Because of the wide variability in symptomatic and clinical presentation from one PPOD patient to the next it can be quite difficult for those unfamiliar with this disorder to sort through the maze of seemingly unrelated complaints and make sense of their condition. To assist you, the suspected PPOD syndrome patient, in determining whether you might be a candidate for a PPOD syndrome examination, we have developed a screening questionnaire that profiles symptoms representative of a “typical” PPOD syndrome patient, which can be used as a starting point to help identify those who are most likely suffering from the effects of this disorder. The use of this questionnaire has been found to be of great help in identifying and differentiating those who are most likely to be PPOD syndrome patients and who should undergo a PPOD focused examination to confirm its existence from those who are not likely to be mechanically induced PPOD syndrome patients.

In completing this questionnaire, read through each of the 5 sections below carefully and identify the symptoms that you are now experiencing, or, have had in the recent past. In the case of the listed surgical procedures, click on any that you have had performed at any time before. Check the appropriate box for each relevant symptom or procedure in each of the 5 sections. When finished, click on the “Total” button at the bottom of the questionnaire to obtain your Final Score. This number will determine the relative likelihood that you are suffering from the effects of the mechanically induced PPOD syndrome. Please note that many of the symptoms described in this questionnaire may represent other conditions requiring appropriate evaluation and treatment. It is for this reason that the identification of any symptoms listed in this questionnaire should be followed by professional evaluation to more clearly established their cause. If however, your score indicates that you may be suffering from the mechanically induced PPOD syndrome an evaluation to confirm or rule out its presence is clearly warranted. If the PPOD syndrome is confirmed, effective treatment at the Pelvic Pain and Organic Dysfunction Treatment Center, is available.

PELVIC PAIN

Pain on one side of the front of the pelvis

Pain on both sides of the front of the pelvis

Pelvic pain immediately above the pubic bone

Pelvic floor pain on one side of the anus

Pelvic floor pain on both sides of the anus

Pain internally within the rectum

Genital pain, numbness or tingling

Pelvic, rectal, vaginal or genital pain, numbness or tingling that is aggravated by sitting

Laparoscopy without identification of specific cause for pelvic pain

Partial or complete hysterectomy without significant relief of pain

Appendectomy, hernia repair, or removal of bladder, testicle or labia without significant relief of pain (click one box for each individual operation that did not provide significant pain relief).

Individual Operation 1

Individual Operation 2

Individual Operation 3

BLADDER DYSFUNCTION

Urinary frequency

Urinary urgency

Urinary dribbling

Urinary incontinence

Urinary sluggishness or difficulty emptying bladder

Urinary retention

Recurring urinary tract infections

Waking more than twice at night to empty the bladder

Wetting the bed

Normal urge to void (empty bladder) replaced by a sense of bladder pressure or pelvic distention

One bladder surgery for urinary incontinence

Two or more bladder surgeries for recurring incontinence

GYNECOLOGIC AND SEXUAL DYSFUNCTION

Pelvic pain with intercourse

Pelvic pain with intercourse that is felt in the same location as pelvic pain experienced apart from intercourse

Impaired, altered or complete inability to achieve normal orgasm

Deficient sexual lubrication

Loss of libido or sex drive

Persistent vaginal discharge

Difficulty or inability attaining or maintaining erection

BOWEL DYSFUNCTION

Chronic or recurrent constipation

Chronic or recurrent diarrhea

Alternating constipation and diarrhea

Rectal incontinence

Painful spasm of the anal sphincter

BACK AND LEG PAIN

History of chronic or recurrent low back pain

Buttock or leg pain, numbness or tingling that is dominant (most intense) on the same side as dominant accompanying pelvic pain

Pain in both buttocks or both legs

Click the Total button above after you have made all of your selections.

A total score of 25 points or more indicates a distinct likelihood that you may be suffering from the effects of the mechanically induced PPOD syndrome. As has been previously stated, this disorder is a commonly overlooked cause of chronic pelvic pain, as well as the wide range of disturbances of bladder, bowel, gynecologic and sexual function that frequently accompany it.  If you have scored 25 points or more you need to undergo a PPOD focused examination by a doctor knowledgeable in the diagnosis, treatment and clinical management of this disorder. This examination is the only way to confirm the syndromes presence, and is the first step toward regaining control of your life and putting an end to your pelvic pain nightmare.  To schedule an examination at the Pelvic Pain and Organic Dysfunction Treatment Center call 231-432-0255, or, email us at info@ppodsyndrome.com