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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.
This book on 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. It is written for all health care professionals working with women with urogynecological disorders. Practical techniques of muscle assessment and investigative methodologies are reviewed and up-to-date information on anatomy and physiology is discussed. The text is clear, practical, and is written from experience in the field. An algorithmic approach takes the reader through the options for clinical evaluation and treatment.
This book collects valuable studies in the field of pelvic medicine, reflecting the latest technologies and innovations for maintaining pelvic floor health and managing incontinence and pelvic floor disorders in both men and women. It provides an authoritative and multidisciplinary perspective from Mediterranean experts in the field, mainly focusing on obstetrics and gynecology, urogynecology, urology, female urology, colorectal surgery, and physiotherapy. Collecting innovative ideas and studies based on recent developments, with detailed background information, the book will shed new light on the subject and serve as a valuable reference guide for graduate students, researchers, and practicing professionals interested in continence and pelvic floor management.
Addressing the most commonly asked questions about incontinence, this accessible reference discusses causes, types of incontinence, and how the condition is diagnosed. The wide range of treatment options is introduced, from pelvic floor therapy and bladder training to electrical stimulation, medications, and surgeries. Eleven million women in the U.S. are coping with urinary incontinence—half of whom are too embarrassed to discuss the matter with their doctors—and this guidebook provides encouragement, showing that in more than 80 percent of cases, treatment can improve or even cure the problem.
The second edition of this text reviews the prevention, evaluation and management of complications arising from female pelvic surgery. As the field has advanced and now become its own recognized subspeciality offering Board Certification there is even more interest in this area. This edition provides more specific detail of potential complications of robotic female pelvic surgery, different categories of midurethral slings and specific transvaginal apical procedures. There are unique complications based on the specific mode of sling placement or apical repair and they are further subdivided in this text. Potential complications of both routine and specialized vaginal procedures such as transvaginal slings, cystocele and rectocele repairs, urethral diverticulectomy, and transvaginal mesh repairs are reviewed. The chapters are divided by procedure allowing the reader to easily find what they are looking for. Images and diagrams of methods of evaluation and repair of these complications are included. The second edition of Complications of Female Incontinence and Pelvic Reconstructive Surgery should serve as a reference allowing the surgeon quick and ready access to information about the complications of female pelvic surgery procedures – including detail on how to prevent, identify and manage them.
Regaining Bladder Control: For Incontinence on Exertion or Following Pelvic Surgery focuses on exercises, treatment, and recommendations for the management of stress incontinence. The book highlights the need for patients to do self-disciplined muscular exercises to aid them in their treatment. The manuscript first elaborates on exertion (or stress) incontinence, an approach to cure, cause of the trouble, and structures of the pelvic area. The publication also stresses the need to regain command over the bladder under stress, basic exercises for the pelvic floor muscles, exercises for the pelvic floor, plus the stabilizing postural muscles on the outer side of the pelvis, and protective clothing. The conditions having a detrimental effect on the supports of the bladder are also discussed. The book examines day-to-day breathing, constipation, and overweight. The treatment procedures for these health problems are underscored. The text is a valuable source of data for researchers interested in pursuing further studies in stress incontinence.
This book provides the most up-to-date and comprehensive aspects of evaluation and therapy of female pelvic floor dysfunction. It is edited by well-known international surgeons with clinical practices within one tertiary referral institution, the Pelvic Floor Center at Cleveland Clinic Florida in Weston (Fort Lauderdale), Florida which serves as a National and International referral center for women with symptomatic pelvic floor problems. Recognized worldwide for its excellence, Cleveland Clinic departments of Gynecology, Urology, and Colorectal Surgery have combined their expertise in producing this text. Focused on urinary incontinence & other voiding dysfunctions, fecal incontinence & other distal gastroenterologic problems, genital and rectal prolapse, & other recognized pelvic floor problems, the book should be of great interest to the practicing Gynecologist/Urogynecologist, Urologist, and Colorectal Surgeon as well as Sexual Dysfunction specialist, Gastroenterologist and Physical Therapist.
In this book we have expert urologists and gynaecologists on the two sides of the Atlantic working together with a common interest, the inadequate female urethra. What makes this volume so valuable is that it is not restricted to one speciality or one cult, but bravely (and systematically) presents established principles and practice. Not only is the current knowledge of the anatomy and function of the continence mech anisms defined by experts carefully selected by the two authorities in the field, but this infor mation is directly applied to clinical problems for the reader to use in the care of patients. Because the basics are presented first, and followed by the methods of diagnosis, the sec tions describing each form of treatment, whether medical or surgical, are set on rational bases. These are not cookbook directions. This background is especially valuable because the incontinent female usually has a complicated disorder, each case being different, so that the responsible gynaecologists or urologists must apply as much understanding as technique if their efforts are to achieve dryness. The clear descriptions and illustrations in this book, then, act as guides as much as directives. This second edition builds on the success of the first. All of us trying to help these unfortu nate women will do more for them from having this new edition at hand.
The inclusion of biofeedback assisted pelvic floor muscle education (PFME) (administered via electromyography sensors or a rectal pressure probe) for men to assist with resolution of urinary incontinence due to resection of the prostate has shown promising outcomes from the current literature. Re-gaining partial urinary continence after surgery is possible with most men, however, the chances of fully re-gaining ability to control the bladder is dependent upon many variables. The compliance with a home exercise program (HEP), the degree of continence the patient had prior to surgery, the surgical expertise and technique, the number of biofeedback treatments, the time-frame between surgery and treatment, and other measures such as conflicting medications, dementia and neurological impairments or injuries (which are typically excluded in studies) all have a large effect on the patient's recovery. The specifics of all these variables have yet to be defined and need to be included with future research in this area. Furthermore, the need for research with higher overall scores of statistical validity and study strength are also needed to set any gold standards for the treatment of urinary incontinence in men following surgical prostate removal.