A posterior fornix ping-pong ball may be a more sensitive diagnostic test than the speculum test
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Case Report

A posterior fornix ping-pong ball may be a more sensitive diagnostic test than the speculum test

Pelviperineology 2022;41(3):185-188 DOI: 10.34057/PPj.2022.41.03.2022-10-1
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Abstract

Relief of chronic pelvic pain and urgency by a speculum test is a standard part of the Integral Theory protocol for validating the pictorial algorithm’s predictions for ligament causation. Supporting the posterior vaginal fornix with a ping-pong ball relieved a 51-year-old woman’s deep pelvic pain and also improved her symptoms of frequent urination and night urination. A posterior fornix ping-pong ball would more directly support the uterosacral ligaments to relieve the tension on the visceral plexuses. As such it would appear to be a more direct test than the speculum test.

Keywords: Integral theory, diagnostic test, overactive bladder, pelvic floor, speculum test