Abstract
Because the term “interstitial cystitis” (IC) has different meanings in different centres and different parts of the world, the International Society for the Study of Bladder Pain Syndrome (ESSIC) has worked to create a consensus on definitions, diagnosis and classification in an attempt to overcome the lack of international agreement on various aspects of IC. ESSIC has discussed definitions, diagnostic criteria and disease classification in four meetings and extended email correspondence.
As the name IC has become misleading, it was agreed to name the disease bladder pain syndrome (BPS). This name is in line with recent nomenclature recommendations by the European Association of Urology and is based on the axial structure of the International Association for the Study of Pain classification. BPS would be diagnosed on the basis of chronic pelvic pain, pressure or discomfort perceived to be related to the urinary bladder accompanied by at least one other urinary symptom such as persistent urge to void or urinary frequency. Confusable diseases as the cause of the symptoms must be excluded. Classification of BPS types might be performed according to findings at cystoscopy with hydrodistention and morphologic findings in bladder biopsies. The presence of other organ symptoms as well as cognitive, behavioural, emotional and sexual symptoms should be addressed.
The text of this chapter is partly based on a paper published previously: Van de Merwe JP, Nordling J, Bouchelouche P, et al., European Urology 2008;53:60–7.
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van de Merwe, J.P., Nordling, J., Bouchelouche, P., Cervigni, M., Fall, M., Wyndaele, JJ. (2013). Diagnostic Criteria, Classification and Nomenclature for Bladder Pain Syndrome. In: Nordling, J., Wyndaele, J., van de Merwe, J., Bouchelouche, P., Cervigni, M., Fall, M. (eds) Bladder Pain Syndrome. Springer, Boston, MA. https://doi.org/10.1007/978-1-4419-6929-3_3
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