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.
SECTION I Pelvic Floor Anatomy 1 State of the Art of Pelvic Floor Anatomy 2 Musco-Elastic Theory of Pelvic Floor Function 3 The Pathophysiology of the Pelvic Floor Basic Physiology, Effects of Ageing and Menopausal Changes 4 Neurocontrol of the Pelvic Floor 5 Clinical Neurophysiology of the Pelvic Floor Invited commentary SECTION II Sonographic Anatomy of the Pelvic Floor Introduction Endosonographic Anatomy of the Normal Pelvic Floor 6 3-D Endovaginal Ultrasonography 7 3- and 4-D Transperineal Ultrasonography 8 3-D Endoanal and Endorectal Ultrasonography 9 Technical Innovations in Ultrasonography Invited commentary MR Anatomy of the Normal Pelvic Floor 10 MR imaging of Pelvic Floor 11 Technical Innovations in MRI Invited commentary SECTION III Pelvic Floor Damage due to Childbirth Introduction 12 Mechanisms of Pelvic Floor Trauma During Vaginal Delivery 13 Posterior Compartment Disorders and Obstetric Trauma 14 Prevention of Perineal Trauma Invited commentary Invited commentary SECTION IV Urinary Incontinence and Voiding Dysfunction Introduction Investigation 15 Ultrasonographic Assessment 16 Urodynamic Evaluation Invited commentary Management 17 Tapes Positioning 18 Selection of Mid-urethral sling for which patient 19 Injectable Biomaterials 20 Artificial Sphincter 21 Sacral Neuromodulation Invited commentary 22 Biofeedback 23 Medical Treatment of Urinary Incontinence, Urinary Retention and Overactice Bladder Invited commentary SECTION V Fecal Incontinence Introduction Investigation 24 3-D Endoluminal Ultrasonography 25 Transperineal Ultrasonography 26 MR Imaging Invited commentary 27 Anorectal Manometry Invited commentary Management 28 Sphincter Repair and Postanal Repair 29 Graciloplasty 30 Radiofrequency and Injectable Biomaterials 31 Artificial Bowel Sphincter 32 Sacral Neuromodulation 33 Future Treatment Invited commentary Invited commentary 34 Biofeedback 35 Medical Treatment Invited commentary SECTION VI Pelvic Organ Prolapse Introduction Investigation 36 Imaging as a Key to Understand Causes of Pelvic Floor Disorders 37 3-D Endoluminal Ultrasonography 38 Dynamic and 3-D/4-D Transperineal Ultrasonography 39 Cystography and Defecography 40 Magnetic Resonance Imaging and Dynamic MRI Invited commentary Invited commentary 41 Anorectal Manometry Invited commentary Management 42 Management of Pelvic Floor Disorders Unitary or Multidisciplinary Approach? 43 Abdominal Approach to Uro-Genital Prolapse 44 The Perineal Approach to Uro-Genital Prolapse 45 The Laparoscopic Approach to Uro-Genital Prolapse 46 Total Pelvic Floor Reconstruction Invited commentary 47 The Abdominal Approach to Rectal Prolapse 48 The Perineal Approach to Rectal Prolapse Invited commentary 49 The Laparoscopic Approach to Rectal Prolapse Invited commentary 50 Pelvic Floor Rehabilitation 51 Medical Treatment of Irritable Bowel Sindrome, Anismus and Constipation Invited commentary SECTION VII Pelvic Pain Introduction 52 Painful Bladder Syndrome 53 Painful Conditions of the Urogenital Compartment 54 Ano-Rectal Pain 55 Trigger Points and Biofeedback in Managing Pelvic Pain 56 Chronic pelvic pain: a different perspective Invited commentary Invited commentary SECTION VIII Fistula Introduction 57 Vesico-Vaginal and Urethro-Vaginal Fistulas 58 Recto-Vaginal Fistulas 59 Anorectal Fistulas Invited commentary Invited commentary SECTION IX Failure or Recurrence after Surgical Treatment What to do When it all Goes Wrong Introduction 60 Investigation and Management of Complications after Urogynecological Surgery 61 Investigation and Management of Complications after Coloproctological Surgery Invited commentary Invited commentary Invited commentary INDEX
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