Neuropelveological assessment of neuropathic pelvic pain

The 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 functional 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” assessment of CPP in women requires a detailed gynecological and neurologic history, a classical gynecological workup, 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.