPS) to describe this condition. Your bladder is a balloon-shaped organ where your body holds urine. When you have a bladder problem, you may notice certain signs or symptoms. This publication by the National Institutes of Health (Publication No. 11-5750) provides information about the symptoms and signs of bladder problems, the causes, diagnosis and treatment of interstitial cystitis or painful bladder syndrome.

Painful Bladder Syndrome is a common and highly debilitating condition that Western medicine finds difficult to treat. Blending holistic medical traditions from both East and West, this book guides the reader through the process of managing their symptoms using a simple yet powerful combination of natural techniques, nutrition and herbal medicine.

"Pelvic floor dysfunction, vulvodynia, chronic prostatitis, irritable bowel syndrome, fibromyalgia, and more..." -- from Title page and cover.

Modern science has shown that the widely held beliefs of clinicians about urinary tract infection (UTI) are wrong. A large body of meticulous, rigorous data, from different centres around the world makes this point. How can it be that doctors continue to practise in contradiction of what we now know? A few clinicians are now changing their approach with gratifying results so it is timely to encourage others to do likewise. Clinical guidelines have achieved such influence that most doctors feel compelled to follow them and may face censure if they do not. Regrettably the guidelines are mistaken and contradict the known science. The inertia of bureaucracy and the fear of antimicrobial resistance (AMR) do not help to encourage reflection. However, things are changing and the future should see new and better informed advice. It is a tragedy that these circumstances are leading to widespread suffering amongst many women, some men and children who experience untreated or inadequately treated infection that may plague them for years. This situation has to change. This book sets out the truth about this neglected field and explains the many errors that haunt the topic. The style makes the message accessible to all clinicians. The story is convincing, because the clinical stories that illustrate the text will be so familiar to practising clinicians, who have been baffled by their experiences. Above all, this book will help you and your patients by detailing an accessible, practical approach to resolving this difficult clinical problem in common practice. The scope of the book will cover: the history of the medicine of urinary tract infection (UTI); the urinary microbiome and what the microbes are really up to; the battles between the pathogens and the innate immune system; the truth about the tests and the criteria used to define UTI; antimicrobial resistance and the importance of Darwinian evolution; the science and ground-breaking research on UTIs; the use of antibiotics; successful treatment; supportive and other related treatments; ethics; the future; and, above all, the experiences of the patients.

This text is designed for those clinicians who feel comfortable diagnosing these illnesses and wish to enhance their knowledge base and skill set regarding treatment options. Referrals for pelvic pain are common in urological and gynaecological practice; and may lead to varied diagnoses such as interstitial cystitis/bladder pain syndrome, chronic prostatitis/chronic pelvic pain syndrome, pelvic floor dysfunction, chronic orchialgia, and vulvodynia. To make matters more complex, each of these conditions is frequently associated by co-morbidities. The text is unique in being organized by the multiple and multifaceted therapies that are available, rather than by specific disorders. The text is richly illustrated with multiple diagrams, figures, and tables, making it the “go to” and “how to” reference for patient treatment.