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Neuropelveological assessment of neuropathic pelvic pain
AbstractThe aim of the present report is to emphasize the importance of taking neurological considerations into account in the diagnostic workup of chronic pelvic pain (CPP) of “unknown origin.” Based on new knowledge of the func-tional neuroanatomy of the pelvis and recent developments in the treatment of pelvic neuropathies, we incorporated
well-known neurologic diagnostic methods into the classical gynecological workup for CPP. “Neuropelveological” as-sessment of CPP in women requires a detailed gynecolog-ical and neurologic history, a classical gynecological work-up, and an adapted “gynecological” examination of the pelvic nerves and plexuses. The present report provides guidelines for “neuropelveological” assessment of chronic pelvic pain in clinical practice. It emphasizes the benefits of taking “neurological” considerations into account when diagnosing chronic pelvic pain.
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