{"id":1787,"date":"2020-10-23T10:38:18","date_gmt":"2020-10-23T03:38:18","guid":{"rendered":"https:\/\/drsoaraweeurology.com\/?p=1787"},"modified":"2026-05-18T10:01:34","modified_gmt":"2026-05-18T03:01:34","slug":"sindrome-del-dolore-vescicale","status":"publish","type":"post","link":"https:\/\/drsoaraweeurology.com\/it\/2020\/10\/23\/bladder-pain-syndrome\/","title":{"rendered":"Sindrome del dolore vescicale: Una malattia che ha un impatto duraturo sulla QoL"},"content":{"rendered":"<div class=\"wp-block-columns coblocks-author-columns has-background is-layout-flex wp-container-core-columns-is-layout-52275889 wp-block-columns-is-layout-flex\" style=\"background-color:#8C8C971A;padding-top:2.5rem;padding-right:2.5rem;padding-bottom:2.5rem;padding-left:2.5rem\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:25%\">\n<figure class=\"wp-block-image size-full is-style-rounded\"><img data-recalc-dims=\"1\" fetchpriority=\"high\" decoding=\"async\" width=\"800\" height=\"800\" data-attachment-id=\"7037\" data-permalink=\"https:\/\/drsoaraweeurology.com\/it\/new-photo-2024\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?fit=800%2C800&amp;ssl=1\" data-orig-size=\"800,800\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"Dr. Soarawee Weerasopone \u2014 Board-Certified Urologist in Bangkok, Thailand\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Dr. Soarawee Weerasopone \u2014 Board-Certified Urologist in Bangkok, Thailand&lt;\/p&gt;\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?fit=800%2C800&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=800%2C800&#038;ssl=1\" alt=\"Il miglior urologo in Chonburi e Cambogia\" class=\"wp-image-7037\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?w=800&amp;ssl=1 800w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=300%2C300&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=150%2C150&amp;ssl=1 150w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=768%2C768&amp;ssl=1 768w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=12%2C12&amp;ssl=1 12w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=600%2C600&amp;ssl=1 600w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=400%2C400&amp;ssl=1 400w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=200%2C200&amp;ssl=1 200w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><\/figure>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:75%\">\n<p class=\"wp-block-paragraph\"><strong><a href=\"https:\/\/drsoaraweeurology.com\/it\/\">Soarawee Weerasopone, Urologo<\/a><\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"\/it\/Prenota una consulenza\/\" target=\"_blank\" rel=\"noreferrer noopener\">Sede dell'ospedale di Bangkok, Bangkok<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/www.facebook.com\/DrPomUroBHQThailand\/\">Ospedale Samitivej Sriracha, Chonburi<\/a><\/p>\n\n\n\n<div class=\"wp-block-buttons is-layout-flex wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button is-style-outline is-style-outline--1\"><a class=\"wp-block-button__link has-background-background-color has-text-color has-background has-small-font-size has-custom-font-size wp-element-button\" href=\"https:\/\/lin.ee\/QlUAIFB\" style=\"color:#31ff00\" target=\"_blank\" rel=\"noreferrer noopener\">Contatto LINEA<\/a><\/div>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<ul class=\"wp-block-social-links aligncenter has-normal-icon-size is-style-default coblocks-animate is-content-justification-center is-layout-flex wp-container-core-social-links-is-layout-3e41869c wp-block-social-links-is-layout-flex\"><li class=\"wp-social-link wp-social-link-facebook wp-block-social-link\"><a href=\"https:\/\/www.facebook.com\/DrPomUroBHQThailand\" class=\"wp-block-social-link-anchor\"><svg width=\"24\" height=\"24\" viewbox=\"0 0 24 24\" version=\"1.1\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" aria-hidden=\"true\" focusable=\"false\"><path d=\"M12 2C6.5 2 2 6.5 2 12c0 5 3.7 9.1 8.4 9.9v-7H7.9V12h2.5V9.8c0-2.5 1.5-3.9 3.8-3.9 1.1 0 2.2.2 2.2.2v2.5h-1.3c-1.2 0-1.6.8-1.6 1.6V12h2.8l-.4 2.9h-2.3v7C18.3 21.1 22 17 22 12c0-5.5-4.5-10-10-10z\"><\/path><\/svg><span class=\"wp-block-social-link-label screen-reader-text\">Facebook<\/span><\/a><\/li>\n\n<li class=\"wp-social-link wp-social-link-instagram wp-block-social-link\"><a href=\"https:\/\/www.instagram.com\/dr.pom.uro.bhq.thailand\" class=\"wp-block-social-link-anchor\"><svg width=\"24\" height=\"24\" viewbox=\"0 0 24 24\" version=\"1.1\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" aria-hidden=\"true\" focusable=\"false\"><path d=\"M12,4.622c2.403,0,2.688,0.009,3.637,0.052c0.877,0.04,1.354,0.187,1.671,0.31c0.42,0.163,0.72,0.358,1.035,0.673 c0.315,0.315,0.51,0.615,0.673,1.035c0.123,0.317,0.27,0.794,0.31,1.671c0.043,0.949,0.052,1.234,0.052,3.637 s-0.009,2.688-0.052,3.637c-0.04,0.877-0.187,1.354-0.31,1.671c-0.163,0.42-0.358,0.72-0.673,1.035 c-0.315,0.315-0.615,0.51-1.035,0.673c-0.317,0.123-0.794,0.27-1.671,0.31c-0.949,0.043-1.233,0.052-3.637,0.052 s-2.688-0.009-3.637-0.052c-0.877-0.04-1.354-0.187-1.671-0.31c-0.42-0.163-0.72-0.358-1.035-0.673 c-0.315-0.315-0.51-0.615-0.673-1.035c-0.123-0.317-0.27-0.794-0.31-1.671C4.631,14.688,4.622,14.403,4.622,12 s0.009-2.688,0.052-3.637c0.04-0.877,0.187-1.354,0.31-1.671c0.163-0.42,0.358-0.72,0.673-1.035 c0.315-0.315,0.615-0.51,1.035-0.673c0.317-0.123,0.794-0.27,1.671-0.31C9.312,4.631,9.597,4.622,12,4.622 M12,3 C9.556,3,9.249,3.01,8.289,3.054C7.331,3.098,6.677,3.25,6.105,3.472C5.513,3.702,5.011,4.01,4.511,4.511 c-0.5,0.5-0.808,1.002-1.038,1.594C3.25,6.677,3.098,7.331,3.054,8.289C3.01,9.249,3,9.556,3,12c0,2.444,0.01,2.751,0.054,3.711 c0.044,0.958,0.196,1.612,0.418,2.185c0.23,0.592,0.538,1.094,1.038,1.594c0.5,0.5,1.002,0.808,1.594,1.038 c0.572,0.222,1.227,0.375,2.185,0.418C9.249,20.99,9.556,21,12,21s2.751-0.01,3.711-0.054c0.958-0.044,1.612-0.196,2.185-0.418 c0.592-0.23,1.094-0.538,1.594-1.038c0.5-0.5,0.808-1.002,1.038-1.594c0.222-0.572,0.375-1.227,0.418-2.185 C20.99,14.751,21,14.444,21,12s-0.01-2.751-0.054-3.711c-0.044-0.958-0.196-1.612-0.418-2.185c-0.23-0.592-0.538-1.094-1.038-1.594 c-0.5-0.5-1.002-0.808-1.594-1.038c-0.572-0.222-1.227-0.375-2.185-0.418C14.751,3.01,14.444,3,12,3L12,3z M12,7.378 c-2.552,0-4.622,2.069-4.622,4.622S9.448,16.622,12,16.622s4.622-2.069,4.622-4.622S14.552,7.378,12,7.378z M12,15 c-1.657,0-3-1.343-3-3s1.343-3,3-3s3,1.343,3,3S13.657,15,12,15z M16.804,6.116c-0.596,0-1.08,0.484-1.08,1.08 s0.484,1.08,1.08,1.08c0.596,0,1.08-0.484,1.08-1.08S17.401,6.116,16.804,6.116z\"><\/path><\/svg><span class=\"wp-block-social-link-label screen-reader-text\">Instagram<\/span><\/a><\/li>\n\n<li class=\"wp-social-link wp-social-link-wordpress wp-block-social-link\"><a href=\"https:\/\/drsoaraweeurology.com\/it\/\" class=\"wp-block-social-link-anchor\"><svg width=\"24\" height=\"24\" viewbox=\"0 0 24 24\" version=\"1.1\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" aria-hidden=\"true\" focusable=\"false\"><path d=\"M12.158,12.786L9.46,20.625c0.806,0.237,1.657,0.366,2.54,0.366c1.047,0,2.051-0.181,2.986-0.51 c-0.024-0.038-0.046-0.079-0.065-0.124L12.158,12.786z M3.009,12c0,3.559,2.068,6.634,5.067,8.092L3.788,8.341 C3.289,9.459,3.009,10.696,3.009,12z M18.069,11.546c0-1.112-0.399-1.881-0.741-2.48c-0.456-0.741-0.883-1.368-0.883-2.109 c0-0.826,0.627-1.596,1.51-1.596c0.04,0,0.078,0.005,0.116,0.007C16.472,3.904,14.34,3.009,12,3.009 c-3.141,0-5.904,1.612-7.512,4.052c0.211,0.007,0.41,0.011,0.579,0.011c0.94,0,2.396-0.114,2.396-0.114 C7.947,6.93,8.004,7.642,7.52,7.699c0,0-0.487,0.057-1.029,0.085l3.274,9.739l1.968-5.901l-1.401-3.838 C9.848,7.756,9.389,7.699,9.389,7.699C8.904,7.67,8.961,6.93,9.446,6.958c0,0,1.484,0.114,2.368,0.114 c0.94,0,2.397-0.114,2.397-0.114c0.485-0.028,0.542,0.684,0.057,0.741c0,0-0.488,0.057-1.029,0.085l3.249,9.665l0.897-2.996 C17.841,13.284,18.069,12.316,18.069,11.546z M19.889,7.686c0.039,0.286,0.06,0.593,0.06,0.924c0,0.912-0.171,1.938-0.684,3.22 l-2.746,7.94c2.673-1.558,4.47-4.454,4.47-7.771C20.991,10.436,20.591,8.967,19.889,7.686z M12,22C6.486,22,2,17.514,2,12 C2,6.486,6.486,2,12,2c5.514,0,10,4.486,10,10C22,17.514,17.514,22,12,22z\"><\/path><\/svg><span class=\"wp-block-social-link-label screen-reader-text\">WordPress<\/span><\/a><\/li>\n\n<li class=\"wp-social-link wp-social-link-telegram wp-block-social-link\"><a href=\"https:\/\/t.me\/drpommy\" class=\"wp-block-social-link-anchor\"><svg width=\"24\" height=\"24\" viewbox=\"0 0 128 128\" version=\"1.1\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" aria-hidden=\"true\" focusable=\"false\"><path d=\"M28.9700376,63.3244248 C47.6273373,55.1957357 60.0684594,49.8368063 66.2934036,47.2476366 C84.0668845,39.855031 87.7600616,38.5708563 90.1672227,38.528 C90.6966555,38.5191258 91.8804274,38.6503351 92.6472251,39.2725385 C93.294694,39.7979149 93.4728387,40.5076237 93.5580865,41.0057381 C93.6433345,41.5038525 93.7494885,42.63857 93.6651041,43.5252052 C92.7019529,53.6451182 88.5344133,78.2034783 86.4142057,89.5379542 C85.5170662,94.3339958 83.750571,95.9420841 82.0403991,96.0994568 C78.3237996,96.4414641 75.5015827,93.6432685 71.9018743,91.2836143 C66.2690414,87.5912212 63.0868492,85.2926952 57.6192095,81.6896017 C51.3004058,77.5256038 55.3966232,75.2369981 58.9976911,71.4967761 C59.9401076,70.5179421 76.3155302,55.6232293 76.6324771,54.2720454 C76.6721165,54.1030573 76.7089039,53.4731496 76.3346867,53.1405352 C75.9604695,52.8079208 75.4081573,52.921662 75.0095933,53.0121213 C74.444641,53.1403447 65.4461175,59.0880351 48.0140228,70.8551922 C45.4598218,72.6091037 43.1463059,73.4636682 41.0734751,73.4188859 C38.7883453,73.3695169 34.3926725,72.1268388 31.1249416,71.0646282 C27.1169366,69.7617838 23.931454,69.0729605 24.208838,66.8603276 C24.3533167,65.7078514 25.9403832,64.5292172 28.9700376,63.3244248 Z\" \/><\/svg><span class=\"wp-block-social-link-label screen-reader-text\">Telegram<\/span><\/a><\/li>\n\n<li class=\"wp-social-link wp-social-link-whatsapp wp-block-social-link\"><a href=\"https:\/\/wa.me\/85577601628\" class=\"wp-block-social-link-anchor\"><svg width=\"24\" height=\"24\" viewbox=\"0 0 24 24\" version=\"1.1\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" aria-hidden=\"true\" focusable=\"false\"><path d=\"M 12.011719 2 C 6.5057187 2 2.0234844 6.478375 2.0214844 11.984375 C 2.0204844 13.744375 2.4814687 15.462563 3.3554688 16.976562 L 2 22 L 7.2324219 20.763672 C 8.6914219 21.559672 10.333859 21.977516 12.005859 21.978516 L 12.009766 21.978516 C 17.514766 21.978516 21.995047 17.499141 21.998047 11.994141 C 22.000047 9.3251406 20.962172 6.8157344 19.076172 4.9277344 C 17.190172 3.0407344 14.683719 2.001 12.011719 2 z M 12.009766 4 C 14.145766 4.001 16.153109 4.8337969 17.662109 6.3417969 C 19.171109 7.8517969 20.000047 9.8581875 19.998047 11.992188 C 19.996047 16.396187 16.413812 19.978516 12.007812 19.978516 C 10.674812 19.977516 9.3544062 19.642812 8.1914062 19.007812 L 7.5175781 18.640625 L 6.7734375 18.816406 L 4.8046875 19.28125 L 5.2851562 17.496094 L 5.5019531 16.695312 L 5.0878906 15.976562 C 4.3898906 14.768562 4.0204844 13.387375 4.0214844 11.984375 C 4.0234844 7.582375 7.6067656 4 12.009766 4 z M 8.4765625 7.375 C 8.3095625 7.375 8.0395469 7.4375 7.8105469 7.6875 C 7.5815469 7.9365 6.9355469 8.5395781 6.9355469 9.7675781 C 6.9355469 10.995578 7.8300781 12.182609 7.9550781 12.349609 C 8.0790781 12.515609 9.68175 15.115234 12.21875 16.115234 C 14.32675 16.946234 14.754891 16.782234 15.212891 16.740234 C 15.670891 16.699234 16.690438 16.137687 16.898438 15.554688 C 17.106437 14.971687 17.106922 14.470187 17.044922 14.367188 C 16.982922 14.263188 16.816406 14.201172 16.566406 14.076172 C 16.317406 13.951172 15.090328 13.348625 14.861328 13.265625 C 14.632328 13.182625 14.464828 13.140625 14.298828 13.390625 C 14.132828 13.640625 13.655766 14.201187 13.509766 14.367188 C 13.363766 14.534188 13.21875 14.556641 12.96875 14.431641 C 12.71875 14.305641 11.914938 14.041406 10.960938 13.191406 C 10.218937 12.530406 9.7182656 11.714844 9.5722656 11.464844 C 9.4272656 11.215844 9.5585938 11.079078 9.6835938 10.955078 C 9.7955938 10.843078 9.9316406 10.663578 10.056641 10.517578 C 10.180641 10.371578 10.223641 10.267562 10.306641 10.101562 C 10.389641 9.9355625 10.347156 9.7890625 10.285156 9.6640625 C 10.223156 9.5390625 9.737625 8.3065 9.515625 7.8125 C 9.328625 7.3975 9.131125 7.3878594 8.953125 7.3808594 C 8.808125 7.3748594 8.6425625 7.375 8.4765625 7.375 z\"><\/path><\/svg><span class=\"wp-block-social-link-label screen-reader-text\">WhatsApp<\/span><\/a><\/li>\n\n<li class=\"wp-social-link wp-social-link-linkedin wp-block-social-link\"><a href=\"https:\/\/www.linkedin.com\/in\/soarawee-weerasopone\/\" class=\"wp-block-social-link-anchor\"><svg width=\"24\" height=\"24\" viewbox=\"0 0 24 24\" version=\"1.1\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" aria-hidden=\"true\" focusable=\"false\"><path d=\"M19.7,3H4.3C3.582,3,3,3.582,3,4.3v15.4C3,20.418,3.582,21,4.3,21h15.4c0.718,0,1.3-0.582,1.3-1.3V4.3 C21,3.582,20.418,3,19.7,3z M8.339,18.338H5.667v-8.59h2.672V18.338z M7.004,8.574c-0.857,0-1.549-0.694-1.549-1.548 c0-0.855,0.691-1.548,1.549-1.548c0.854,0,1.547,0.694,1.547,1.548C8.551,7.881,7.858,8.574,7.004,8.574z M18.339,18.338h-2.669 v-4.177c0-0.996-0.017-2.278-1.387-2.278c-1.389,0-1.601,1.086-1.601,2.206v4.249h-2.667v-8.59h2.559v1.174h0.037 c0.356-0.675,1.227-1.387,2.526-1.387c2.703,0,3.203,1.779,3.203,4.092V18.338z\"><\/path><\/svg><span class=\"wp-block-social-link-label screen-reader-text\">LinkedIn<\/span><\/a><\/li>\n\n<li class=\"wp-social-link wp-social-link-mail wp-block-social-link\"><a href=\"mailto:bhquro@bdms.co.th\" class=\"wp-block-social-link-anchor\"><svg width=\"24\" height=\"24\" viewbox=\"0 0 24 24\" version=\"1.1\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" aria-hidden=\"true\" focusable=\"false\"><path d=\"M19,5H5c-1.1,0-2,.9-2,2v10c0,1.1.9,2,2,2h14c1.1,0,2-.9,2-2V7c0-1.1-.9-2-2-2zm.5,12c0,.3-.2.5-.5.5H5c-.3,0-.5-.2-.5-.5V9.8l7.5,5.6,7.5-5.6V17zm0-9.1L12,13.6,4.5,7.9V7c0-.3.2-.5.5-.5h14c.3,0,.5.2.5.5v.9z\"><\/path><\/svg><span class=\"wp-block-social-link-label screen-reader-text\">Email<\/span><\/a><\/li><\/ul>\n\n\n\n<style>\n\/* Hover effect for Social Dr Pom Block - Social Icons *\/\n.wp-block-social-links .wp-social-link {\n  transition: transform 0.2s ease, opacity 0.2s ease !important;\n}\n.wp-block-social-links .wp-social-link:hover {\n  transform: scale(1.15);\n  opacity: 0.9;\n}\n<\/style>\n\n<div class=\"dr-pom-academic-icons\" style=\"display: flex; gap: 16px; margin-top: 12px; align-items: center; justify-content: center;\">\n  \n  <a href=\"https:\/\/www.researchgate.net\/profile\/Soarawee-Weerasopone\" \n     target=\"_blank\" \n     rel=\"noopener\"\n     title=\"Profilo ResearchGate\"\n     aria-label=\"Visualizza profilo ResearchGate\"\n     style=\"text-decoration: none; color: #00CCBB; transition: transform 0.2s; display: inline-block;\"\n     onmouseover=\"this.style.transform='scale(1.15)'\"\n     onmouseout=\"this.style.transform='scale(1)'\">\n    <svg width=\"28\" height=\"28\" viewbox=\"0 0 24 24\" fill=\"currentColor\">\n      <path d=\"M19.586 0c-.818 0-1.508.19-2.073.565-.563.377-.97.936-1.213 1.68a3.193 3.193 0 0 0-.112.437 8.365 8.365 0 0 0-.078.53 9 9 0 0 0-.05.727c-.01.282-.013.621-.013 1.016a31.121 31.121 0 0 0 .014 1.017 9 9 0 0 0 .05.727 7.946 7.946 0 0 0 .077.53h.001c.024.115.06.262.112.438.243.743.65 1.303 1.213 1.68.565.376 1.255.564 2.073.564.8 0 1.536-.213 2.105-.603.57-.39.94-.916 1.175-1.65.076-.235.135-.558.177-.93a15.4 15.4 0 0 0 .063-1.207v-.512a.27.27 0 0 0-.273-.273h-2.95a.27.27 0 0 0-.274.273v.785c0 .228.0.343.273.343h1.337c.094 0 .14.045.14.137 0 .61-.063 1.043-.155 1.318-.182.546-.7 1.018-1.683 1.018-.654 0-1.135-.114-1.475-.356-.34-.244-.55-.585-.658-1.024a3.797 3.797 0 0 1-.111-.43 5.515 5.515 0 0 1-.06-.51 19.85 19.85 0 0 1-.025-.726c-.004-.28-.004-.628-.004-1.045 0-.418 0-.766.004-1.046a19.85 19.85 0 0 1 .025-.726 5.475 5.475 0 0 1 .06-.51 3.785 3.785 0 0 1 .111-.43c.108-.44.318-.78.658-1.024.34-.243.82-.357 1.475-.357.6 0 1.064.078 1.413.293.347.215.595.515.74.91.063.155.166.21.31.156l.967-.4c.15-.058.187-.18.13-.32a3.025 3.025 0 0 0-1.262-1.452C21.12.218 20.428.0 19.586 0zM8.512 4.32c-2.7 0-4.066.997-4.066 3.06v.04c0 1.92.992 2.83 3.046 2.83 1.27 0 2.038-.39 2.385-1.05h.13l.067.51c.04.2.207.34.41.34h.99V7.95c0-2.59-1.06-3.63-2.962-3.63zm-.18 1.61c1.118 0 1.628.56 1.628 1.86v.4l-1.65.16c-1.35.13-1.86.46-1.86 1.13v.04c0 .67.41 1.06 1.45 1.06.85 0 1.55-.32 1.93-.84.04-.06.13-.07.18-.02.05.03.07.1.07.16v.43c0 .26.13.42.34.42h1.05c.21 0 .34-.16.34-.42v-3.6c0-1.94-1.13-2.83-3.46-2.83-1.94 0-3.07.86-3.4 2.04l1.55.45c.18-.69.6-1.04 1.83-1.04zM2.135 16.314c-.587 0-1.066-.156-1.434-.469-.367-.312-.618-.704-.752-1.176-.034-.124-.061-.232-.082-.327a3.794 3.794 0 0 1-.044-.366 8.83 8.83 0 0 1-.022-.547C0 13.221 0 12.985 0 12.704c0-.281 0-.515.001-.704a8.81 8.81 0 0 1 .022-.547 3.802 3.802 0 0 1 .044-.366c.02-.094.048-.203.082-.328.134-.471.385-.864.752-1.176.368-.313.847-.469 1.434-.469.477 0 .892.087 1.246.262.353.175.622.443.806.804.044.083.083.157.117.222.034.066.069.144.105.235.022.054.011.099-.034.135l-.66.292c-.045.027-.082.013-.112-.045a4.043 4.043 0 0 0-.155-.27 1.247 1.247 0 0 0-.49-.495c-.225-.131-.522-.196-.892-.196-.402 0-.726.064-.972.193-.247.13-.422.302-.527.518-.027.045-.054.099-.082.16a1.39 1.39 0 0 0-.067.197 2.46 2.46 0 0 0-.05.282 5.51 5.51 0 0 0-.033.43c-.008.17-.013.376-.013.617 0 .242.005.448.013.618.008.17.02.314.034.43.013.117.03.21.05.282.02.072.042.137.066.197.105.216.28.39.527.518.246.13.57.193.972.193.4 0 .714-.07.94-.21.227-.14.394-.346.503-.617a2.43 2.43 0 0 0 .104-.395c.018-.123.027-.282.027-.477V13.2H2.34c-.04 0-.06-.02-.06-.062v-.5c0-.04.02-.062.06-.062h1.812c.04 0 .062.02.062.06v.5c0 .156-.005.296-.014.422a4.71 4.71 0 0 1-.04.342 1.732 1.732 0 0 1-.064.262c-.13.523-.402.913-.815 1.17-.413.255-.95.382-1.61.382z\"\/>\n    <\/svg>\n  <\/a>\n  \n  <a href=\"https:\/\/orcid.org\/0009-0004-8387-3559\" \n     target=\"_blank\" \n     rel=\"noopener\"\n     title=\"ORCID iD\"\n     aria-label=\"Visualizza Profilo ORCID\"\n     style=\"text-decoration: none; color: #A6CE39; transition: transform 0.2s; display: inline-block;\"\n     onmouseover=\"this.style.transform='scale(1.15)'\"\n     onmouseout=\"this.style.transform='scale(1)'\">\n    <svg width=\"28\" height=\"28\" viewbox=\"0 0 24 24\" fill=\"currentColor\">\n      <path d=\"M12 0C5.372 0 0 5.372 0 12s5.372 12 12 12 12-5.372 12-12S18.628 0 12 0zM7.369 4.378c.525 0 .947.431.947.947 0 .525-.422.947-.947.947-.525 0-.946-.422-.946-.947 0-.525.421-.947.946-.947zm-.722 3.038h1.444v10.041H6.647V7.416zm3.562 0h3.9c3.712 0 5.344 2.653 5.344 5.025 0 2.578-2.016 5.025-5.325 5.025h-3.919V7.416zm1.444 1.303v7.444h2.297c3.272 0 4.022-2.484 4.022-3.722 0-2.016-1.284-3.722-4.097-3.722h-2.222z\"\/>\n    <\/svg>\n  <\/a>\n  \n  <a href=\"https:\/\/scholar.google.com\/citations?user=lTgsRMUAAAAJ&#038;hl=en\" \n     target=\"_blank\" \n     rel=\"noopener\"\n     title=\"Google Scholar\"\n     aria-label=\"Visualizza il profilo di Google Scholar\"\n     style=\"text-decoration: none; color: #4285F4; transition: transform 0.2s; display: inline-block;\"\n     onmouseover=\"this.style.transform='scale(1.15)'\"\n     onmouseout=\"this.style.transform='scale(1)'\">\n    <svg width=\"28\" height=\"28\" viewbox=\"0 0 24 24\" fill=\"currentColor\">\n      <path d=\"M5.242 13.769L0.5 9.5 12 1l11.5 8.5-4.742 4.269C17.548 11.249 14.978 9.5 12 9.5c-2.977 0-5.548 1.748-6.758 4.269zM12 10a7 7 0 1 0 0 14 7 7 0 0 0 0-14z\"\/>\n    <\/svg>\n  <\/a>\n  \n<\/div>\n\n\n\n<p class=\"has-drop-cap wp-block-paragraph translation-block\">A huge amount of women patients who was being at my office with the annoying of urinary bladder pain symptom. Patients, they will realize that they are now in the phase of circling around the clinics and hospitals just because to seek out a certain medications and treatment for their conditions. And it shows up with vary of treatment in a different ways. Most often we will see a message from a physician that they were suspected on the bladder infection after unimproved antibiotics completion courses. There\u2019s one of disease that we should consider on and pay attention to it is called <strong><em>\u201c<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/30566978\/\" target=\"_self\">Bladder pain syndrome<\/a>\u201d<\/em><\/strong> or another medical term called it <strong><em>\u201cInterstitial cystitis\u201d<\/em><\/strong> Well, that is the topic that we are going to find out today.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img data-recalc-dims=\"1\" decoding=\"async\" width=\"800\" height=\"533\" data-attachment-id=\"1801\" data-permalink=\"https:\/\/drsoaraweeurology.com\/it\/young-woman-feels-bad-and-experiences-abdominal-pain-during-the-period-of-pms-and-menstruation-painful-menstruation-inflammation-and-bladder-infection\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/10\/Unnecessary-Oral-ATB.jpg?fit=1200%2C800&amp;ssl=1\" data-orig-size=\"1200,800\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;1.4&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;Canon EOS 7D&quot;,&quot;caption&quot;:&quot;Young woman feels bad and experiences abdominal pain during the period of PMS and menstruation. Painful menstruation. Inflammation and Bladder Infection&quot;,&quot;created_timestamp&quot;:&quot;1543595036&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;30&quot;,&quot;iso&quot;:&quot;400&quot;,&quot;shutter_speed&quot;:&quot;0.033333333333333&quot;,&quot;title&quot;:&quot;Young woman feels bad and experiences abdominal pain during the period of PMS and menstruation. Painful menstruation. Inflammation and Bladder Infection&quot;,&quot;orientation&quot;:&quot;1&quot;}\" data-image-title=\"Imprecise diagnosis may lead into unnecessary antibiotic usage\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Imprecise diagnosis may lead into unnecessary antibiotic usage&lt;\/p&gt;\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/10\/Unnecessary-Oral-ATB.jpg?fit=800%2C534&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/10\/Unnecessary-Oral-ATB.jpg?resize=800%2C533&#038;ssl=1\" alt=\"Sindrome del dolore vescicale: Una malattia che ha un impatto duraturo sulla QoL\" class=\"wp-image-1801\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/10\/Unnecessary-Oral-ATB.jpg?w=1200&amp;ssl=1 1200w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/10\/Unnecessary-Oral-ATB.jpg?resize=300%2C200&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/10\/Unnecessary-Oral-ATB.jpg?resize=1024%2C683&amp;ssl=1 1024w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/10\/Unnecessary-Oral-ATB.jpg?resize=768%2C512&amp;ssl=1 768w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/10\/Unnecessary-Oral-ATB.jpg?resize=16%2C12&amp;ssl=1 16w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><figcaption class=\"wp-element-caption\">Una diagnosi imprecisa pu\u00f2 portare a un uso non necessario di antibiotici<\/figcaption><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">La sindrome del dolore vescicale (BPS) \u00e8 una patologia dolorosa cronica della vescica che colpisce almeno il 2,7% delle donne negli Stati Uniti. Questa malattia pu\u00f2 avere un impatto duraturo sulla qualit\u00e0 della vita, oltre a comportare un'elevata spesa medica. La BPS pu\u00f2 essere sospettata quando i criteri diagnostici soddisfano i seguenti requisiti (riferimento dall'American Urological Association)<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">Criteri della sindrome del dolore vescicale.<\/h4>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Una sensazione spiacevole (dolore, pressione, fastidio) percepita come correlata alla vescica urinaria<\/li>\n\n\n\n<li>Minzione frequente o bisogno urgente di urinare<\/li>\n\n\n\n<li>Il sintomo potrebbe persistere per pi\u00f9 di 6 settimane.<\/li>\n\n\n\n<li>Assenza di infezione o di altre cause identificabili<\/li>\n<\/ol>\n\n\n\n<p class=\"wp-block-paragraph\">Sebbene al momento non vi siano criteri diagnostici stabili, possiamo comunque fare una diagnosi basandoci sul livello di sospetto. Il paziente che si sospetta avere la sindrome del dolore vescicale deve essere sottoposto a indagini per assicurarsi che non vi siano patologie nascoste come infezioni o tumori. L'indagine endoscopica della vescica urinaria \u00e8 solo un'opzione che ci dar\u00e0 maggiore certezza se potremo trovare il segno patognomonico \u201culcere di Hunner\u201d e, ancora una volta, anche se non riuscissimo a trovare le ulcere, utilizzeremo comunque la strategia \u201ctrial of treatment\u201d.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Molte domande sorgono spontanee: come pu\u00f2 accadere? Ci sono diverse teorie che cercano di spiegare cosa sta succedendo con la sindrome del dolore vescicale, le riassumer\u00f2 in 2 teorie principali<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img data-recalc-dims=\"1\" decoding=\"async\" width=\"800\" height=\"1045\" data-attachment-id=\"1797\" data-permalink=\"https:\/\/drsoaraweeurology.com\/it\/3d-medical-image-showing-bladder\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/10\/bladder.jpg?fit=1200%2C1568&amp;ssl=1\" data-orig-size=\"1200,1568\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;3D render of a medical image of a male figure with bladder highlighted&quot;,&quot;created_timestamp&quot;:&quot;1476873135&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;3D medical image showing bladder&quot;,&quot;orientation&quot;:&quot;1&quot;}\" data-image-title=\"Lots of theories try to explain what is the possibly cause of BPS\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Lots of theories try to explain what is the possibly cause of BPS&lt;\/p&gt;\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/10\/bladder.jpg?fit=784%2C1024&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/10\/bladder.jpg?resize=800%2C1045&#038;ssl=1\" alt=\"\" class=\"wp-image-1797\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/10\/bladder.jpg?w=1200&amp;ssl=1 1200w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/10\/bladder.jpg?resize=230%2C300&amp;ssl=1 230w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/10\/bladder.jpg?resize=784%2C1024&amp;ssl=1 784w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/10\/bladder.jpg?resize=768%2C1004&amp;ssl=1 768w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/10\/bladder.jpg?resize=1176%2C1536&amp;ssl=1 1176w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/10\/bladder.jpg?resize=9%2C12&amp;ssl=1 9w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><figcaption class=\"wp-element-caption\">Molte teorie tentano di spiegare quale sia la possibile causa della BPS<\/figcaption><\/figure>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Si verifica un'interruzione dello strato esterno della mucosa vescicale, per cui le sostanze chimiche o i batteri presenti nell'urina si espongono direttamente alla parte interna della mucosa vescicale, che contiene molte terminazioni nervose, provocando un'insolita sensazione di dolore alla vescica.<\/li>\n\n\n\n<li>Le frequenti infezioni del tratto urinario (UTI) innescano varie vie di infiammazione sulla superficie della mucosa vescicale che portano a un'insolita sensazione cronica della vescica, anche se l'infezione si \u00e8 attenuata.<\/li>\n<\/ol>\n\n\n\n<p class=\"wp-block-paragraph\">Il piano di trattamento partir\u00e0 da un trattamento conservativo e aumenter\u00e0 lentamente in modo aggressivo se il risultato clinico non \u00e8 ancora soddisfatto. Ecco alcuni esempi di opzioni di trattamento<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"533\" data-attachment-id=\"1798\" data-permalink=\"https:\/\/drsoaraweeurology.com\/it\/diet-alteration\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/10\/Diet-alteration.jpg?fit=1200%2C800&amp;ssl=1\" data-orig-size=\"1200,800\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;2.8&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;Canon EOS 5D Mark III&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;1559055296&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;50&quot;,&quot;iso&quot;:&quot;500&quot;,&quot;shutter_speed&quot;:&quot;0.003125&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;1&quot;}\" data-image-title=\"Observant habit on any diet that worsen BPS is recommended\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Observant habit on any diet that worsen BPS is recommended&lt;\/p&gt;\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/10\/Diet-alteration.jpg?fit=800%2C534&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/10\/Diet-alteration.jpg?resize=800%2C533&#038;ssl=1\" alt=\"\" class=\"wp-image-1798\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/10\/Diet-alteration.jpg?w=1200&amp;ssl=1 1200w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/10\/Diet-alteration.jpg?resize=300%2C200&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/10\/Diet-alteration.jpg?resize=1024%2C683&amp;ssl=1 1024w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/10\/Diet-alteration.jpg?resize=768%2C512&amp;ssl=1 768w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/10\/Diet-alteration.jpg?resize=16%2C12&amp;ssl=1 16w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><figcaption class=\"wp-element-caption\">Si raccomanda l'abitudine di osservare qualsiasi dieta che peggiori la BPS.<\/figcaption><\/figure>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Cambiamento comportamentale e modifica della dieta<\/li>\n\n\n\n<li>Esercizio del pavimento pelvico<\/li>\n<\/ol>\n\n\n\n<figure class=\"wp-block-image size-large\"><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"533\" data-attachment-id=\"1800\" data-permalink=\"https:\/\/drsoaraweeurology.com\/it\/portrait-beautiful-young-asian-women-happy-smile-relax-around-sea-beach-ocean\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/10\/Stress-reduction.jpg?fit=1200%2C800&amp;ssl=1\" data-orig-size=\"1200,800\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;1.4&quot;,&quot;credit&quot;:&quot;siraphol s.&quot;,&quot;camera&quot;:&quot;ILCE-7M3&quot;,&quot;caption&quot;:&quot;Portrait beautiful young asian women happy smile relax around sea beach ocean at sunrise or sunset time&quot;,&quot;created_timestamp&quot;:&quot;1574846483&quot;,&quot;copyright&quot;:&quot;siraphol s.&quot;,&quot;focal_length&quot;:&quot;24&quot;,&quot;iso&quot;:&quot;100&quot;,&quot;shutter_speed&quot;:&quot;0.00125&quot;,&quot;title&quot;:&quot;Portrait beautiful young asian women happy smile relax around sea beach ocean&quot;,&quot;orientation&quot;:&quot;1&quot;}\" data-image-title=\"Any kind of Stress reduction method may give benefit on BPS\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Any kind of Stress reduction method may give benefit on BPS&lt;\/p&gt;\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/10\/Stress-reduction.jpg?fit=800%2C534&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/10\/Stress-reduction.jpg?resize=800%2C533&#038;ssl=1\" alt=\"\" class=\"wp-image-1800\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/10\/Stress-reduction.jpg?w=1200&amp;ssl=1 1200w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/10\/Stress-reduction.jpg?resize=300%2C200&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/10\/Stress-reduction.jpg?resize=1024%2C683&amp;ssl=1 1024w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/10\/Stress-reduction.jpg?resize=768%2C512&amp;ssl=1 768w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/10\/Stress-reduction.jpg?resize=16%2C12&amp;ssl=1 16w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><figcaption class=\"wp-element-caption\">Qualsiasi tipo di metodo di riduzione dello stress pu\u00f2 dare benefici sulla BPS.<\/figcaption><\/figure>\n\n\n\n<ol class=\"wp-block-list\" start=\"3\">\n<li>Riduzione dello stress<\/li>\n<\/ol>\n\n\n\n<figure class=\"wp-block-image size-large\"><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"533\" data-attachment-id=\"1799\" data-permalink=\"https:\/\/drsoaraweeurology.com\/it\/cropped-view-of-woman-pouring-pills-from-bottle\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/10\/Oral-medication.jpg?fit=1200%2C800&amp;ssl=1\" data-orig-size=\"1200,800\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;3.2&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;Canon EOS 6D&quot;,&quot;caption&quot;:&quot;Cropped view of woman pouring pills from bottle onto palm. Front view.&quot;,&quot;created_timestamp&quot;:&quot;1498320897&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;70&quot;,&quot;iso&quot;:&quot;200&quot;,&quot;shutter_speed&quot;:&quot;0.01&quot;,&quot;title&quot;:&quot;Cropped View of Woman Pouring Pills From Bottle&quot;,&quot;orientation&quot;:&quot;1&quot;}\" data-image-title=\"Oral medication is a good trial in BPS management\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Oral medication is a good trial in BPS management&lt;\/p&gt;\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/10\/Oral-medication.jpg?fit=800%2C534&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/10\/Oral-medication.jpg?resize=800%2C533&#038;ssl=1\" alt=\"\" class=\"wp-image-1799\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/10\/Oral-medication.jpg?w=1200&amp;ssl=1 1200w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/10\/Oral-medication.jpg?resize=300%2C200&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/10\/Oral-medication.jpg?resize=1024%2C683&amp;ssl=1 1024w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/10\/Oral-medication.jpg?resize=768%2C512&amp;ssl=1 768w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/10\/Oral-medication.jpg?resize=16%2C12&amp;ssl=1 16w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><figcaption class=\"wp-element-caption\">I farmaci orali sono una buona prova nella gestione della BPS<\/figcaption><\/figure>\n\n\n\n<ol class=\"wp-block-list\" start=\"4\">\n<li>Farmaci per via orale \u2013 \u00c8 stato riportato un tasso di successo fino al 77% con i farmaci per via orale<\/li>\n\n\n\n<li>Terapia intravescicale \u2013 Tasso di successo fino al 93% con questo intervento endoscopico<\/li>\n\n\n\n<li>Modulazione del nervo sacrale \u2013 Alto costo e invasivit\u00e0<\/li>\n<\/ol>\n\n\n\n<p class=\"wp-block-paragraph\">La maggior parte dei pazienti migliorer\u00e0 dopo il trattamento, ma purtroppo anche il tasso di remissione \u00e8 abbastanza elevato. Questo tipo di malattia, dobbiamo educare e rassicurare il paziente sulla storia naturale della malattia in modo che il paziente non abbia alcuna confusione. Se voi o i vostri parenti sperimentate questo tipo di sintomi, per favore discutete con il vostro urologo di fiducia o sarei onorato se scriveste. <a href=\"https:\/\/drsoaraweeurology.com\/it\/\" class=\"rank-math-link\">me<\/a>. Grazie!<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Se soffri di dolore cronico alla vescica, minzione frequente o sintomi simili a infezioni delle vie urinarie ricorrenti che non rispondono agli antibiotici, la dottoressa Soarawee Weerasopone offre consultazioni specialistiche presso la sede centrale dell'ospedale di Bangkok. <a href=\"\/it\/Prenota una consulenza\/\">Prenota una consulenza<\/a>.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Domande frequenti sulla sindrome del dolore vescicale<\/h2>\n\n\n\n<div class=\"schema-faq wp-block-yoast-faq-block\"><div class=\"schema-faq-section\" id=\"faq-question-1\"><strong class=\"schema-faq-question\">La sindrome della vescica dolorosa (cistite interstiziale)?<\/strong> <p class=\"schema-faq-answer\">La sindrome da dolore vescicale (BPS), nota anche come cistite interstiziale, \u00e8 una patologia cronica caratterizzata da dolore, senso di pressione o fastidio vescicale persistente che dura pi\u00f9 di 6 settimane, accompagnato da minzione frequente e urgenza urinaria, in assenza di infezioni identificabili o altre cause. Colpisce circa il 2,71% delle donne e pu\u00f2 compromettere in modo significativo la qualit\u00e0 della vita.<\/p><\/div> <div class=\"schema-faq-section\" id=\"faq-question-2\"><strong class=\"schema-faq-question\">La sindrome del dolore vescicale \u00e8 diversa da un'infezione della vescica?<\/strong> <p class=\"schema-faq-answer\">La sindrome del dolore vescicale e l'infezione delle vie urinarie (IVU) condividono sintomi simili come disagio vescicale e minzione frequente, ma la sindrome del dolore vescicale non ha una causa batterica. A differenza di un'IVU, la sindrome del dolore vescicale non risponde agli antibiotici ed \u00e8 una condizione cronica e ricorrente. Molti pazienti con sindrome del dolore vescicale vengono erroneamente diagnosticati con IVU ricorrenti e sottoposti a cicli ripetuti di antibiotici senza miglioramento, prima che venga fatta la diagnosi corretta.<\/p><\/div> <div class=\"schema-faq-section\" id=\"faq-question-3\"><strong class=\"schema-faq-question\">La sindrome del dolore vescicale \u00e8 una condizione cronica caratterizzata da dolore pelvico, pressione sulla vescica e, talvolta, dolore addominale inferiore. La causa esatta non \u00e8 nota, ma potrebbero esserci diversi fattori contributivi:\n\n*   **Danni alla parete vescicale:** Infezioni, traumi o chirurgi possono causare irritazione o infiammazione della parete interna della vescica.\n*   **Problemi ai nervi:** Danni o malfunzionamenti dei nervi che innervano la vescica e il pavimento pelvico potrebbero portare a percezioni di dolore anomale.\n*   **Reazione allergica o immunitaria:** Alcune teorie suggeriscono che una reazione anomala del sistema immunitario o un'allergia a sostanze presenti nell'urina possano causare infiammazione.\n*   **Alterazioni nella composizione della parete vescicale:** In alcune persone con sindrome del dolore vescicale, \u00e8 stata osservata una riduzione dello strato protettivo di glicosaminoglicani (GAG) sulla parete della vescica, che pu\u00f2 renderla pi\u00f9 vulnerabile all'irritazione.\n*   **Disfunzione del pavimento pelvico:** Tensione e spasmi nei muscoli del pavimento pelvico possono contribuire al dolore pelvico e vescicale.\n*   **Ristagno urinario:** Una svuotamento incompleto della vescica potrebbe portare a un aumento della pressione e a irritazione.\n*   **Fattori genetici:** Potrebbe esserci una predisposizione genetica alla sindrome del dolore vescicale.\n*   **Stress e fattori psicologici:** Anche se non sono la causa primaria, lo stress e l'ansia possono esacerbare i sintomi.\n\n\u00c8 importante notare che la sindrome del dolore vescicale \u00e8 spesso una diagnosi di esclusione, il che significa che altre condizioni con sintomi simili (come infezioni del tratto urinario, calcoli vescicali, endometriosi, fibromi) devono essere escluse prima di fare questa diagnosi.<\/strong> <p class=\"schema-faq-answer\">La causa esatta della VBP non \u00e8 completamente compresa. Le due principali teorie coinvolgono o un'interruzione nel rivestimento mucoso della vescica che consente all'urina di irritare le terminazioni nervose sottostanti, o infezioni ricorrenti delle vie urinarie che attivano percorsi infiammatori cronici anche dopo la risoluzione dell'infezione. Entrambi i meccanismi portano a ipersensibilit\u00e0 e dolore vescicale persistente.<\/p><\/div> <div class=\"schema-faq-section\" id=\"faq-question-4\"><strong class=\"schema-faq-question\">La sindrome della vescica dolorosa viene trattata in vari modi, a seconda della gravit\u00e0 dei sintomi. I trattamenti possono includere:\n\n*   Farmaci: Il medico pu\u00f2 prescrivere farmaci per alleviare il dolore e ridurre l'infiammazione.\n*   Modifiche dello stile di vita: Evitare cibi e bevande che possono irritare la vescica, come caffeina, alcol, cibi piccanti e acidi.\n*   Terapia: La terapia cognitivo-comportamentale (CBT) o altre tecniche di gestione dello stress possono aiutare a gestire il dolore e l'ansia associati alla sindrome.\n*   Fisioterapia del pavimento pelvico: Esercizi mirati possono aiutare a rilassare i muscoli del pavimento pelvico, che possono contribuire al dolore.\n*   Procedure: In alcuni casi, possono essere raccomandate procedure come il riempimento della vescica (distensione vescicale) o l'iniezione di tossina botulinica.\n*   TENS (Stimolazione nervosa elettrica transcutanea): Una tecnica che utilizza lievi impulsi elettrici per stimolare i nervi.\n\nIl trattamento \u00e8 spesso personalizzato e pu\u00f2 essere necessaria una combinazione di questi approcci per trovare sollievo. \u00c8 fondamentale consultare un medico per una diagnosi e un piano di trattamento appropriati.<\/strong> <p class=\"schema-faq-answer\">Il trattamento segue un approccio graduale. Le opzioni di prima linea comprendono cambiamenti nella dieta, modifiche comportamentali, fisioterapia del pavimento pelvico e tecniche di riduzione dello stress. I farmaci per via orale offrono tassi di successo fino al 77%, mentre la terapia intravescicale (instillazione vescicale) raggiunge un miglioramento fino al 93%. Per i casi refrattari, si pu\u00f2 prendere in considerazione la modulazione dei nervi sacrali o un intervento chirurgico.<\/p><\/div> <div class=\"schema-faq-section\" id=\"faq-question-5\"><strong class=\"schema-faq-question\">La sindrome del dolore vescicale pu\u00f2 essere curata?<\/strong> <p class=\"schema-faq-answer\">Sebbene molti pazienti migliorino significativamente con il trattamento, la BPS \u00e8 spesso una condizione recidivante con un notevole tasso di remissione. Una guarigione completa non \u00e8 sempre realizzabile, ma i sintomi possono essere ben controllati con una gestione appropriata. Il follow-up a lungo termine con un urologo, l'educazione del paziente sulla storia naturale della malattia e la pianificazione terapeutica individualizzata sono fondamentali per mantenere una buona qualit\u00e0 di vita.<\/p><\/div><\/div>\n\n\n\n<p class=\"wp-block-paragraph translation-block\"><strong>Disclaimer:<\/strong> Questo contenuto \u00e8 redatto e revisionato dal Dr. Soarawee Weerasopone, urologo certificato presso il Bangkok Hospital Headquarters. \u00c8 inteso solo a scopo educativo e non costituisce consulenza medica. Consultare sempre un professionista sanitario qualificato prima di iniziare qualsiasi trattamento medico.<\/p>","protected":false},"excerpt":{"rendered":"<p>A huge amount of women patients who was being at my office with the annoying of urinary bladder pain symptom. Patients, they will realize that they are now in the phase of circling around the clinics and hospitals just because to seek out a certain medications and treatment for their conditions. And it shows up [&hellip;]<\/p>\n","protected":false},"author":185281453,"featured_media":10025,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"advanced_seo_description":"Chronic bladder pain that doesn\u2019t respond to antibiotics? Dr. Soarawee explains bladder pain syndrome (interstitial cystitis) \u2014 its diagnosis criteria, causes, and stepwise treatment options.","jetpack_seo_html_title":"Bladder Pain Syndrome (Interstitial Cystitis): Causes & Treatment | Dr. Soarawee Urology","jetpack_seo_noindex":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_feature_clip_id":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"{title}\n\n{excerpt}\n\n{url}","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2},"_wpas_customize_per_network":false,"jetpack_post_was_ever_published":false},"categories":[1367],"tags":[1458,1460,1459],"class_list":["post-1787","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-female-urology","tag-bladder-pain-syndrome","tag-chronic-bladder-pain","tag-pain-bladder"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2026\/04\/Bladder-Pain-Syndrome.webp?fit=1200%2C630&ssl=1","jetpack_likes_enabled":false,"jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/pgZdrK-sP","_links":{"self":[{"href":"https:\/\/drsoaraweeurology.com\/it\/wp-json\/wp\/v2\/posts\/1787","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/drsoaraweeurology.com\/it\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/drsoaraweeurology.com\/it\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/drsoaraweeurology.com\/it\/wp-json\/wp\/v2\/users\/185281453"}],"replies":[{"embeddable":true,"href":"https:\/\/drsoaraweeurology.com\/it\/wp-json\/wp\/v2\/comments?post=1787"}],"version-history":[{"count":22,"href":"https:\/\/drsoaraweeurology.com\/it\/wp-json\/wp\/v2\/posts\/1787\/revisions"}],"predecessor-version":[{"id":9758,"href":"https:\/\/drsoaraweeurology.com\/it\/wp-json\/wp\/v2\/posts\/1787\/revisions\/9758"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/drsoaraweeurology.com\/it\/wp-json\/wp\/v2\/media\/10025"}],"wp:attachment":[{"href":"https:\/\/drsoaraweeurology.com\/it\/wp-json\/wp\/v2\/media?parent=1787"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/drsoaraweeurology.com\/it\/wp-json\/wp\/v2\/categories?post=1787"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/drsoaraweeurology.com\/it\/wp-json\/wp\/v2\/tags?post=1787"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}