An article promoting the beneficial role of a thorough clinical assessment was published last year in the Scandinavian Journal of Urology, and although the article is directed to medical providers, serves as an excellent summary for pelvic rehabilitation providers. Doctors Quaghebeur and Wyndaele describe a “four-step plan” that can help direct treatment efficiently, and that emphasizes the muscular and neurologic systems as potential referral sources. While you may not be surprised about several of the steps, you may find this article to be a useful tool, particularly for the terrific chart about neuralgia-type pain that you can find in the linked article.
Step 1 should include history taking with attention to information about the following:
- urinary frequency, urgency, and nocturia
- bowel habits
- sexual complaints and quality-of-life impact
- pain description with significant detail
- use of questionnaires