Dramatic improvement in imaging techniques (3D ultrasonography, dynamic magnetic resonance) allows greater insight into the complex anatomy of the pelvic floor and its pathological modifications.Obstetrical events leading to fecal and urinary incontinence in women, the development of pelvic organ prolapse, and mechanism of voiding dysfunction and obstructed defecation can now be accurately assessed, which is fundamental for appropriate treatment decision making. This book is written for gynecologists, colorectal surgeons, urologists, radiologists, and gastroenterologists with a special interest in this field of medicine. It is also relevant to everyone who aspires to improve their understanding of the fundamental principles of pelvic floor disorders.
Author(s): John O. L. DeLancey MD, S. Abbas Shobeiri MD (auth.), Giulio Aniello Santoro, Andrzej Paweł Wieczorek, Clive I. Bartram (eds.)
Edition: 1st Edition.
Publisher: Springer Milan
Year: 2010
Language: English
Pages: 760
Tags: Imaging / Radiology
Front Matter....Pages I-XXXI
Front Matter....Pages 1-1
State of the Art Pelvic Floor Anatomy....Pages 3-15
The Integral Theory: A Musculo-elastic Theory of Pelvic Floor Function and Dysfunction....Pages 17-23
Pathophysiology of the Pelvic Floor: Basic Physiology, Effects of Ageing, and Menopausal Changes....Pages 25-32
The Pelvic Floor: Functional Concepts and Neurocontrol....Pages 33-42
Clinical Neurophysiology of the Pelvic Floor....Pages 43-55
Front Matter....Pages 57-57
Pelvic Floor Imaging: Introduction....Pages 59-60
Endovaginal Ultrasonography: Methodology and Normal Pelvic Floor Anatomy....Pages 61-78
Translabial Ultrasonography: Methodology and Normal Pelvic Floor Anatomy....Pages 79-89
Endoanal and Endorectal Ultrasonography: Methodology and Normal Pelvic Floor Anatomy....Pages 91-102
Technical Innovations in Pelvic Floor Ultrasonography....Pages 103-114
Invited Commentary....Pages 115-116
Magnetic Resonance Imaging: Methodology and Normal Pelvic Floor Anatomy....Pages 117-123
Technical Innovations in Magnetic Resonance Imaging of the Pelvic Floor....Pages 125-130
Invited Commentary....Pages 131-132
Front Matter....Pages 133-133
Pelvic Floor Damage Due to Childbirth: Introduction....Pages 135-135
Mechanisms of Pelvic Floor Trauma During Vaginal Delivery....Pages 137-141
Posterior Compartment Disorders and Management of Acute Anal Sphincter Trauma....Pages 143-153
Prevention of Perineal Trauma....Pages 155-162
Invited Commentary....Pages 163-164
Invited Commentary....Pages 165-166
Front Matter....Pages 167-167
Urinary Incontinence and Voiding Dysfunction: Introduction....Pages 169-173
Ultrasonography....Pages 175-187
Invited Commentary....Pages 189-189
Urodynamics....Pages 191-205
Invited Commentary....Pages 207-209
Tape Positioning....Pages 211-217
Selection of Midurethral Slings for Women with Stress Urinary Incontinence....Pages 219-234
Injectable Biomaterials....Pages 235-240
Artificial Urinary Sphincter in Women....Pages 241-248
Sacral Nerve Stimulation....Pages 249-252
Invited Commentary....Pages 253-254
Biofeedback....Pages 255-270
Medical Treatment of Urinary Incontinence, Urinary Retention, and Overactive Bladder....Pages 271-276
Invited Commentary....Pages 277-277
Front Matter....Pages 279-279
Fecal Incontinence: Introduction....Pages 281-284
Three-dimensional Endoluminal Ultrasonography....Pages 285-296
Transperineal Ultrasonography....Pages 297-303
Magnetic Resonance Imaging....Pages 305-311
Invited Commentary....Pages 313-314
Anorectal Manometry....Pages 315-318
Front Matter....Pages 279-279
Invited Commentary....Pages 319-320
Sphincter Repair and Postanal Repair....Pages 321-330
Dynamic Graciloplasty....Pages 331-335
Radiofrequency Energy and Injectable Biomaterials....Pages 337-340
Artificial Bowel Sphincter....Pages 341-347
Sacral Neuromodulation....Pages 349-353
Future Treatment....Pages 355-360
Invited Commentary....Pages 361-363
Biofeedback....Pages 365-369
Medical Treatment....Pages 371-373
Invited Commentary....Pages 375-376
Front Matter....Pages 377-378
Pelvic Organ Prolapse: Introduction....Pages 379-383
Imaging as a Key to Understanding the Causes of Pelvic Organ Prolapse....Pages 385-388
Endoluminal Ultrasonography....Pages 389-403
Translabial Ultrasonography....Pages 405-428
Cystography and Defecography....Pages 429-434
Magnetic Resonance Imaging....Pages 435-442
Invited Commentary....Pages 443-444
Invited Commentary....Pages 445-446
Anorectal Manometry....Pages 447-449
Front Matter....Pages 377-378
Invited Commentary....Pages 451-451
Management of Pelvic Organ Prolapse: a Unitary or Multidisciplinary Approach?....Pages 453-456
The Abdominal Approach to Urogenital Prolapse....Pages 457-466
The Perineal Approach to Urogential Prolapse....Pages 467-472
The Laparoscopic Approach to Pelvic Floor Surgery....Pages 473-484
Total Pelvic Floor Reconstruction....Pages 485-491
Invited Commentary....Pages 493-495
The Abdominal Approach to Rectal Prolapse....Pages 497-508
The Perineal Approach to Rectal Prolapse....Pages 509-514
Invited Commentary....Pages 515-519
The Laparoscopic Approach to Rectal Prolapse....Pages 521-527
Invited Commentary....Pages 529-529
Pelvic Floor Muscle Training in Prevention and Treatment of Pelvic Organ Prolapse....Pages 531-537
Medical Treatment of Irritable Bowel Syndrome, Constipation, and Obstructed Defecation....Pages 539-543
Invited Commentary....Pages 545-546
Front Matter....Pages 547-547
Pelvic Pain: Introduction....Pages 549-549
Painful Bladder Syndrome....Pages 551-562
Pelvic Pain Associated with a Gynecologic Etiology....Pages 563-577
Pelvic Pain Associated with a Coloproctologic Etiology....Pages 579-592
Surface Electromyography and Myofascial Therapy in the Management of Pelvic Pain....Pages 593-607
Front Matter....Pages 547-547
Chronic Pelvic Pain: A Different Perspective....Pages 609-613
Invited Commentary....Pages 615-616
Invited Commentary....Pages 617-618
Front Matter....Pages 619-619
Fistula: Introduction....Pages 621-626
Urogenital Fistulae....Pages 627-633
Rectovaginal Fistulae....Pages 635-654
Anorectal Fistulae....Pages 655-676
Invited Commentary....Pages 677-677
Invited Commentary....Pages 679-684
Front Matter....Pages 685-685
Failure or Recurrence after Surgical Treatment: Introduction....Pages 687-694
Imaging and Management of Complications of Urogynecologic Surgery....Pages 695-710
Invited Commentary....Pages 711-712
Investigation and Management of Complications after Coloproctological Surgery....Pages 713-723
Invited Commentary....Pages 725-726
Invited Commentary....Pages 727-729
Back Matter....Pages 731-736
