Review Article

Management of Bladder Pain Syndrome (BPS): A Practical Guide

Table 1

Characteristics of BPS.

Risk factorsPresenting symptomsDiagnoses to excludeCommon coexisting conditions

Female gender
Age
Depression
Smoking history
High intake caffeine
Lower socioeconomic
Group
Multiparity
Lower socioeconomic group
Core:
Pain
Frequency
Urgency
N.B chronic duration.
Additional:
Nocturia
Dyspareunia
Anal discomfort
Males and females:
Urinary tract infection
Malignancy
Urinary stone disease
Overactive bladder
Pelvic adhesions
Inflammatory bowel disease
Hernia
Genital herpes
Cystitis caused by radiation, tuberculosis, or chemicals, e.g., cyclophosphamide
Ketamine bladder
Pudendal neuropathy
Multiple sclerosis
Spinal cord injury
Diverticular disease (of the bowel)
Females:
Endometriosis
Pelvic inflammatory disease
Vaginitis
Eroded mesh
Urethral diverticulum
Urogenital prolapse
Pregnancy
Pelvic floor muscle tightness
Males:
Chronic prostatitis
Bladder outflow obstruction
Fibromyalgia
Irritable bowel syndrome
Vulvodynia
Sjogren’s syndrome
Chronic headache
Chronic fatigue syndrome
Depression
Anxiety