Cancer Advanced Clinical Focus Session: History/Exam for Pelvic Pain (Prostate & Gynecologic Oncology Cancer)-Session Recording

Video Transcription

Video Summary

During an early morning session, experts discussed pelvic pain management, particularly within cancer rehabilitation contexts. Attendees were reminded to turn off cell phones and were informed that sessions were live-streamed and accessible online. The forum also offered guidance on accessing materials for continued medical education and encouraged visits to the PM&R Pavilion, noted for its therapeutic dog interactions.<br /><br />The primary focus was on pelvic pain and dysfunction, relevant across gender spectra despite historical biases that aligned pelvic issues with women’s health. Two case studies were presented: a 61-year-old male with prostate adenocarcinoma and lymphedema, and a female with metastatic endometrial cancer. Both cases highlighted the multifaceted nature of pelvic dysfunction, revealing gaps in expertise among general cancer rehab professionals, particularly regarding bowel, bladder, and musculoskeletal interventions.<br /><br />The session underscored the importance of comprehensive assessments, including psychosocial history, for a deeper understanding of patient needs. An emphasis was placed on expanding beyond initial referral reasons, recognizing the complexity of conditions like lymphedema, pelvic floor dysfunction, and sexual health concerns.<br /><br />Additionally, clinicians were encouraged to utilize PM&R resources and peer collaboration to enhance understanding and treatment strategies. Lastly, considerations included the integration of trauma-informed care practices to improve evaluations and interventions for patients with pelvic health complaints.

Keywords

pelvic pain management

cancer rehabilitation

pelvic dysfunction

prostate adenocarcinoma

endometrial cancer

lymphedema

psychosocial history

pelvic floor dysfunction

trauma-informed care

sexual health concerns

PM&R resources