Pelvic Floor Disorders

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Pelvic Floor Disorders For The Colorectal Surgeon

Author : Ian Lindsey
ISBN : 9780199579624
Genre : Medical
File Size : 40.42 MB
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Written by emerging young leaders in the field, Pelvic Floor Disorders for the Colorectal Surgeon provides a current, thought-provoking, and practical study of the approach to and treatment of pelvic floor disorders.
Category: Medical

Pelvic Floor Disorders

Author : Raheela Rizvi
ISBN : 9781789232448
Genre : Medical
File Size : 81.11 MB
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Pelvic floor disorders, which include urinary and fecal incontinence and pelvic organ prolapse, are highly prevalent conditions in women. In the United States alone, this affects almost 25% of women. These disorders often affect women's daily life activities, their sexual function, their ability to exercise, and their social and psychological life. Pelvic floor disorders are usually diagnosed clinically, but in complicated cases, pelvic imaging and electromyographic studies may be required. This book attempts to discuss the pathophysiology of pelvic floor disorders, its treatment by the use of a new synthetic material, and treatment for recurrent POP. Although there are many books available on this topic, it includes some of the original research work and surgical innovation. We would like to acknowledge all the authors for their hard work in completing this book.
Category: Medical

Pelvic Floor Disorders

Author : Giulio Santoro
ISBN : 8847015421
Genre : Medical
File Size : 90.11 MB
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Dramatic improvement in imaging techniques (3D ultrasonography, dynamic magnetic resonance) allows greater insight into the complex anatomy of the pelvic floor and its pathological modifications.Obstetrical events leading to fecal and urinary incontinence in women, the development of pelvic organ prolapse, and mechanism of voiding dysfunction and obstructed defecation can now be accurately assessed, which is fundamental for appropriate treatment decision making. This book is written for gynecologists, colorectal surgeons, urologists, radiologists, and gastroenterologists with a special interest in this field of medicine. It is also relevant to everyone who aspires to improve their understanding of the fundamental principles of pelvic floor disorders.
Category: Medical

Pelvic Floor Disorders Surgical Approach

Author : Achille Lucio Gaspari
ISBN : 9788847054417
Genre : Medical
File Size : 72.55 MB
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During recent decades, more than 100 surgical procedures have been proposed to treat pelvic organ prolapse, and surgeons are still searching for the ideal approach. Although generally accepted guidelines and algorithms are still lacking, careful preoperative work-up and patient selection can serve as a sound basis for tailored surgery. In this comprehensive book, leading experts from around the world provide a detailed, up-to-date overview of the diagnostic and surgical approaches employed in patients with prolapse of the middle or posterior pelvic floor compartment. Each surgical technique is explained step by step with the aid of instructive figures. Guidance is also included on the management of surgical complications and of recurrent disease – aspects that are too frequently overlooked in the scientific literature. This book will prove essential reading for all who are interested in functional colorectal disorders of the pelvic floor and will represent a unique and invaluable source of knowledge for general surgeons, colorectal surgeons, and urogynecologists, whether in training or practice. ​
Category: Medical

Pelvic Floor Disorders

Author : Enache Traian
ISBN : 9783110683615
Genre : Medical
File Size : 57.22 MB
Format : PDF
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Pelvic floor disorders are a very important subject in public health, with a major impact on quality of life. In USA for instance, epidemiology data indicate that between 11 and 19% of women may suffer at least one such surgical procedure. This field is in continuous change and there is not a consensus yet in therapeutic approach. This book provides a general overview on the pelvic pathology, concentrating on clinical aspects – diagnostic, physiopathology and treatment. Worldwide known authors have been gathered in order to present a high scientific reference. The most important thing in this book is that it offers a systematic approach on surgical techniques. Most of them are described by the surgeons who invented them and the aim of this book is to provide a strong basis for young doctors who want to operate in this field. Clinicians encounter obstacles in correctly diagnosing some patients. The physiopathology is sometimes not so obvious and except for a few surgical techniques that are accepted as golden-standards, the rest are still in debate. This book offers a unitary view in this field. It provides an algorithm diagnostic based on Integral Theory System by Peter Petros and also extensive therapeutic solutions. Key features: this book offers a comprehensive overview on pelvic floor disorders; it approaches some strongly debated issues; it proposes some new clinical entities such as “posterior vaginal fornix syndrome” the book is easy-to-read for young doctors who do not have a great experience in this field. surgical techniques are presented in a step-by-step manner, highly illustrated; many of those techniques are described by their inventors The book is divided in 10 chapters, trying to offer a comprehensive view in this field. 1. General considerations In the first chapter there is a short review regarding the importance of this topic. 2. Evolution of “Pelvic floor disorder” concept Pelvic floor disorders include a wide variety of perineal affections that seem to have, as a common denominator, an acquired laxity of the musculoskeletal system, which makes up the pelvic floor. This concept is new and it tries to comprise all the anatomoclinical entities in a standardized way, to facilitate, on one side, the description of the lesions and on the other, to favor scientific communication. 3. Classical anatomy of perineum Broadly, the perineum is anatomically made up of all the soft parts, which caudally define the pelvic excavation. These are represented by fascias, muscles, vessels and nerves, and are crossed by ducts of the urogenital and digestive systems, structures that offer a complex biomechanics, whose understanding is indispensable in a judicial therapeutic approach. 4. Perineal physiology and physiopathology Prof. Peter Papa Petros in collaboration with Prof. Ulf Ulmsten from the University in Uppsala have set the theoretical bases of “Integral Theory System”. As the name suggests, the “Integral Theory System” creates a dynamic and interconnected anatomical background to understand the function and dysfunction of perineum. The “Integral Theory System” defines the pelvic floor as a syncytial system, based on vector equilibrium in which muscles and connective tissue take part and which has a nervous component. The newly formed system represents the sum of all the elements involved. Among them, the connective tissue is the most vulnerable. 5. Clinical and paraclinical diagnosis of pelvic floor disorders Diagnosis of perineal affections, though easy at first sight, implies some subtleties. According to the principles of the Integral Theory System and respecting a principle stated by Mircea Eliade that “there are no illnesses, but only ill people”, each case must be evaluated according to the symptoms that bring the patient to the doctor and these should be correlated with the clinical signs observed during the examination. 6. Conservative treatment of pelvic floor disorders Conservative treatment of pelvic floor disorders practically overlaps the conservative treatment of effort urinary incontinence. Broadly, it also addresses other urinary disorders that can benefit more or less efficiently from conservative therapy. In this chapter following, we will focus on the treatment of effort urinary incontinence. 7. Surgical treatment of pelvic floor disorders The treatment of pelvic floor disorders implies a careful prior assessment. Selection of cases with surgical indication is sometimes problematic, in terms of both postoperative results and comorbidities. Young female patients with minimal anatomical defects and whose symptoms are not very noisy, who eventually want more children, can benefit from conservative treatment. Moreover, alternative treatment options must be sought for elderly patients, who have been treated and in whom surgery is contraindicated. Regardless of the outcome of the objective examination, the most important element is the patient’s perception of her own suffering and consequently the extent to which her quality of life is affected. Surgical treatment should be applied when there is a sufficient degree of morbidity. Complementary measures, such as the treatment of chronic associated diseases, weight loss, smoking cessation, and local estrogen treatment can be considered both conservative treatment and preoperative preparation. 8. Postoperatory complications It is widely accepted that no surgical technique lacks complications and therefore the same can be affirmed about the pelvic floor disorders surgical corrections. We can distinguish two major categories of complications, regardless of the approach: complications related to synthetic materials used and complications regarding the surgical technique used. There are a number of complications whose aetiology is unclear and which are presented in the form of symptoms difficult to classify. A last distinct category, called syndrome of vaginal tightness, will be treated separately, having a specific etiology and pathophysiology. 9. 20th century perspectives The direction in which perineal surgery will develop is hard to predict. In the last ten years, the surgery of uterine prolapse and effort urinary incontinence has seen an important boost. This textbook is trying to open new windows to the future. 10. Bibliography
Category: Medical

Imaging Pelvic Floor Disorders

Author : Jaap Stoker
ISBN : 3540719687
Genre : Medical
File Size : 29.62 MB
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This volume builds on the success of the first edition of Imaging Pelvic Floor Disorders and is aimed at those practitioners with an interest in the imaging, diagnosis and treatment of pelvic floor dysfunction. Concise textual information from acknowledged experts is complemented by high-quality diagrams and images to provide a thorough update of this rapidly evolving field. Introductory chapters fully elucidate the anatomical basis underlying disorders of the pelvic floor. State of the art imaging techniques and their application in pelvic floor dysfunction are then discussed in detail. Additions since the first edition include consideration of the effect of aging and new chapters on perineal ultrasound, functional MRI and MRI of the levator muscles. The closing sections of the book describe the modern clinical management of pelvic floor dysfunction, including prolapse, urinary and faecal incontinence and constipation, with specific emphasis on the integration of diagnostic and treatment algorithms.
Category: Medical

Pelvic Floor Disorders

Author : A. Bourcier
ISBN : UOM:39015061145184
Genre : Medical
File Size : 32.81 MB
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Internationally known experts offer multidisciplinary guidance on the diagnosis and management of the full spectrum of pelvic floor disorders. It covers the diagnosis and clinical assessment of continence mechanisms and sexual dysfunction, as well as conservative management of the lower urinary tract, disorders of anorectal functions and sexual functions, exploring techniques such as electrical stimulation, anti-incontinence devices, and biofeedback. This valuable text also provides information on the management and treatment of a full range of disorders, from childbirth damage and post-prostatectomy incontinence, to neuropathic voiding dysfunction. Reviews normal anatomy and physiology as well as pathophysiology, providing an in-depth understanding of how and why various pelvic floor disorders occur. Covers the complete spectrum of pelvic floor disorders, including childbirth damage · lower urinary tract dysfunction in the female and male · urinary incontinence in the elderly · pelvic organ prolapse · post-prostatectomy incontinence · neurogenic voiding dysfunction · fecal incontinence · defecatory disorders · pediatric urology · male and female sexual dysfunction. Discusses all types of diagnostic approaches, including urodynamics · imaging · MRI · endoscopy · and electrodiagnosis. Conservative treatment is based on different techniques: pelvic floor muscles training · behavioral therapy · biofeedback · electrical stimulation and anti-continence devices. Represents a practical approach to surgery and conservative treatment for the physician and health care professionals and provides practical suggestions on these techniques. Features contributions from urologists, gynecologists, coloproctologists, continence specialists, specialist physical therapists, and nurses, for exceptionally multidisciplinary, well-rounded coverage of every aspect of the field.
Category: Medical

Electrical Stimulation For Pelvic Floor Disorders

Author : Jacopo Martellucci
ISBN : 9783319069470
Genre : Medical
File Size : 59.35 MB
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This book will enable the reader to gain a sound understanding of contemporary and futuristic evidence-based interventions and assessment procedures for pelvic floor disorders. It gathers the experiences of some of the most important experts on electrical stimulation techniques, offering a multidisciplinary and problem-oriented approach organized according to therapeutic goals. Interventions are recommended that are consistent with theory and display clinical efficacy for specific disorders, including urinary incontinence or retention, fecal incontinence, constipation, pelvic pain, sexual dysfunction and neurological diseases involving the pelvic floor. All of the surgical or rehabilitative techniques requiring electrical stimulation for the treatment of these disorders are explored and essential background information is provided on functional anatomy, neurophysiology and concepts in electrotherapy. This volume will be a very useful tool for urologists, general or colorectal surgeons, gynecologists and anesthesiologists and also physiotherapists and alternative medicine practitioners (a specific chapter focuses on electroacupuncture). It will assist in their clinical practice as they seek to help the very many patients who suffer from any of the wide range of functional pelvic floor disorders.
Category: Medical

Imaging Pelvic Floor Disorders

Author : Clive I. Bartram
ISBN : 9783662052068
Genre : Medical
File Size : 78.42 MB
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This book represents a landmark in the development of an imaging subspecialty that crosses the clinical boundaries of urogynaecology and coloproctology. It is the first text to consider the imaging of all pelvic floor disorders, addressing in depth both urinary and faecal incontinence and the various forms of prolapse. The book begins with a magnetic resonance-based review of the anatomy of the pelvic floor and an overview of how it functions; detailed chapters on investigation and treatment then follow, from both a clinical and a radiological perspective.
Category: Medical

Pelvic Floor Dysfunction And Pelvic Surgery In The Elderly

Author : David A. Gordon
ISBN : 9781493965540
Genre : Medical
File Size : 45.35 MB
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This text provides a comprehensive, state of the art review of this field and will serve as a resource for urologists, colorectal surgeons, geriatricians, and gynecologists as well as researchers interested in neuromuscular phenomena in the pelvis. The book also reviews new data regarding risk factors for pelvic floor muscle dysfunction and profiles new minimally invasive surgical strategies for well known pelvic disease processes. Each chapter is chock full of data from landmark trials which have been published over the past few years and placed in context with respect to current management techniques for pelvic floor disorders. Written by experts in their field, Pelvic Floor Dysfunction and Pelvic Surgery in the Elderly: An Integrated Approach provides a concise yet comprehensive summary to help guide patient management.​
Category: Medical

The Female Pelvic Floor

Author : Linda T. Brubaker
ISBN : UOM:39015038030568
Genre : Medical
File Size : 75.96 MB
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This unique book brings together authors from many disciplines to focus on female pelvic floor problems, including the diagnosis and nonsurgical and surgical treatment of urinary and fecal incontinence, difficulties with defecation or urination, prolapse, and constipation. -- A practical guide written by clinicians who care for patients every day -- Information on nonsurgical management of urinary incontinence, vital for perioperative treatment of these patients -- New descriptions of the diagnosis and management of the posterior vaginal wall and anal sphincter, including anal ultrasound -- Covers surgical and nonsurgical treatment of prolapse disorders, including cystocele, rectocele, enterocele, and rectal prolapse -- Includes the perspective of the gynecologist, urologist, colon and rectal surgeon, and others -- Useful for clinicians, students, residents, and fellows
Category: Medical

Ostergard S Urogynecology And Pelvic Floor Dysfunction

Author : Alfred E. Bent
ISBN : 0781770955
Genre : Medical
File Size : 56.93 MB
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The classic reference on female incontinence was updated and revised to become a modern approach to all female pelvic floor dysfunctions, including urinary incontinence, other lower urinary tract conditions, disorders of the anus and rectum, and disorders of pelvic support. The book reviews relevant anatomy, describes the clinical examination and diagnostic tests, and provides current information on the diagnosis, physiology, and medical and surgical treatment of specific disorders. This edition describes many new surgical techniques for correcting incontinence and discusses new drugs and injectables for incontinence. The book also describes the use of biosynthetic material to aid in surgical repair.
Category: Medical

Multidisciplinary Management Of Female Pelvic Floor Disorders

Author : Christopher R. Chapple
ISBN : 9780443072727
Genre : Medical
File Size : 42.19 MB
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This new reference distinguishes itself through its comprehensive presentation of female urology from an international, multidisciplinary perspective. Written by a team of authorities, all world renowned in their respective fields, the book covers the full range of disorders from urinary incontinence and overactive bladder, to fistulae and reconstructive surgery, while paying particular attention to anatomy, pathophysiology and investigations. Takes a multidisciplinary approach to all aspects of the bladder (including DI, sensory disorders, stress incontinence), vagina (prolapse), sexual dysfunction, pelvic pain, pan-pelvic floor pathology, and more. Elucidates difficult concepts through a wealth of full-color illustrations throughout the text. Features a multidisciplinary team of distinguished international authors. Maintains clinical relevance by omitting extraneous discussions of history and basic science. Summarizes the essentials for quick reference through "Key Points Boxes" at the beginning of each chapter. Highlights medical and surgical treatment options in colored boxes for fast reference to critical information. Covers the latest developments in pharmacology to keep you up to date with all available alternatives. Offers a detailed appendix, which lists current ICS guidelines.
Category: Medical

Female Pelvic Floor Disorders

Author : J. Thomas Benson
ISBN : 0393710130
Genre : Medical
File Size : 28.92 MB
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Imaging technologies such as manometry and ultrasound have made possible a deeper understanding of the entire structure and physiology of the female pelvic floor.
Category: Medical

Pelvic Floor Ultrasound

Author : Lewis Chan
ISBN : 9783319043104
Genre : Medical
File Size : 46.66 MB
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There is increasing interest in using ultrasound for assessment of pelvic floor disorders such as voiding dysfunction , pelvic organ prolapse and faecal incontinence. Ultrasound can also be a useful imaging modality for urodynamics and pelvic floor physiotherapy. Whilst ultrasound equipment is widely available around the world many clinicians may not have access to structured training in the technique of pelvic floor imaging and interpretation of images in the context of pelvic floor dysfunction. This book aims to provide the reader with the knowledge and skills to start utilising ultrasound imaging in assessment of pelvic floor disorders. The authors comprise the three surgical disciplines (urology, colorectal surgery and gynaecology) who commonly manage pelvic floor problems and have subspecialty expertise in pelvic floor imaging. They have conducted workshops in Australia, Asia, UK and USA and are advocates for clinican-performed ultrasound.
Category: Medical

Pelvic Floor Re Education

Author : Kaven Baessler
ISBN : 1846285054
Genre : Medical
File Size : 29.53 MB
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This book on pelvic floor re-education provides a comprehensive overview of the subject, along with other aspects of the clinical assessment and management of pelvic floor disorders. It is written for all health care professionals working with women with urogynecological disorders. Practical techniques of muscle assessment and investigative methodologies are reviewed and up-to-date information on anatomy and physiology is discussed. The text is clear, practical, and is written from experience in the field. An algorithmic approach takes the reader through the options for clinical evaluation and treatment.
Category: Medical

Therapeutic Management Of Incontinence And Pelvic Pain

Author : J. Haslam
ISBN : 9781846287565
Genre : Medical
File Size : 44.1 MB
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This 2nd revised edition covers management and treatment of bladder and bowel dysfunctions in men and women, pelvic organ prolapse, issues concerning the elderly, neurologically impaired patients and those with pelvic pain. New chapters cover quality of life, treatment of bladder and bowel dysfunction in children, the history of pelvic floor muscle exercise and manual therapy. The use of real-time ultrasound to evaluate pelvic floor muscle contractility is discussed, and a new section covers ethical issues in the management of incontinence. This is a useful reference and practical guide for health professionals dealing with incontinence and pelvic floor disorders.
Category: Medical

Biomechanics Of The Female Pelvic Floor

Author : Lennox Hoyte
ISBN : 9780128032299
Genre : Technology & Engineering
File Size : 63.76 MB
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Biomechanics of the Female Pelvic Floor, Second Edition, is the first book to specifically focus on this key part of women’s health, combining engineering and clinical expertise. This edited collection will help readers understand the risk factors for pelvic floor dysfunction, the mechanisms of childbirth related injury, and how to design intrapartum preventative strategies, optimal repair techniques, and prostheses. The authors have combined their expertise to create a thorough, comprehensive view of female pelvic floor biomechanics in order to help different disciplines discuss, research, and drive solutions to pressing problems. The book includes a common language for the design, conduct, and reporting of research studies in female PFD, and will be of interest to biomechanical and prosthetic tissue engineers and clinicians interested in female pelvic floor dysfunction, including urologists, urogynecologists, maternal fetal medicine specialists, and physical therapists. Contains contributions from leading bioengineers and clinicians, and provides a cohesive multidisciplinary view of the field Covers causes, risk factors, and optimal treatment for pelvic floor biomechanics Combines anatomy, imaging, tissue characteristics, and computational modeling development in relation to pelvic floor biomechanics
Category: Technology & Engineering