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Ask about bladder, bowel pain with vulvar disease.(Gynecology)
WASHINGTON -- Women who have vulvar disease should be asked specifically about bladder and bowel pain, and these symptoms also must be addressed, Colleen M. Kennedy, M.D., of the University of Iowa, Iowa City, advised.
Women with vulvar disease are twice as likely as are general gynecology patients to have bladder pain and bowel pain. "We hypothesize that certain vulvar or vaginal diseases are not isolated clinical entities, but rather represent symptoms of a global or generalized pelvic floor disorder--a pelvic floor pain disorder," she said at the annual meeting of the Central Association of Obstetricians and Gynecologists.
Dr. Kennedy and her associates assessed the rates of painful bladder syndrome (interstitial cystitis) and irritable bowel syndrome in 324 women who were being treated at a vulvar disease clinic, and compared them with the rates among 321 control subjects attending a general gynecology clinic.
Of the women with vulvar disease, 12% reported bladder pain, compared with only 6% of control subjects. Similarly, 23% of those with vulvar disease were found to have bowel pain, compared with only 11% of control subjects.
Looked at another way, the data showed that women who reported bladder pain were 2.18 times more likely than ...
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Source: HighBeam Research, Ask about bladder, bowel pain with vulvar disease.(Gynecology)