Intended for healthcare professionals

Letters Painful bladder syndrome

Role of psychological factors

BMJ 2009; 339 doi: (Published 25 August 2009) Cite this as: BMJ 2009;339:b3424
  1. Timothy R Nicholson, honorary SpR in psychiatry1,
  2. Richard A Kanaan, honorary consultant psychiatrist1,
  3. Simon Wessely, head1
  1. 1Department of Psychological Medicine, Institute of Psychiatry, London SE5 8AF
  1. timothy.nicholson{at}

    In their review of the management of painful bladder syndrome Marinkovic and colleagues highlight the syndrome as a common and debilitating set of urological symptoms lacking explanatory cystoscopic abnormalities.1 They document its strong association with sexual abuse, fibromyalgia, chronic fatigue syndrome, and, strikingly, a 100-fold increased risk of …

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