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Clinical neurophysiology of the pelvic floor 

Clinical neurophysiology of the pelvic floor
Chapter:
Clinical neurophysiology of the pelvic floor
Author(s):

Adrian J. Fowle

DOI:
10.1093/med/9780199688395.003.0017
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date: 25 October 2020

This chapter offers a personal view of a service providing pelvic floor studies. It first debunks the myths that put patients and doctors off. A practical approach is outlined to performing the most worthwhile studies from referral to report. Care of the patient and understanding of the anatomy and physiology are emphasized as necessary for the performance of the studies. The most useful studies, examination of the external anal sphincter, and either bulbocavernosus reflex or pudendal somatosensory evoked potentials, are highlighted. Finally, the conditions in which these studies may be useful are discussed, including cauda-equina syndrome, post-partum incontinence, and neurological conditions.

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