IPC - Peter Pan 2026 Challenge 

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What is a typical adult bladder capacity?

Lower urinary tract symptoms (LUTS) are commonly organized into which three symptom groups?

Stress urinary incontinence with exertion

Post-void dribbling with weak pelvic floor support

Urgency, with or without urgency urinary incontinence, usually with frequency and nocturia

Hesitancy and intermittent stream due to outlet obstruction

Overactive bladder (OAB) is best described as:

Waking from sleep at night specifically to pass urine

Passing urine after going to bed, even if the person has not fallen asleep yet

Having an increased urine volume during the night (night-time overproduction)

Passing urine frequently in the evening before bedtime

Nocturia is best defined as:

A clinician measures “PVR” after a patient urinates. What does postvoid residual (PVR) mean?

Which spinal levels and nerve pathway provide sympathetic input that relaxes the detrusor while contracting smooth muscle at the bladder neck/prostate during urine storage?

The fluid imbalance can be interpreted by looking at how much fluid the patient drank in 24h, including coffee, water, and juice.

The urine production used to calculate the NPi includes the pee right before going to bed and excludes the first pee in the morning.

A voiding impairment is found when the PVR is >100mL. The PVR can be found in the 3DBD.

Samuel R. has a bladder storage capacity impairment, an elevated NPi, and a normal 24HV.

Your patient has the following functional diagnosis: Mr. Samuel R., age 42, presents with a 24-hour urine volume (24HV) of 2,105 mL (Day 2) and 1,970 mL (Day 3), a nocturnal polyuria index (NPi) of 24% (Day 2) and 27% (Day 3), a maximum voided volume (MVV) of 170 mL, an average voided volume (AVV) of 100 mL (Day 2) and 115 mL (Day 3), a post-void residual (PVR) of <60 mL, and 1 episode of incontinence. Select the true statement about the 3-day bladder diary in the following options:

Burning or electric genital/perineal pain worsened by sitting, relieved by standing or toilet-seat sitting, minimal night waking, ± numbness/paresthesia

Groin pain reproduced by FADIR/hip flexion–IR with clicking/catching, worsened by pivoting, improved with rest

Perineal/scrotal pain that rapidly improves within-session with repeated lumbar movements and shows a clear directional preference

Acute scrotal pain with swelling, nausea/vomiting, and a high-riding testis with severe tenderness

Which symptom pattern most supports a pudendal neuralgia–type presentation?

Groin/perineal pain reproduced with hip FADIR and eased with hip joint distraction/unloading

Perineal pain reliably reproduced by a pelvic loading task (e.g., heavy lift/brace or deep squat) and felt in the same spot each time

Symptoms change significantly within-session after repeated lumbar movements in a consistent direction (directional preference/centralization or clear reduction)

Strong family history of chronic low back pain plus occasional back stiffness, but repeated lumbar movement testing does not reliably change pelvic symptoms

Which finding is the most compelling sign of a spinal contribution during assessment?

Clear onset after surgery/trauma with focal, stable symptoms and focal tenderness

Symptoms are reliably provoked by a specific pelvic loading task (e.g., bowel straining, ejaculation, heavy lifting) and remain in the same location each time

Pain location tends to move a lot based on activities

IPC - Peter Pan 2026 Challenge

Hi! Welcome to the IPC Peter Pan 2026 Challenge. At IPC, Peter Pan and the Lost Boys is our male pelvic health fundamentals masterclass. Peter Pan is your guide through the core principles. Ready for the adventure? Start the quiz to test your knowledge. First, what’s your name?

Hi! Welcome to the IPC Peter Pan 2026 Challenge.

At IPC, Peter Pan and the Lost Boys is our male pelvic health fundamentals masterclass. Peter Pan is your guide through the core principles.

Ready for the adventure? Start the quiz to test your knowledge. First, what’s your name?