The role of clinical neurophysiology in urogynecology

Clinical neurophysiological methods remain interesting research tools in urogynecology; their diagnostic role in the individual pelvic f loor patient is, however, minor. The methods are diagnostically useful particularly in patients suspected to have a lesion involving the sphincters or the peripheral sacral nervous system, the diagnosis of which will influence management decisions or have prognostic or medicolegal relevance. Most helpful tests are the concentric needle EMG and bulbocavernosus reflex testing.