Pelvic Floor Re-Education: Principles and Practice / Edition 1

Pelvic Floor Re-Education: Principles and Practice / Edition 1

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by Schussler, B. Schussler
     
 

Pelvic Floor Re-education encompasses a variety of techniques for increasing the strength of, and control over, the pelvic floor muscles. These techniques are now emerging as an effective and viable alternative to surgery in the treatment of urinary incontinence and related conditions. This volume presents a reasoned, scientific approach to the use of pelvic floor

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Overview

Pelvic Floor Re-education encompasses a variety of techniques for increasing the strength of, and control over, the pelvic floor muscles. These techniques are now emerging as an effective and viable alternative to surgery in the treatment of urinary incontinence and related conditions. This volume presents a reasoned, scientific approach to the use of pelvic floor re-education. Starting with the latest theories on anatomy, pathophysiology and possible causes of pelvic floor damage, the text then describes the importance of pelvic floor evaluation in determining the type of treatment required. A number of re-education techniques are assessed including isolated muscle exercise, vaginal cones, biofeedback control and electrical stimulation. Recent research work is also reviewed which allows the reader to evaluate the different modalities advocated in the management of pelvic floor dysfunction.

Product Details

ISBN-13:
9783540761457
Publisher:
Springer-Verlag New York, LLC
Publication date:
03/28/1997
Edition description:
New Edition
Pages:
190
Product dimensions:
7.60(w) x 10.63(h) x (d)

Table of Contents

Preface
Introduction: Pelvic Floor Re-education - What does it mean?1
1Anatomy and function of the pelvic floor muscle7
1.1Functional anatomy of the pelvic floor and urinary continence mechanism9
1.2Innervation22
1.3Histomorphology of pelvic floor muscle28
1.4Summary and paramount: anatomy and physiology of the pelvic floor34
2Evaluation of the pelvic floor37
2.1Aims of pelvic floor evaluation39
2.2Clinical evaluation of the pelvic floor42
2.3Q-tip testing49
2.4The role of urodynamics in pelvic floor re-education51
2.5Ultrasound64
2.6Radiological evaluation of the pelvic floor and viscera75
2.7Magnetic resonance imaging (MRI) of the pelvic floor78
2.8Electrophysiology83
2.9Pelvic floor biopsy98
3Childbirth and pelvic floor damage103
3.1The pelvic floor before and after delivery105
3.2Delivery and urethral sphincter incompetence111
4Pelvic floor re-education119
4.1Aims of pelvic floor re-education
4.1.1Prophylaxis of pelvic floor insufficiency121
4.1.2Treatment of stress urinary incontinence123
4.1.3Treatment of sexual dysfunction126
4.1.4Treatment of anal sphincter incompetence129
4.2Selection of patients132
4.3Techniques
4.3.1Isolated muscle exercises134
4.3.2Vaginal cones139
4.3.3Electrical stimulation143
4.3.4Biofeedback control153
4.4Clinical results
4.4.1Isolated muscle exercise157
4.4.2Vaginal cones160
4.4.3Neuromuscular electrical stimulation163
4.4.4Interferential therapy168
4.4.5Concept of an individualised combined pelvic floor re-education programme169
4.4.6Long-term results176
4.4.7Postpartum treatment179
Appendix183
Index185

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