Today's BMJ - this is a good one!

[FRSM]

Clinical Review
The management of interstitial cystitis or painful bladder syndrome in women

Serge P Marinkovic, female reconstructive surgeon and women’s medicine specialist1, Robert Moldwin, associate professor of urology2, Lisa M Gillen, urology research associate3, Stuart L Stanton, professor emeritus of urogynecology and reconstructive surgery4

1 St Francis Hospital, 5255 Stop 11 Road, Indianapolis, IN 46259, USA, 2 The Arthur Smith Institute for Urology, Long Island Jewish Medical Center, 450 Lakeville Road, Suite M41, New Hyde Park, NY 11040, USA, 3 Division of Urology, Southern Illinois School of Medicine, Springfield, IL 62794, 4 St George’s Hospital, Tooting, London SW17 0QT

Correspondence to: S P Marinkovic [Ссылки доступны только зарегистрированным пользователям ]

The first 150 words of the full text of this article appear below.
Interstitial cystitis or painful bladder syndrome is a chronic, often debilitating condition, typified by exacerbations, remissions, and varying degrees of symptom severity

Symptoms include urinary urgency and frequency, with pelvic pain that varies from abdominal tenderness to intense pain

Patients have a 100 times greater chance of having irritable bowel syndrome and 30 times increased likelihood of systemic lupus erythematosus

Other associated illnesses include migraine, asthma, fibromyalgia, incontinence, chronic fatigue syndrome, and vulvodynia

A history of abuse (domestic violence and emotional, physical, and sexual abuse) is higher than in controls (37% v 22%)

Drugs (amitriptyline, pentosan polysulfate sodium, prednisone, and ciclosporin) and minimally invasive surgery are effective treatments

In some patients symptoms are exacerbated by certain foods and drinks

Interstitial cystitis or painful bladder syndrome is a chronic, often debilitating, condition largely defined by symptoms of urinary urgency and frequency associated with pelvic pain that varies with bladder filling.1 Unlike . . . [Full text of this article]

[Ссылки доступны только зарегистрированным пользователям ]