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The program outlines diagnostic barriers, summarizes the role of pain, and emphasizes tailoring therapies to individual patients while improving adherence through patient counseling. Background includes symptom patterns, clinical course, prevalence estimates, and management options ranging from intravesical therapies and medications to surgery as a last resort, supported by references and accreditation 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clinical condition does the document focus on?","Question",{"text":111,"@type":112},"The document focuses on painful bladder syndrome/interstitial cystitis (PBS/IC), described as a severely debilitating condition characterized by urgency, frequency, nocturia, pelvic pain, and suprapubic pressure or pain.","Answer",{"name":114,"@type":109,"acceptedAnswer":115},"How is PBS/IC diagnosis typically approached?",{"text":116,"@type":112},"Diagnosis is usually based on appropriate symptoms in the absence of mimicking diseases, relying on symptom patterns rather than a single identifiable cause.",{"name":118,"@type":109,"acceptedAnswer":119},"What therapies are mentioned for PBS/IC?",{"text":120,"@type":112},"Therapies include intravesical agents such as pentosanpolysulfate sodium, heparin, or hyaluronic acid, as well as tricyclic antidepressants and antihistamines, with surgery such as cystectomy reserved as a last 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Symposiumon April 6,2007  \nLost Review Date:July 31,2007 Releose Dote:September 1,2007 Expiration Date:September 30,2000  \nThis educational activity is jointly sponsored by Medical Education Resources,Inc,and cme,awholly owned subsidiary of Advanstar Communications Inc,publisher of Contemporary OB/GYN.  \n## OB/GYN\n\nThis activity is supported by an educational grant from Ortho Women's Health a Urology.  \nORTHOWOMENSHATH&UROLOGY  \nNancy Lucas  \nGROUP EDITOR  \nCathy Pagano  \nEXECUTIVE DIRECTOR,cme²  \nJohn C.Marlow,MD  \nCHIEF MEDICAL AND  \nCOMPLIANCE OFFICER  \nR.Steve Morris  \nEXECUTIVE VICE PRESIDENT  \nFaculty Authors  \nCharles W.Butrick,MDDirectorThe Urogynecology CenterOverland Park Regional Medical CenterOverland Park,Kansas  \nJoel M.H.Teichman,MD,FRCS(C)Associate ProfessorDepartment of SurgeryDivision of UrologySt.Paul's HospitalDepartment of Urological SciencesThe University of British ColumbiaVancouver,British Columbia,Canada  \n## xploring New Findings in\n\nPBS/ICCONTEMPORARYOB/GYN  \n## Target Audience\n\nThis program is intended for urologists,primary care physicians,and obstetricians/gynecologists.  \n## Statement of Need\n\nPainful bladder syndrome/Interstitial cystitis(PBS/IC)is a severely debilitating clinicalcondition of indeterminate origin that is characterized by excessive urinary urgency andfrequency;nocturia;suprapubic pressure or pain,or both;and chronic pelvic pain in theabsence of any identifiable cause.PBS/IC interferes-sometimes devastatingly so-withdaily activities,work,and personal relationships.Urinary frequency can exceed 60 mic-turitions per 24 hours,and nocturia may be unrelenting.The pain can vary from a mildburning or discomfort to excruciating pain in the pelvis,lower back,or thighs.'It caninclude pain with intercourse and is often indistinguishable from other causes of pelvicpain.Most patients consult at least 5 physicians,including psychiatrists,during a periodof more than 4 years before PBSIC is diagnosed.Diagnosis is usually based on appro-priate symptoms in the absence of mimicking diseases.Therapies include pentosanpolysulfate sodium,heparin or hyaluronic acid administered intravesically,tricyclic anti-depressants and antihistamines,and,as a last resort,surgery,including cystectomy.TheNational Institute of Diabetes and Digestive and Kidney Diseases estimates that PBS/ICffects as many as 1 million individuals in the United States,90%of whom are women.Studies from 2005 in primary care and managed care populations'suggest that PBS/ICmay be more common than was previously suspected,however.This activity is aimed atbuilding awareness of the signs and symptoms of PBS/IC,so that a greater number ofpatients can receive the appropriate diagnosis and treatment  \n## References\n\n1.Nicke JC.Interstitial cystitis:characterization and management of an enigmatic urologic syn-drome.Rer Urol.2002;4(3):112-121.  \n2.Warren J.Interstitial cystitis/painful bladder syndrome:an update for clinicians.khttp://www.medscape.com/viewprogram/55358.Accessed June 8,2007.  \n3.Sant GR.Interstitial cysitis:a urogynecologic perspective.Contemp Ob Gyn.1998;43(6):119-130.  \n4.Metts JF.Interstitial cystitis:urgency and frequency syndrome.Am Fam Physician.2001;64(7):1199-1206.  \n5.National Kidney and Urologic Diseases Information Clearinghouse.Interstitial cystitis/painfulbladder syndrome.ahttp://kidney.niddk.nih.gov/kudiseases/pubs/pdf/interstitialcystitis.pdf.Accessed June 8,2007.  \n6.Rosenberg MT,Hazzard M.Prevalence of interstitial cystitis symptoms in women:a populationbased study in the primary care office.J Urol.2005;174(6):2231-2234.  \n7.Clemens JQ,Meenan RT,0'Keeffe Rosetti MC,Brown SO,Gao SY,Calhoun EA.Prevalence ofinterstitial cystitis symptoms in a managed care population.J Urol,2005;174(2):576-580.  \n## Learning Objectives\n\nAfier completion of this activity,par","cbCaip7s7wV3nuEJ","https://ap.wps.com/l/cbCaip7s7wV3nuEJ","pdf",3332842,13,"English","# Target Audience\n# Statement of Need\n# References\n# Learning Objectives\n# Accreditation Statement\n# Credit Designation","[{\"question\":\"What clinical condition does the document focus on?\",\"answer\":\"The document focuses on painful bladder syndrome/interstitial cystitis (PBS/IC), described as a severely debilitating condition characterized by urgency, frequency, nocturia, pelvic pain, and suprapubic pressure or pain.\"},{\"question\":\"How is PBS/IC diagnosis typically approached?\",\"answer\":\"Diagnosis is usually based on appropriate symptoms in the absence of mimicking diseases, relying on symptom patterns rather than a single identifiable cause.\"},{\"question\":\"What therapies are mentioned for PBS/IC?\",\"answer\":\"Therapies include intravesical agents such as pentosanpolysulfate sodium, heparin, or hyaluronic acid, as well as tricyclic antidepressants and antihistamines, with surgery such as cystectomy reserved as a last resort.\"}]","CONTEMPORARY OB/GYN - PBS/IC - Exploring New Findings in | PDF",33]