115. The role of neurophysiological technician in pelvic floor practice

Based on our current understanding of the neuroanatomy and neurophysiology of the pelvic floor, we can choose which neurophysiological tests could be record, in order to perform an accurate instrumental examination of central and peripheral nervous system. That’s useful for a correct diagnosis and therapy for each specific clinical picture (neurogenic bladder, incontinence, constipation, urinary retention, male impotence, pelvic pain…). A skillful neurophysiological technician should have confidence with rationale, clinical utility, strengths and potential pitfalls for each of the commonly used neurophysiological tests of the pelvic floor: pudendal somatosensory evoked potential (SEPs), sympathetic skin response (SSR), sacral reflex (SR), perineal muscles electromyography (EMG), motor evoked potential (MEP). Moreover a good technician must have an adequate competence and experience in recording these specific exams in that contest; his role include also instrument’s sterilization and care, collection of case history, test’s explanation, guide of patients in positioning, tasks and movements, keep them calm and relaxed to get collaboration and allow examination’s good recording.