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Doody's Review ServiceReviewer: Julie Sossaman, MD (Ochsner Clinic Foundation)
Description: This book first describes the anatomy and imaging of the pelvic floor, then treatment of pelvic floor disorders. This is an update of the 2003 edition.
Purpose: It provides an overview of techniques for imaging of the pelvic floor and describes clinical management of pelvic floor disorders.
Audience: This is an advanced book, aimed at radiologists or clinicians involved in diagnosing and treating patients with pelvic floor disorders.
Features: This is an excellent review of pelvic floor anatomy, including images. The authors describe techniques and interpretation of evacuation proctography, dynamic cystoproctography, functional MR imaging, and MR endoluminal imaging. There are also thorough discussions of urodynamics, urinary and anal incontinence, constipation, and prolapse accompanied by high quality MR and ultrasound images of both normal anatomy and pathology.
Assessment: This is high quality book that will be useful to any physician involved in the care of patients with pelvic floor disorders. The second edition includes a new discussion on the effect of aging on the pelvic floor. The technique of perineal ultrasound has been added and there are expanded sections on emerging techniques in MR imaging. As management of pelvic floor disorders has evolved, so must our ability to evaluate and diagnose these disorders. This book introduces radiologists to newer techniques to evaluate patients with these clinical problems.