Appendix B-21
Goodman & Snyder: Differential Diagnosis for Physical Therapists,
5th Edition
Appendix
APPENDIX B-24
Screening Men Experiencing Back, Hip, Pelvic, Groin, or Sacroiliac Pain
• Have you ever had prostate problems or been told you have prostate problems?
• Have you ever been told you have a hernia? Do you think you have one now?
▪ If yes, follow-up with medical referral. Strangulation of the bowel can lead to serious complications. If the client has been evaluated by a physician and has declined treatment (usually surgery), encourage him to follow up on this recommendation.
• Have you recently had kidney stones, bladder or kidney infections?
• Have you had any changes in urination recently?
• Do you ever have blood in your urine?
• Do you ever have pain, burning, or discomfort on urination?
• Do you urinate often, especially during the night?
• Can you easily start a flow of urine?
• Can you keep a steady stream without stopping and starting?
• When you are done urinating, does it feel like your bladder is empty or do you feel like you still have to go but can’t get any more out?
• Do you ever dribble or leak urine?
• Do you have trouble getting an erection?
• Do you have trouble keeping an erection?
• Do you have trouble ejaculating?
• Any unusual discharge from your penis?
To the Therapist
• If the client is having difficulty with sexual function, it may be necessary to conduct a screening examination for bladder or prostate involvement.
√ See Appendix: Special Questions to Ask: Bladder Function.
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