Pelvic Floor Dysfunction (eBook)

A Multidisciplinary Approach

G. Willy Davila, Gamal M. Ghoniem, Steven D. Wexner (Herausgeber)

eBook Download: PDF

2008 | 2009
XIX, 380 Seiten
Springer London (Verlag)
978-1-84800-348-4 (ISBN)

Infos

All the characteristics and driving force of The Cleveland Clinic are to be found in this book on pelvic ?oor function. The Cleveland Clinic is a group practice founded in 1921 on the principles of cooperation,collaboration,and collegiality.Its founders believed that many physicians working together will discover better solutions to medical problems than physicians working in isolation. They believed that the combination of disciplines, with their inherent differences in philosophy and skills, will produce a better outcome than might have evolved singularly. The power of the collaborative approach is on full display in this book. The pelvic ?oor unites three separate organ systems. Before this time, each has been approached individually. Urologists, gynecologists, and colorectal surgeons are each trained in their own disciplines, and the pelvic ?oor is subsumed in these larger ?elds of study. When they combine their focus on the pelvic ?oor, they bring their unique perspectives and different approaches to a common goal: the relief of pelvic ?oor syndromes such as incontinence and pelvic organ prolapse.

Inhalt

Foreword 6
Introduction 8
Contents 10
Contributors 15
Concept of the Pelvic Floor as a Unit 18
Concept of the Pelvic Floor as a Unit 19
Epidemiology and Prevalence 23
Epidemiology of Non-Neurogenic Urinary Dysfunction 24
Bowel Dysfunction 29
Genital Prolapse, Urogenital Atrophy, and Sexual Dysfunction 33
Evaluation 38
Primary Evaluation of the Pelvic Floor 40
Urodynamics 48
Imaging of the Genitourinary Tract in Females 59
Anorectal Physiology 63
Anorectal Ultrasound 68
Neurologic Evaluation of the Pelvic Floor 74
Upper Gastrointestinal Evaluation Related to the Pelvic Floor 78
Anatomic Correlates 80
Urologic Anatomic Correlates 82
Genital Anatomic Correlates 90
Colorectal Anatomic Correlates 99
Sexual Function 104
Female Sexual Dysfunction 105
Incontinence Therapy 114
Device Therapy for Stress Incontinence 116
Medications for Stress Urinary Incontinence 119
Sling/Tension-Free Vaginal Tape 121
Bulking Agents 127
Retropubic Therapy for Stress Incontinence 133
Laparoscopic Surgery for Urodynamic Stress Incontinence 139
Other Therapies for Stress Urinary Incontinence 143
Anal Sphincter Repair 148
Fecal Diversion 155
ACYST8 Secca8 Sacral Nerve Stimulation8 Artificial Bowel Sphincter8 and Stimulated Graciloplasty 158
Case Presentation: Stress Urinary Incontinence/Fecal Incontinence 166
Urgency/Frequency Syndromes Therapy 170
Overactive Bladder: Pharmacologic Therapy 172
Sacral Nerve Stimulation 178
Surgical Management of the Overactive Bladder: Evacuation Disorders 183
Irritable Bowel Syndrome 188
Irritable Bowel-Anismus 190
Prolapse Syndromes Therapy 192
Vaginal Pessaries 194
Vaginal Vault Prolapse Surgery 200
Anterior Vaginal Prolapse 207
Vaginal Enterocele Repair 216
Vaginal Rectocele Repairs 221
Rectal Prolapse Therapy 227
Rectoanal Intussusception, Solitary Rectal Ulcer, and Sigmoidoceles 231
Case Presentation: Prolapse 235
Pain and Irritative Syndromes Therapy 238
Interstitial Cystitis-Painful Bladder Syndrome 240
Painful Conditions of the Urogenital Sinus 247
Anal Pain 253
Pain Localization and Control 255
Acupuncture for Pelvic Floor Dysfunction 259
Evacuation Disorders 262
Conservative Management of Urinary Retention in Women 264
Surgical Management of Urinary Retention 269
Bladder Outlet Obstruction after Anti-Incontinence Surgery/Urethrolysis 275
Conservative Management of Constipation 279
Surgical Management of Constipation 282
Hormonal Influences on the Pelvic Floor 285
Hormonal Influences on the Pelvic Floor 286
Physiotherapeutic Approaches 291
Kegel Exercises and Biofeedback 293
Timed Voiding and Fluid Management 301
Bowel Retraining for Functional Disorders of the Colon, Rectum, and Anus 305
Surgical Therapy: Mutual and Combined Aspects 309
Vesico-Vaginal Fistula 311
Rectovaginal Fistula 315
Enterourinary Fistula 324
Management of Urinary Tract Injuries 326
Combined Versus Sequential Reconstructive Surgeries 330
Severity Assessment 333
Voiding Diary 335
Scoring Systems 340
Quality-of-Life Assessment Tools 345
Index 355

Produkt-Details

• Erscheint lt. Verlag: 23.12.2008
• Zusatzinfo: XIX, 380 p.
• Verlagsort: London
• Sprache: englisch
• Themenwelt: Medizin / Pharmazie ► Medizinische Fachgebiete ► Chirurgie
• Themenwelt: Medizin / Pharmazie ► Medizinische Fachgebiete ► Gynäkologie / Geburtshilfe
• Themenwelt: Medizin / Pharmazie ► Medizinische Fachgebiete ► Urologie
• Schlagworte: Colon • Colorectal Surgery • gastroenterology • Imaging • incontinence • Laparoscopic surgery • Pain • Pelvic Floor • Surgery • Ultrasound • Urinary Incontinence • Urology
• ISBN-10: 1-84800-348-X / 184800348X
• ISBN-13: 978-1-84800-348-4 / 9781848003484