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Interstitial Cystitis or Painful Bladder Syndrome

Interstitial cystitis or bladder pain syndrome (BPS) or painful bladder syndrome is a complex of symptoms that may be chronic and is associated with pain that is believed related to the bladder. Patients may complain of dysuria (pain with voiding), frequency of urination, bladder pressure and urgency to urinate. They may experience pain with sex (dyspareunia), vaginal pain and pelvic pain. The condition usually affects women and in men may be termed chronic prostatitis. Symptoms may be intermittent or waxing and waning.

The cause of IC/BPS is unknown however many theories exist including a defect in the wall of the bladder, inflammation of the wall of the bladder, neurologic abnormalities or an immunologic cause. The diagnosis is one of exclusion. This means that other causes of the symptoms must be ruled out before making the diagnosis of IC/BPS. This will necessitate urine testing and possibly cystoscopy, urodynamics and imaging. Dr Scolieri has prepared a care pathway to manage patients with IC/BPS. The care path is based on the guidelines prepared by the AUA and is based on science. Multiple treatment modalities may be necessary to treat patients effectively.

Pelvic Pain/Dyspareunia

Pelvic pain is pain located in the lowest part of the abdomen. It may be caused by the urinary system, reproductive system, gastrointestinal system and commonly from the muscles and nerves in the pelvis. A specific type of pelvic pain is dyspareunia. Dyspareunia is genital pain before during or after intercourse. It can occur for multiple reasons including insufficient lubrication, muscle spasm (vaginismus), thinning of vaginal lining and prior surgical procedures. In addition, pelvic disorders including endometriosis, abnormalities of the uterus and its lining, ovarian diseases and even disorders of the bowel can lead to pain.

After an evaluation many of the causes of these complaints are easily identified and treatment is provided usually without significant side effect.

Dr. Michael Scolieri is a board certified urologist specializing in female urology, female pelvic medicine and reconstructive surgery at Northeastern Ohio Urological Surgeons in Canfield, Salem and Alliance Ohio.

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