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Once thought to be rare, interstitial cystitis (IC) is now believed to have a markedly higher prevalence. This potentially devastating disease is also known as painful bladder syndrome (PBS) and can significantly impact quality of life. It is diagnosed by its symptoms, as there are no proven pathological findings.

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Article Synopsis
  • Overactive bladder (OAB) is a common issue affecting both genders, significantly impacting patients' quality of life.
  • Most individuals with OAB remain undiagnosed and untreated, despite it being something primary care providers can easily identify based on symptoms.
  • The main treatment approaches include lifestyle changes and medications, mainly antimuscarinic drugs, aiming to improve awareness and reduce untreated cases in primary care.
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In sexual health surveys, premature ejaculation (PE) is frequently the most common condition reported by men. Men with symptoms of PE often report a significant impact of the condition on their lives, experiencing personal distress and interpersonal difficulty related to their condition. Unfortunately, PE is highly ignored by the patients and the healthcare community.

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In this article, we report a study that assessed the prevalence of interstitial cystitis (IC) in a primary care office using symptom-based and improved diagnosis-based assessment modalities. Over the course of 1 year, all patients > or = 18 years of age who presented for a primary care office visit were administered the Pelvic Pain and Urgency/Frequency (PUF) questionnaire. Patients with potential IC as indicated by PUF score were selected for further interview and, when appropriate, a Potassium Sensitivity Test (PST) or Anesthetic Bladder Challenge (ABC).

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Purpose: We estimated the prevalence of urinary symptoms related to interstitial cystitis (IC) in women in a primary care practice and confirmed in the United States the results of a Finnish population based prevalence study.

Materials And Methods: Every female patient presenting to our office for a routine office visit between January 9, 2004 and September 24, 2004 was evaluated for urinary symptoms using 2 validated surveys, namely the O'Leary-Sant (OLS) IC symptom and problem index, and the Pelvic Pain and Urgency/Frequency (PUF) patient symptom scale.

Results: Of the 1,218 women in the study group 13 (1.

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Interstitial cystitis is more common than previously thought and is often diagnosed only when pain, frequency, and urgency become continuous and severe. Its diagnosis is straightforward, and effective therapies are available. Physicians should keep the diagnosis of interstitial cystitis in mind for all patients presenting with pelvic pain or urinary symptoms.

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