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Symptom profile variability of interstitial cystitis/painful bladder syndrome by age
Study Type – Diagnostic (symptom prevalence) Level of Evidence 2b What's known on the subject? and What does the study add? Symptom variability is profound in the population of patients diagnosed with interstitial cystitis and painful bladder syndrome because these diagnoses represent a very he...
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| Published in: | BJU international 2012-05, Vol.109 (9), p.1356-1359 |
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| creator | Rais‐Bahrami, Soroush Friedlander, Justin I. Herati, Amin S. Sadek, Mostafa A. Ruzimovsky, Marina Moldwin, Robert M. |
| description | Study Type – Diagnostic (symptom prevalence)
Level of Evidence 2b
What's known on the subject? and What does the study add?
Symptom variability is profound in the population of patients diagnosed with interstitial cystitis and painful bladder syndrome because these diagnoses represent a very heterogeneous patient population. Recently, younger patients are being diagnosed with these pain syndromes, without any specific investigation into the symptoms they experience. We identified that patients diagnosed with interstitial cystitis and painful bladder syndrome have variable clinical symptom profiles depending on the age at the time of their diagnosis. Dyspareunia, external genitalia pain, urgency, frequency and dysuria were more common in younger patients whereas nocturia, urinary incontinence and the presence of Hunner's ulcers were more common in older patients. Better defining symptom profiles for patients at the time of evaluation may potentially aid in more accurate and expedited diagnosis of these conditions, particularly in the youngest patient population which is being recognized more commonly in recent times.
OBJECTIVE
•
To investigate the clinical profile differences among patients with interstitial cystitis/painful bladder syndrome (IC/PBS) based upon age at the time of diagnosis from childhood into the geriatric age group.
METHODS
•
An analysis of 268 patients with IC/PBS seen between 1990 and 2008 was performed.
•
Three age cohorts were analysed: |
| doi_str_mv | 10.1111/j.1464-410X.2011.10481.x |
| format | article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1000404861</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1000404861</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4281-edd46fb9b5d266c2f8d3309985a49fd3c886e506f3264c6a9bfc0de73a2159213</originalsourceid><addsrcrecordid>eNqNkV1rHCEUhqWkNF_9C0UIgd7sRB01ehNIliZtCfQiCfROHD-KizOz0Zkk8-_j7G5S6FW98aDPOb48AgAxqnBZZ6sKU04XFKPfFUEYVxhRgauXD-Dg_WLvrUaS74PDnFcIlQPOPoF9goWoBRUH4P5uatdD38J16n2IDj7pFHQTYhgm2HsYusGlPIQh6AjNtKny2VqHzo8RNlFb6xLMU2dT3zrYTFD_ccfgo9cxu8-7_Qg8XH-7X35f3P66-bG8vF0YSgReOGsp941smCWcG-KFrWskpWCaSm9rIwR3DHFfE04N17LxBll3XmuCmSS4PgJft3NL-MfR5UG1IRsXo-5cP2aFEUK0mOEzevIPuurH1JV0Cp8zwoTkkhZKbCmT-pyT82qdQqvTVEap2bxaqVmqmgWr2bzamFcvpfXL7oGxaZ19b3xTXYDTHaCz0dEn3ZmQ_3JMUIbEzF1suefyHdN_B1BXPx82Zf0KAVKfSg</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1752589694</pqid></control><display><type>article</type><title>Symptom profile variability of interstitial cystitis/painful bladder syndrome by age</title><source>Wiley-Blackwell Journals</source><creator>Rais‐Bahrami, Soroush ; Friedlander, Justin I. ; Herati, Amin S. ; Sadek, Mostafa A. ; Ruzimovsky, Marina ; Moldwin, Robert M.</creator><creatorcontrib>Rais‐Bahrami, Soroush ; Friedlander, Justin I. ; Herati, Amin S. ; Sadek, Mostafa A. ; Ruzimovsky, Marina ; Moldwin, Robert M.</creatorcontrib><description><![CDATA[Study Type – Diagnostic (symptom prevalence)
Level of Evidence 2b
What's known on the subject? and What does the study add?
Symptom variability is profound in the population of patients diagnosed with interstitial cystitis and painful bladder syndrome because these diagnoses represent a very heterogeneous patient population. Recently, younger patients are being diagnosed with these pain syndromes, without any specific investigation into the symptoms they experience. We identified that patients diagnosed with interstitial cystitis and painful bladder syndrome have variable clinical symptom profiles depending on the age at the time of their diagnosis. Dyspareunia, external genitalia pain, urgency, frequency and dysuria were more common in younger patients whereas nocturia, urinary incontinence and the presence of Hunner's ulcers were more common in older patients. Better defining symptom profiles for patients at the time of evaluation may potentially aid in more accurate and expedited diagnosis of these conditions, particularly in the youngest patient population which is being recognized more commonly in recent times.
OBJECTIVE
•
To investigate the clinical profile differences among patients with interstitial cystitis/painful bladder syndrome (IC/PBS) based upon age at the time of diagnosis from childhood into the geriatric age group.
METHODS
•
An analysis of 268 patients with IC/PBS seen between 1990 and 2008 was performed.
•
Three age cohorts were analysed: <30 years, ≥30 years but <60 years, and ≥60 years of age at time of diagnosis.
•
Patient demographics, disease characteristics and IC/PBS‐associated symptoms were compared across the three groups.
RESULTS
•
Of the 268 patients, 60 were <30 years of age at the time of IC diagnosis (median 22, range 11–29), 105 were ≥30 but <60 years (median 48, range 30–59) and 103 patients were ≥60 years of age (median 69, range 60–88).
•
Of the patients in the youngest, middle and oldest age cohorts: 12.0, 42.0 and 39.8% had Hunner's ulcers, respectively (P < 0.001).
•
Dyspareunia and external genitalia pain were more common in the youngest age cohort, P < 0.001 and P = 0.001, respectively.
•
Urinary urgency (P = 0.033), frequency (P = 0.006) and dysuria (P < 0.001) were also more common in patients diagnosed before 30 years of age.
•
The reported rate of nocturia and urinary incontinence increased with age, P = 0.002 and P < 0.001, respectively.
CONCLUSIONS
•
Patients with IC/PBS analysed across a wide spectrum of ages at time of diagnosis portrayed a unique symptom profile pattern.
•
Patients diagnosed at the youngest ages experienced significantly more urinary urgency, frequency, dysuria, dyspareunia and pain in their external genitalia.
•
Older patients had higher rates of nocturia, urinary incontinence and Hunner's ulcer disease.]]></description><identifier>ISSN: 1464-4096</identifier><identifier>EISSN: 1464-410X</identifier><identifier>DOI: 10.1111/j.1464-410X.2011.10481.x</identifier><identifier>PMID: 21883848</identifier><identifier>CODEN: BJINFO</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Adolescent ; Adult ; Age ; Age Factors ; Aged ; Aged, 80 and over ; Biological and medical sciences ; Bladder ; Child ; chronic pelvic pain ; chronic prostatitis ; constipation ; Cystitis, Interstitial - complications ; Cystitis, Interstitial - physiopathology ; Excretory system ; Female ; Gastroenterology. Liver. Pancreas. Abdomen ; Humans ; Hunner's ulcer ; Lower Urinary Tract Symptoms - complications ; Male ; Medical sciences ; Middle Aged ; Nephrology. Urinary tract diseases ; Other diseases. Semiology ; Pain ; pelvic floor dysfunction ; Pelvic Pain - complications ; Retrospective Studies ; Risk Factors ; Stomach. Duodenum. Small intestine. Colon. Rectum. Anus ; Ulcer - complications ; Urinary Bladder Diseases - complications ; Urinary incontinence ; Urinary system involvement in other diseases. Miscellaneous ; Urinary tract. Prostate gland ; Urination Disorders - complications ; Young Adult</subject><ispartof>BJU international, 2012-05, Vol.109 (9), p.1356-1359</ispartof><rights>2011 THE AUTHORS. BJU INTERNATIONAL © 2011 BJU INTERNATIONAL</rights><rights>2015 INIST-CNRS</rights><rights>2011 THE AUTHORS. BJU INTERNATIONAL © 2011 BJU INTERNATIONAL.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4281-edd46fb9b5d266c2f8d3309985a49fd3c886e506f3264c6a9bfc0de73a2159213</citedby><cites>FETCH-LOGICAL-c4281-edd46fb9b5d266c2f8d3309985a49fd3c886e506f3264c6a9bfc0de73a2159213</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1464-410X.2011.10481.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1464-410X.2011.10481.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>315,786,790,27957,27958,50923,51032</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=25845088$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21883848$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Rais‐Bahrami, Soroush</creatorcontrib><creatorcontrib>Friedlander, Justin I.</creatorcontrib><creatorcontrib>Herati, Amin S.</creatorcontrib><creatorcontrib>Sadek, Mostafa A.</creatorcontrib><creatorcontrib>Ruzimovsky, Marina</creatorcontrib><creatorcontrib>Moldwin, Robert M.</creatorcontrib><title>Symptom profile variability of interstitial cystitis/painful bladder syndrome by age</title><title>BJU international</title><addtitle>BJU Int</addtitle><description><![CDATA[Study Type – Diagnostic (symptom prevalence)
Level of Evidence 2b
What's known on the subject? and What does the study add?
Symptom variability is profound in the population of patients diagnosed with interstitial cystitis and painful bladder syndrome because these diagnoses represent a very heterogeneous patient population. Recently, younger patients are being diagnosed with these pain syndromes, without any specific investigation into the symptoms they experience. We identified that patients diagnosed with interstitial cystitis and painful bladder syndrome have variable clinical symptom profiles depending on the age at the time of their diagnosis. Dyspareunia, external genitalia pain, urgency, frequency and dysuria were more common in younger patients whereas nocturia, urinary incontinence and the presence of Hunner's ulcers were more common in older patients. Better defining symptom profiles for patients at the time of evaluation may potentially aid in more accurate and expedited diagnosis of these conditions, particularly in the youngest patient population which is being recognized more commonly in recent times.
OBJECTIVE
•
To investigate the clinical profile differences among patients with interstitial cystitis/painful bladder syndrome (IC/PBS) based upon age at the time of diagnosis from childhood into the geriatric age group.
METHODS
•
An analysis of 268 patients with IC/PBS seen between 1990 and 2008 was performed.
•
Three age cohorts were analysed: <30 years, ≥30 years but <60 years, and ≥60 years of age at time of diagnosis.
•
Patient demographics, disease characteristics and IC/PBS‐associated symptoms were compared across the three groups.
RESULTS
•
Of the 268 patients, 60 were <30 years of age at the time of IC diagnosis (median 22, range 11–29), 105 were ≥30 but <60 years (median 48, range 30–59) and 103 patients were ≥60 years of age (median 69, range 60–88).
•
Of the patients in the youngest, middle and oldest age cohorts: 12.0, 42.0 and 39.8% had Hunner's ulcers, respectively (P < 0.001).
•
Dyspareunia and external genitalia pain were more common in the youngest age cohort, P < 0.001 and P = 0.001, respectively.
•
Urinary urgency (P = 0.033), frequency (P = 0.006) and dysuria (P < 0.001) were also more common in patients diagnosed before 30 years of age.
•
The reported rate of nocturia and urinary incontinence increased with age, P = 0.002 and P < 0.001, respectively.
CONCLUSIONS
•
Patients with IC/PBS analysed across a wide spectrum of ages at time of diagnosis portrayed a unique symptom profile pattern.
•
Patients diagnosed at the youngest ages experienced significantly more urinary urgency, frequency, dysuria, dyspareunia and pain in their external genitalia.
•
Older patients had higher rates of nocturia, urinary incontinence and Hunner's ulcer disease.]]></description><subject>Adolescent</subject><subject>Adult</subject><subject>Age</subject><subject>Age Factors</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biological and medical sciences</subject><subject>Bladder</subject><subject>Child</subject><subject>chronic pelvic pain</subject><subject>chronic prostatitis</subject><subject>constipation</subject><subject>Cystitis, Interstitial - complications</subject><subject>Cystitis, Interstitial - physiopathology</subject><subject>Excretory system</subject><subject>Female</subject><subject>Gastroenterology. Liver. Pancreas. Abdomen</subject><subject>Humans</subject><subject>Hunner's ulcer</subject><subject>Lower Urinary Tract Symptoms - complications</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Nephrology. Urinary tract diseases</subject><subject>Other diseases. Semiology</subject><subject>Pain</subject><subject>pelvic floor dysfunction</subject><subject>Pelvic Pain - complications</subject><subject>Retrospective Studies</subject><subject>Risk Factors</subject><subject>Stomach. Duodenum. Small intestine. Colon. Rectum. Anus</subject><subject>Ulcer - complications</subject><subject>Urinary Bladder Diseases - complications</subject><subject>Urinary incontinence</subject><subject>Urinary system involvement in other diseases. Miscellaneous</subject><subject>Urinary tract. Prostate gland</subject><subject>Urination Disorders - complications</subject><subject>Young Adult</subject><issn>1464-4096</issn><issn>1464-410X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><recordid>eNqNkV1rHCEUhqWkNF_9C0UIgd7sRB01ehNIliZtCfQiCfROHD-KizOz0Zkk8-_j7G5S6FW98aDPOb48AgAxqnBZZ6sKU04XFKPfFUEYVxhRgauXD-Dg_WLvrUaS74PDnFcIlQPOPoF9goWoBRUH4P5uatdD38J16n2IDj7pFHQTYhgm2HsYusGlPIQh6AjNtKny2VqHzo8RNlFb6xLMU2dT3zrYTFD_ccfgo9cxu8-7_Qg8XH-7X35f3P66-bG8vF0YSgReOGsp941smCWcG-KFrWskpWCaSm9rIwR3DHFfE04N17LxBll3XmuCmSS4PgJft3NL-MfR5UG1IRsXo-5cP2aFEUK0mOEzevIPuurH1JV0Cp8zwoTkkhZKbCmT-pyT82qdQqvTVEap2bxaqVmqmgWr2bzamFcvpfXL7oGxaZ19b3xTXYDTHaCz0dEn3ZmQ_3JMUIbEzF1suefyHdN_B1BXPx82Zf0KAVKfSg</recordid><startdate>201205</startdate><enddate>201205</enddate><creator>Rais‐Bahrami, Soroush</creator><creator>Friedlander, Justin I.</creator><creator>Herati, Amin S.</creator><creator>Sadek, Mostafa A.</creator><creator>Ruzimovsky, Marina</creator><creator>Moldwin, Robert M.</creator><general>Blackwell Publishing Ltd</general><general>Wiley-Blackwell</general><general>Wiley Subscription Services, Inc</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>7X8</scope></search><sort><creationdate>201205</creationdate><title>Symptom profile variability of interstitial cystitis/painful bladder syndrome by age</title><author>Rais‐Bahrami, Soroush ; Friedlander, Justin I. ; Herati, Amin S. ; Sadek, Mostafa A. ; Ruzimovsky, Marina ; Moldwin, Robert M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4281-edd46fb9b5d266c2f8d3309985a49fd3c886e506f3264c6a9bfc0de73a2159213</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Age</topic><topic>Age Factors</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Biological and medical sciences</topic><topic>Bladder</topic><topic>Child</topic><topic>chronic pelvic pain</topic><topic>chronic prostatitis</topic><topic>constipation</topic><topic>Cystitis, Interstitial - complications</topic><topic>Cystitis, Interstitial - physiopathology</topic><topic>Excretory system</topic><topic>Female</topic><topic>Gastroenterology. Liver. Pancreas. Abdomen</topic><topic>Humans</topic><topic>Hunner's ulcer</topic><topic>Lower Urinary Tract Symptoms - complications</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Nephrology. Urinary tract diseases</topic><topic>Other diseases. Semiology</topic><topic>Pain</topic><topic>pelvic floor dysfunction</topic><topic>Pelvic Pain - complications</topic><topic>Retrospective Studies</topic><topic>Risk Factors</topic><topic>Stomach. Duodenum. Small intestine. Colon. Rectum. Anus</topic><topic>Ulcer - complications</topic><topic>Urinary Bladder Diseases - complications</topic><topic>Urinary incontinence</topic><topic>Urinary system involvement in other diseases. Miscellaneous</topic><topic>Urinary tract. Prostate gland</topic><topic>Urination Disorders - complications</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Rais‐Bahrami, Soroush</creatorcontrib><creatorcontrib>Friedlander, Justin I.</creatorcontrib><creatorcontrib>Herati, Amin S.</creatorcontrib><creatorcontrib>Sadek, Mostafa A.</creatorcontrib><creatorcontrib>Ruzimovsky, Marina</creatorcontrib><creatorcontrib>Moldwin, Robert M.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>BJU international</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Rais‐Bahrami, Soroush</au><au>Friedlander, Justin I.</au><au>Herati, Amin S.</au><au>Sadek, Mostafa A.</au><au>Ruzimovsky, Marina</au><au>Moldwin, Robert M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Symptom profile variability of interstitial cystitis/painful bladder syndrome by age</atitle><jtitle>BJU international</jtitle><addtitle>BJU Int</addtitle><date>2012-05</date><risdate>2012</risdate><volume>109</volume><issue>9</issue><spage>1356</spage><epage>1359</epage><pages>1356-1359</pages><issn>1464-4096</issn><eissn>1464-410X</eissn><coden>BJINFO</coden><notes>ObjectType-Article-1</notes><notes>SourceType-Scholarly Journals-1</notes><notes>ObjectType-Feature-2</notes><notes>content type line 23</notes><abstract><![CDATA[Study Type – Diagnostic (symptom prevalence)
Level of Evidence 2b
What's known on the subject? and What does the study add?
Symptom variability is profound in the population of patients diagnosed with interstitial cystitis and painful bladder syndrome because these diagnoses represent a very heterogeneous patient population. Recently, younger patients are being diagnosed with these pain syndromes, without any specific investigation into the symptoms they experience. We identified that patients diagnosed with interstitial cystitis and painful bladder syndrome have variable clinical symptom profiles depending on the age at the time of their diagnosis. Dyspareunia, external genitalia pain, urgency, frequency and dysuria were more common in younger patients whereas nocturia, urinary incontinence and the presence of Hunner's ulcers were more common in older patients. Better defining symptom profiles for patients at the time of evaluation may potentially aid in more accurate and expedited diagnosis of these conditions, particularly in the youngest patient population which is being recognized more commonly in recent times.
OBJECTIVE
•
To investigate the clinical profile differences among patients with interstitial cystitis/painful bladder syndrome (IC/PBS) based upon age at the time of diagnosis from childhood into the geriatric age group.
METHODS
•
An analysis of 268 patients with IC/PBS seen between 1990 and 2008 was performed.
•
Three age cohorts were analysed: <30 years, ≥30 years but <60 years, and ≥60 years of age at time of diagnosis.
•
Patient demographics, disease characteristics and IC/PBS‐associated symptoms were compared across the three groups.
RESULTS
•
Of the 268 patients, 60 were <30 years of age at the time of IC diagnosis (median 22, range 11–29), 105 were ≥30 but <60 years (median 48, range 30–59) and 103 patients were ≥60 years of age (median 69, range 60–88).
•
Of the patients in the youngest, middle and oldest age cohorts: 12.0, 42.0 and 39.8% had Hunner's ulcers, respectively (P < 0.001).
•
Dyspareunia and external genitalia pain were more common in the youngest age cohort, P < 0.001 and P = 0.001, respectively.
•
Urinary urgency (P = 0.033), frequency (P = 0.006) and dysuria (P < 0.001) were also more common in patients diagnosed before 30 years of age.
•
The reported rate of nocturia and urinary incontinence increased with age, P = 0.002 and P < 0.001, respectively.
CONCLUSIONS
•
Patients with IC/PBS analysed across a wide spectrum of ages at time of diagnosis portrayed a unique symptom profile pattern.
•
Patients diagnosed at the youngest ages experienced significantly more urinary urgency, frequency, dysuria, dyspareunia and pain in their external genitalia.
•
Older patients had higher rates of nocturia, urinary incontinence and Hunner's ulcer disease.]]></abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>21883848</pmid><doi>10.1111/j.1464-410X.2011.10481.x</doi><tpages>4</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1464-4096 |
| ispartof | BJU international, 2012-05, Vol.109 (9), p.1356-1359 |
| issn | 1464-4096 1464-410X |
| language | eng |
| recordid | cdi_proquest_miscellaneous_1000404861 |
| source | Wiley-Blackwell Journals |
| subjects | Adolescent Adult Age Age Factors Aged Aged, 80 and over Biological and medical sciences Bladder Child chronic pelvic pain chronic prostatitis constipation Cystitis, Interstitial - complications Cystitis, Interstitial - physiopathology Excretory system Female Gastroenterology. Liver. Pancreas. Abdomen Humans Hunner's ulcer Lower Urinary Tract Symptoms - complications Male Medical sciences Middle Aged Nephrology. Urinary tract diseases Other diseases. Semiology Pain pelvic floor dysfunction Pelvic Pain - complications Retrospective Studies Risk Factors Stomach. Duodenum. Small intestine. Colon. Rectum. Anus Ulcer - complications Urinary Bladder Diseases - complications Urinary incontinence Urinary system involvement in other diseases. Miscellaneous Urinary tract. Prostate gland Urination Disorders - complications Young Adult |
| title | Symptom profile variability of interstitial cystitis/painful bladder syndrome by age |
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