A Woman's Guide to Pelvic Health: Expert Advice for Women of All Ages

Overview

In A Woman?s Guide to Pelvic Health a urologist and a physical therapist offer expert and reassuring advice to women. For example, one of every four women suffers from urinary incontinence, the involuntary leakage of urine. Elizabeth E. Houser and Stephanie Riley Hahn want these women to know that they do not have to cope in silence with this embarrassing problem, limit their lifestyle, or spend thousands of dollars on adult diapers.

Symptoms involving the pelvic floor, ...

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Overview

In A Woman’s Guide to Pelvic Health a urologist and a physical therapist offer expert and reassuring advice to women. For example, one of every four women suffers from urinary incontinence, the involuntary leakage of urine. Elizabeth E. Houser and Stephanie Riley Hahn want these women to know that they do not have to cope in silence with this embarrassing problem, limit their lifestyle, or spend thousands of dollars on adult diapers.

Symptoms involving the pelvic floor, including urinary incontinence, pelvic organ prolapse, and decreased sexual sensation, can occur at any age. A wide range of treatments, such as targeted exercises, nutrition, and acupuncture, as well as medications and surgical approaches, can bring relief. Case studies and illustrations help readers explore the cause of their own symptoms and how treatments work. A Woman's Guide to Pelvic Health encourages women to address their pelvic floor issues and reclaim their lives.

Johns Hopkins University Press

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Editorial Reviews

Library Journal
Medical problems related to the pelvic floor—incontinence, organ prolapse, and decreased sexual sensation—are very common among women, but many are too embarrassed to seek treatment. Houser, a urologist, and Hahn, a physical therapist specializing in pelvic floor disorders, have an encouraging message for these women: pelvic floor conditions can be treated, sometimes without surgery. Their book begins with an introduction to pelvic floor anatomy, followed by chapters on stress incontinence, overactive bladder and urge incontinence, mixed incontinence, pelvic organ prolapse, and decreased sexual sensation. Each of these chapters begins with a short patient story followed by an introduction to the condition and how common it is, causes, symptoms, risk factors, and treatments. Remaining chapters address various types of treatments: exercises for pelvic floor muscles; other conservative treatments like medication, acupuncture, and behavior and diet modification; and surgeries. Side effects and success rates are included for each treatment. The detailed pelvic floor exercise program is especially useful. VERDICT The authors combine an upbeat, positive tone with detailed, understandable descriptions of pelvic floor disorders and treatment options. Highly recommended for any woman suffering from one of these disorders.—Janet Crum, City of Hope Lib., Duarte, CA
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Product Details

  • ISBN-13: 9781421406923
  • Publisher: Johns Hopkins University Press
  • Publication date: 10/25/2012
  • Series: A Johns Hopkins Press Health Book
  • Pages: 224
  • Sales rank: 787,060
  • Product dimensions: 5.40 (w) x 8.40 (h) x 0.70 (d)

Meet the Author

Elizabeth E. Houser, M.D., is a urologist in Austin, Texas. Stephanie Riley Hahn, P.T., is a physical therapist in Austin, Texas.

Johns Hopkins University Press

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Read an Excerpt

The compassionate, practical information packed in this book will help you start jogging down that road to a healthier, drier you. —Jill Grimes

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Table of Contents

Foreword Jill Crimes, M.D. xi

Acknowledgments xiii

Chapter 1 Anatomy and Pelvic Floor Health 1

Is This You? 1

What's Happening with Your Pelvic Floor? 3

What Is Your Pelvic Floor IQ? 4

Meet Your Pelvic Floor 7

Chapter 2 Stress Urinary Incontinence 13

MY STORY: Recovery from Stress Urinary Incontinence 13

Stress Urinary Incontinence: No Laughing Matter 15

What You Need to Know about Stress Urinary Incontinence 18

Chapter 3 Overactive Bladder and Urge Urinary Incontinence 31

MY STORY: Recovery from Overactive Bladder and Urge Urinary Incontinence 31

Overactive Bladder and Urge Urinary Incontinence: The Surprising Flood 33

What You Need to Know about Overactive Bladder and Urge Urinary Incontinence 36

Chapter 4 Mixed Urinary Incontinence 54

MY STORY: Recovery from Mixed Urinary Incontinence 54

Mixed Urinary Incontinence: The Best and Worst of Both Worlds 55

What You Need to Know about Mixed Urinary Incontinence 57

Chapter 5 Pelvic Organ Prolapse 63

MY STORY: Recovery from Pelvic Organ Prolapse 63

Pelvic Organ Prolapse: The Name Says It All 65

What You Need to Know about Pelvic Organ Prolapse 66

Chapter 6 Decreased Sexual Sensation 77

MY STORY: Recovery from Decreased Sexual Sensation 77

Decreased Sexual Sensation: You Can Do Something about It 78

What You Need to Know about Decreased Sexual Sensation 81

Chapter 7 At-Home Pelvic Floor Muscle Exercise Program 89

Why Pelvic Floor Muscle Exercise Programs Sometimes Fail 89

A Pelvic Floor Muscle Exercise Program That Works 90

Pelvic Floor Muscle Exercises Really Are Effective 91

Pelvic Floor Muscle Exercise Program Requirements 93

How to Do a Correct Pelvic Floor Muscle Contraction 94

Testing Phase: Test the Strength of Your Pelvic Floor Muscles 96

The Five F's of a Fit Pelvic Floor 103

Frequently Asked Questions about the Five F's Program 103

F#1 Focused and Fast Pelvic Floor Muscle Contractions 107

F#2 Functional Pelvic Floor Muscle Contractions 114

F#3 Freedom Pelvic Floor Muscle Contractions 120

F#4 Fun Pelvic Floor Muscle Contractions (in the Bedroom) 122

F#5 Future Pelvic Floor Muscle Contractions 124

Chapter 8 Additional Conservative Treatments 126

Pelvic Floor Retraining Guided by a Specialist (plus Biofeedback) 128

Medication 130

Behavior and Diet Modifications Plus Weight Management 134

Acupuncture 140

Percutaneous Tibial Nerve Stimulation 141

Vaginal Pessaries 142

Urethral Dilation 144

Chapter 9 Surgical Solutions 145

General Principles and Precautions with Transvaginal Surgery 146

General Considerations for Incontinence Surgeries 149

Transobturator Tape 150

Tension-Free Vaginal Tape 153

Pubovaginal Sling Procedures 156

Burch Procedure 159

Marshall-Marchetti-Krantz Procedure 161

General Considerations for Pelvic Organ Prolapse Surgeries 163

Cystocele Repair 163

Rectocele Repair 165

Enterocele Repair 167

Vaginal Vault Repair, or Sacral Colpopexy 169

Uterine Suspension Procedures 171

Hysterectomy 172

Sacral Neuromodulation 172

Additional Resources 175

References 179

Index 197

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