ESSIC uses the name bladder pain syndrome (BPS) instead of interstitial cystitis (IC) and/or painful bladder syndrome (PBS): click here for more details.
Bladder pain syndrome international consultation on incontinence Hanno P, Lin A, Nordling J, Nyberg L, van Ophoven A, Ueda T, Wein A. Neurourol Urodyn 2010;29:191-8 - the Bladder Pain Syndrome Committee of the International Consultation on Incontinence was assigned the task by the consultation of reviewing the syndrome, formerly known as interstitial cystitis; this included the topics of definition, nomenclature, taxonomy, epidemiology, etiology, pathology, diagnosis, symptom scales, outcome assessment, principles of management, specific therapies, and future directions in research
- the emphasis was on new
information developed since the last consultation 4 years previously
- the consultation decided to refer to the condition as "bladder pain syndrome" (BPS) because the designation is more descriptive of the clinical condition and better
fits standard classification taxonomy
- reasonable definitions of BPS include the
definition of the ESSIC and a slight modification made at a SUFU sponsored Miami meeting in early 2008. Males or females with pain, pressure, or discomfort that they perceive to be related to the bladder with at least one urinary symptom, such as frequency not obviously related to high fluid intake, or a persistent urge to void should be evaluated for possible BPS
- the initial
assessment consists of a frequency/volume chart, focused physical examination, urinalysis, and urine culture; urine cytology and cystoscopy are recommended if clinically indicated
- the consultation believes that the disorder is best viewed as one of a group of chronic pain syndromes, rather than as primarily an inflammatory bladder disorder
Using the International Continence Society's definition of painful bladder syndrome.
Warren JW, Meyer WA, Greenberg P, et al. Urology 2006;67:1138-42; discussion 1142-3
• the authors conclude that the ICS definition identified only 91 (66%) of the 138 patients whom study investigators and caregivers diagnosed as having IC/PBS
• furthermore, those who met the ICS definition did not differ in important ways from those who did not
• these observations suggest that the ICS definition may not be sufficiently sensitive; minor modifications of the definition appeared to increase its sensitivity
