Neuropelvic Examination

What Does a Neuropelviological Examination Involve? – Clinical Guide

General Information

Neuropelviological examination is a detailed clinical assessment performed to evaluate the functions of the nerves in the pelvic region.

1. Detailed Patient History

• Location, duration, and character of pain
• Pain exacerbated by sitting
• Urinary, bowel, and sexual functions
• Previous surgeries and birth history

2. General Physical Examination

• Assessment of the abdomen and pelvic region
• Examination of posture and muscle balance

3. Neurological Assessment

• Reflexes (sacral reflexes)
• Sensory examination
• Motor function assessment

4. Pelvic Floor Examination

• Pelvic floor muscle strength
• Muscle tone and presence of spasm
• Tenderness points

5. Vaginal and Rectal Examination

• Tenderness in nerve distribution areas
• Pudendal nerve assessment
• Palpation of deep pelvic nerve structures

6. Trigger Point Assessment

• Identification of specific points causing pain
• Detection of intramuscular trigger points

7. Functional Tests

• Assessment of bladder and bowel control
• Inquiry into sexual function

8. Diagnostic Nerve Blocks

In necessary cases, the source of pain can be confirmed with local anesthetic injections into specific nerves.

9. Imaging and Additional Tests

• MR imaging
• Electrophysiological tests
• Urodynamics (if needed)

Clinical Fact

Neuropelviological examination requires a multidisciplinary approach and is crucial for accurate diagnosis.

Conclusion

Neuropelviological examination is a comprehensive assessment process to identify the cause of pelvic pain and dysfunction.