A practical approach to the painful bladder syndrome

The painful bladder syndrome (PBS) is a progressive and painful disease of the bladder that may lead to fibrosis, contracture and reduction of bladder capacity. The usual symptoms are urinary urgency, frequency, nocturia, chronic pelvic pain and lower abdominal pain upon filling of the bladder. A re...

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Bibliographic Details
Published inJournal of reproductive medicine Vol. 35; no. 8; p. 805
Main Authors Ramahi, A J, Richardson, D A
Format Journal Article
LanguageEnglish
Published United States 01.08.1990
Subjects
Administration, Intravesical
Adult
Aged
Clinical Protocols - standards
Dilatation
Dimethyl Sulfoxide - administration & dosage
Dimethyl Sulfoxide - therapeutic use
Exercise Therapy
Female
Follow-Up Studies
Humans
Lidocaine - administration & dosage
Lidocaine - therapeutic use
Middle Aged
Pain - drug therapy
Pain - pathology
Pain Management
Retrospective Studies
Triamcinolone Acetonide - administration & dosage
Triamcinolone Acetonide - therapeutic use
Urinary Bladder Diseases - drug therapy
Urinary Bladder Diseases - pathology
Urinary Bladder Diseases - therapy
Urinary Catheterization
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Summary:The painful bladder syndrome (PBS) is a progressive and painful disease of the bladder that may lead to fibrosis, contracture and reduction of bladder capacity. The usual symptoms are urinary urgency, frequency, nocturia, chronic pelvic pain and lower abdominal pain upon filling of the bladder. A retrospective analysis was performed on 21 women with PBS between March 1987 and March 1988. The patients were treated weekly with a bladder pillar block, bladder distention and dimethyl sulfoxide instillation. Symptomatic relief was observed in 80% of the patients so treated. The maximum bladder volume increased from 185 to 475 mL (P less than .01). The side effects were minimal.
ISSN:0024-7758