Huffman Miranda M, Slack Aniesa, Hoke Maris
Department of Family and Community Medicine, Meharry Medical College, 1005 Dr. DB Todd Jr Boulevard, Nashville, TN 37208, USA.
Department of Community and Family Medicine, University of Missouri-Kansas City, 7900 Lee's Summit Road, Kansas City, MO 64139-1236, USA.
Prim Care. 2019 Jun;46(2):213-221. doi: 10.1016/j.pop.2019.02.002. Epub 2019 Apr 1.
Bladder pain syndrome (BPS) is a common cause of chronic pelvic pain with associated lower urinary symptoms. BPS is incurable; management requires an interdisciplinary team (nutritionist, physical therapist, behavioral health specialist) focusing on maximizing patient function. For patients, dietary changes (avoiding acidic, spicy, and caffeinated foods) are effective at relieving symptoms. Medications may be considered in patients who do not respond to these treatments. Referral to urology or urogynecology should be considered if bladder cancer is suspected (especially in patients who smoke or have environmental exposures) and in patients with refractive symptoms for consideration of intravesicular therapy.
膀胱疼痛综合征（BPS）是慢性盆腔疼痛及相关下尿路症状的常见病因。BPS无法治愈；其管理需要一个跨学科团队（营养师、物理治疗师、行为健康专家），专注于最大化患者功能。对患者而言，饮食改变（避免食用酸性、辛辣和含咖啡因的食物）可有效缓解症状。对这些治疗无反应的患者可考虑使用药物。如果怀疑患有膀胱癌（尤其是吸烟或有环境暴露史的患者）以及有难治性症状的患者考虑膀胱内治疗时，应考虑转诊至泌尿外科或妇科泌尿学。
