Symptoms

This is a symptom complex characterized by pelvic pain, urinary urgency, urinary frequency, and nocturia.104 Symptoms of dyspareunia and perimenstrual exacerbation with negative laboratory studies are consistent with both interstitial cystitis (IC) and urgency/frequency syn-drome.105 The National Institutes of Health (NIH) Consensus Criteria from 1988 for the diagnosis of IC includes at least two of the following: pain on bladder filling relieved by emptying; pain in the suprapubic, pelvic, urethral, vaginal, or perineal region; glomerulations on endoscopy or decreased compliance on cystometro-gram.106 Symptoms that do not meet IC criteria can be termed "painful bladder syndrome'' and are probably a variant of interstitial cystitis.

A full discussion of this condition appears in Chapter 40, Chronic abdominal, groin, and perineal pain of visceral origin.

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