Pub. Date:
Elsevier Health Sciences


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Edited and written by multidisciplinary teams of coloprocologists, urologists, gynecologists and neurologists, this clinically focused resource covers the pelvic floor in both health and disease states. An evidence-based approach to management of problems is adopted throughout. The text is augmented by a plethora of illustrations, photgraphs, summary tables and boxes, together with helpful management algorithms that summarize treatment pathways for all common clinical problems of the pelvic floor.

• Clinically focussed on the care and management of the patient
• Accessible - contains many tables and summary boxes to help the reader get fast access to the answer.
• The first chapter provides invaluable management algorithms for all common pelvic floor problems
• Chapters are written by multidisciplinary teams of coloproctologists, urologists, neurologists and gynecologists, to reflect the way patients are treated in practice.
• International line-up of contributors and coverage of treatment issues
• Comprehensively illustrated with black-and-white photographs and a specially commissioined artwork program.

Product Details

ISBN-13: 9780702023071
Publisher: Elsevier Health Sciences
Publication date: 01/28/2002
Pages: 504
Product dimensions: 7.76(w) x 9.98(h) x 1.16(d)

Table of Contents

Section 1 - Algorithms. Algorithms.

Section 2 - The Normal Pelvic Floor A) Anterior Pelvic Floor.The Female Genito-Urinary System. Urinary Storage and Voiding. Childbirth. B) Posterior Pelvic Floor. Colon, Rectum, Anus, Anal Sphincters and the Pelvic Floor. Defecation and Fecal Continence. Colonic Motility and Colonic Function. Neural Mechanisms in Pelvic Floor and Sphincter Function.

Section 3 - Investigation of Pelvic Floor Dysfunction. A) Anterior Pelvic Floor. Investigation of Pelvic Floor Dysfunction: Anterior Pelvic Floor; Clinical Features. Voiding Studies. Imaging of the Bladder and Urethra. Electrophysiology of the Anterior Pelvic Floor and Urinary Sphincters. B) Posterior Pelvic Floor. Clinical Features. Anal Manometry and Colo-Anal Motility Studies. Imaging the Colon and Rectum. Electrophysiology of the Posterior Pelvic Floor and Anal Sphincters. C) Reflex Responses. Pelvic Floor Reflexes in the Assessment of Pelvic Floor Disorders.

Section 4 - Pathophysiology and Management of Pelvic Floor Disorders. A) Prolapse and the Pelvic Floor. Urogenital Prolapse. Rectal Prolapse. B) Urinary Voiding Disorders. Dysfunctional Voiding and Urinary Retention. Bladder Dysfunction in Neurological Disorders. C) Disorders of Defecation. Constipation. Irritable Bowel Syndrome. Fecal Incontinence. Solitary Rectal Ulcer, Rectocele, Hemorrhoids, and Pelvic Pain. Anorectal Dysfunction in Neurological Disorders. Biofeedback in Pelvic Floor Disorders.

Section 5 - Consequences of Pelvic Floor Dysfunction and Its Treatment. Prevention and Management in Pelvic Floor Disorders. The Application of Theory to Surgical Practice in Pelvic Floor Disorders. Effects of Pelvic Floor Surgery. Psychological Aspects of Pelvic Floor Disorders.

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