The second edition of Pelvic Floor Re-education provides a comprehensive overview of the subject, along with other aspects of the clinical assessment and management of pelvic floor disorders.
Starting with the latest theories on the anatomy, pathophysiology, and possible causes of pelvic floor damage, the importance of pelvic floor evaluation is looked at in order to determine the type of treatment required. Practical techniques of muscle assessment and investigative methodologies are reviewed and up-to-date information on anatomy and physiology is discussed. An algorithmic approach takes the reader through the options for clinical evaluation and treatment. Several re-education techniques are assessed for pelvic floor dysfunction, including isolated muscle exercise, vagina cones, biofeedback control, and electrical stimulation.
This practical book is invaluable reading for all healthcare professionals working with incontinent patients, particularly urogynecologists, obstetricians, gynecologists, and physiotherapists. It also provides a comprehensive but readable source for residents and trainees interested in the scientific and clinical fundamentals of pelvic floor re-education.
Author(s): Daniele Perucchini MD, John O. L. DeLancey MD (auth.), Kaven Baessler MD, Kathryn L. Burgio PhD, Peggy A. Norton MD, Bernhard Schüssler MD, PhD, Kate H. Moore MBBS, MD, FRCOG, FRANZCOG, CU, Stuart L. Stanton FRCS, FRCOG, FRANZCOG(Hon) (eds.)
Edition: 2
Publisher: Springer-Verlag London
Year: 2008
Language: English
Pages: 272
Tags: Gynecology; Urology/Andrology; Physiotherapy; Nursing; Human Physiology
Front Matter....Pages i-xiii
Front Matter....Pages 1-1
Functional Anatomy of the Pelvic Floor and Lower Urinary Tract....Pages 3-21
Neural Control of Pelvic Floor Muscles....Pages 22-35
The Effects of Pregnancy and Childbirth on the Pelvic Floor....Pages 36-48
Muscle Function and Ageing....Pages 49-61
Urinary Incontinence and Voiding Dysfunction....Pages 62-70
Pelvic Organ Prolapse....Pages 71-74
Anal Incontinence, Constipation, and Obstructed Defecation....Pages 75-82
Overactive Pelvic Floor Muscles and Related Pain....Pages 83-88
Front Matter....Pages 89-89
Clinical Evaluation of the Pelvic Floor Muscles....Pages 91-104
Examination of Patients with Pelvic Organ Prolapse....Pages 105-108
Urodynamics....Pages 109-119
Applying Urodynamic Findings to Clinical Practice....Pages 120-123
Anorectal Physiology....Pages 124-134
Ultrasound Imaging....Pages 135-143
Magnetic Resonance Imaging....Pages 144-154
Electrophysiology....Pages 155-161
Outcome Measures in Pelvic Floor Rehabilitation....Pages 162-174
Front Matter....Pages 175-175
Concepts of Neuromuscular Rehabilitation and Pelvic Floor Muscle Training....Pages 177-183
Exercise, Feedback, and Biofeedback....Pages 184-189
Electrical Stimulation....Pages 190-195
Front Matter....Pages 175-175
Extracorporeal Magnetic Stimulation....Pages 196-200
Devices....Pages 201-207
Alternative Methods to Pelvic Floor Muscle Awareness and Training....Pages 208-212
Front Matter....Pages 213-213
Behavioral Treatment....Pages 215-220
Stress Urinary Incontinence....Pages 221-227
Evidence for the Effectiveness of Pelvic Floor Muscle Training in the Treatment and Antenatal Prevention of Female Urinary Incontinence....Pages 228-234
Postpartum Management of the Pelvic Floor....Pages 235-241
Role of a Perineal Clinic....Pages 242-245
Overactive Bladder....Pages 246-252
Sexual Dysfunction and the Overactive Pelvic Floor....Pages 253-258
Anal Incontinence and Evacuation Difficulties....Pages 259-266
Incontinence During Sports and Fitness Activities....Pages 267-270
Pelvic Organ Prolapse — Pessary Treatment....Pages 271-277
Front Matter....Pages 279-279
Stress Urinary Incontinence: Choice of Surgery....Pages 281-284
Genital Prolapse: Surgery for Failed Conservative Treatment....Pages 285-288
The Anal Sphincter....Pages 289-292
Back Matter....Pages 293-302
