madman
Super Moderator
Unabridged version of this Guideline [pdf]
Figures and Tables [pdf]
Figure 3A and B: Standardized Male Pelvic Floor Examination
In men, the PFM are palpated through the rectum in the usual prostate examination position with the patient bending over facing down, or lying laterally with the knees bent. PFM tenderness is evaluated in specific muscles: left/right posterior levator ani muscle – at 1 and 11 o’clock; left/right anterior levator ani muscle – at 5 and 7 o’clock; left/right obturator internus muscle laterally – at 3 and 9 o’clock; and the perineal body between the anus and scrotum can be palpated externally – at 6 o’clock. Figure 3B shows the PFM looking from inside the pelvis.
SUMMARY
Purpose
This Guideline covers the evaluation and treatment of men who present to a clinician with a complaint of chronic pelvic pain. The presentation of these men is widely variable. This variability in clinical presentations and multidisciplinary diagnostic and treatment considerations makes management challenging. This Guideline is intended for clinicians evaluating and managing male chronic pelvic pain. The following conditions are covered in this Guideline: (i) chronic prostatitis/ chronicpelvic pain syndrome (CP/CPPS), and (ii) chronic scrotal content pain (CSCP).
Figures and Tables [pdf]
Figure 3A and B: Standardized Male Pelvic Floor Examination
In men, the PFM are palpated through the rectum in the usual prostate examination position with the patient bending over facing down, or lying laterally with the knees bent. PFM tenderness is evaluated in specific muscles: left/right posterior levator ani muscle – at 1 and 11 o’clock; left/right anterior levator ani muscle – at 5 and 7 o’clock; left/right obturator internus muscle laterally – at 3 and 9 o’clock; and the perineal body between the anus and scrotum can be palpated externally – at 6 o’clock. Figure 3B shows the PFM looking from inside the pelvis.
SUMMARY
Purpose
This Guideline covers the evaluation and treatment of men who present to a clinician with a complaint of chronic pelvic pain. The presentation of these men is widely variable. This variability in clinical presentations and multidisciplinary diagnostic and treatment considerations makes management challenging. This Guideline is intended for clinicians evaluating and managing male chronic pelvic pain. The following conditions are covered in this Guideline: (i) chronic prostatitis/ chronicpelvic pain syndrome (CP/CPPS), and (ii) chronic scrotal content pain (CSCP).
