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Considering prostate adenocarcinoma, the cancer of higher incidence in men, having as treatment of choice the prostatectomy, and the high prevalence of urinary incontinence (UI) and erectile dysfunction (ED) after the surgery, the physiotherapy becomes an eligible treatment for such alterations. The rehabilitation of post-prostatectomy effort urinary incontinence is considered a recommendation grade B. Erectile dysfunction has as its first line of treatment penile vacuum therapy. Pelvic health physical therapy has as its main tool the rehabilitation of the pelvic floor muscles (PFM), which can be assisted by biofeedback and electrotherapy. The training of these muscles accelerates the recovery process of post-prostatectomy stress urinary incontinence and has greater therapeutic relevance when the physiotherapeutic treatment is initiated in the pre-surgical period. Post-micturition dribble is also treated by training the pelvic floor muscles. Urinary urgency, associated or not with incontinence, can be treated with electrotherapy, which is considered second or third line of treatment. Erectile rehabilitation has two physical resources of treatment, physical therapy, one through the vacuum and the other of the shock wave. Both penile vacuum therapy and shock wave therapy are considered the first line of treatment in the approach to erectile dysfunction.
Bridging the gap between evidence-based research and clinical practice, Physical Therapy for the Pelvic Floor has become an invaluable resource to practitioners treating patients with disorders of the pelvic floor. The second edition is now presented in a full colour, hardback format, encompassing the wealth of new research in this area which has emerged in recent years. Kari Bø and her team focus on the evidence, from basic studies (theories or rationales for treatment) and RCTs (appraisal of effectiveness) to the implications of these for clinical practice, while also covering pelvic floor dysfunction in specific groups, including men, children, elite athletes, the elderly, pregnant women and those with neurological diseases. Crucially, recommendations on how to start, continue and progress treatment are also given with detailed treatment strategies around pelvic floor muscle training, biofeedback and electrical stimulation. aligns scientific research with clinical practice detailed treatment strategies innovative practice guidelines supported by a sound evidence base colour illustrations of pelvic floor anatomy and related neuroanatomy/ neurophysiology MRIs and ultrasounds showing normal and dysfunctional pelvic floor incorporates vital new research and material uses key summary boxes throughout new edition to highlight quick reference points now in full colour throughout and a hardback format
Written by leading experts in this field, Evidence-Based Physical Therapy for the Pelvic Floor provides physiotherapists and other professionals with knowledge and confidence to bring the latest evidence-based approaches and treatment strategies for addressing pelvic floor dysfunction to their practice. Fully updated and with a wealth of new information, this edition includes sections on devices and apps, gynaecological cancer, sexual dysfunction, fistula, clinical use of EMG, anal incontinence and pain, as well as a discussion of sexualized violence by Nobel Peace Prize winner Denis Mugwege and his team. New and fully updated contents; new authors and new chapters provide contemporary evidence Innovative practice guidelines supported by a sound evidence base Colour illustrations of pelvic floor anatomy and related neuroanatomy/neurophysiology MRIs and ultrasounds showing normal and dysfunctional pelvic floor Key summaries for easy navigation Full colour throughout
This book presents paradigms and programs for pelvic health conditions over the lifespan from childhood to senior years, with medical pearls and storytelling. It includes new concepts and practices with the integration of Medical Therapeutic Yoga and Pilates into rehabilitation prescriptions, sexual medicine, and strategies for healing pain and trauma. The contributors have a wealth of clinical experience, from pediatrics to geriatrics, and the client care focus is with manual therapy, exercise, education, and compassion based treatment. Physical therapy, Yoga and Pilates are woven together to provide evidence based platforms for health care intervention for pelvic pain, bladder and bowel dysfunction, pelvic organ prolapse, sexual medicine, and trauma sensitive care. Medical professionals as well as body workers, fitness trainers and community educators can glean critical health care knowledge as well as strategies for teamwork for client care. Health conditions pertaining to the pelvis are often under recognized, disregarded by most medical practitioners, and suffered in silence, humiliation and shame by most clients. The text will support global health care education and empowerment regarding pelvic health conditions and conservative care options. The text is integrative in considering the biopsychosocial model as well as current medical standards in pelvic rehabilitation treatment, as well as health promotion with nutrition and supplements.
Pelvic pain is more ubiquitous than most people think and yet many suffer in silence because they don't know there is help or they are too embarrassed to seek it. This book looks at the variety of problems that can lead to pelvic pain, and how to address the issues when they arise.
Do you love exercising but are limited by a bladder that leaks?Do you know where every restroom is on your daily commute?Are you avoiding sex due to pain, or just bearing through it, wondering where all the fun went?Have you been told that you have vulvodynia, vestibulitis, pudendal neuralgia or a "tight pelvic floor," and are just wondering what's REALLY going on?Millions of women struggle needlessly with pelvic floor dysfunction causing bladder urgency, urinary incontinence, pelvic organ prolapse, and pelvic pain that interferes with sexual function and other daily activities. The topic of women's pelvic health still suffers from taboo and stigma, making good information and real solutions hard to come by. Drawing on 13 years of experience as a pelvic health physical therapy specialist, Debbie Cohen now lifts the veil of mystery and confusion surrounding these common ailments. Showing that these conditions are more than a nuisance and should not be ignored, Debbie connects women with the answers they need to get back to living the life they love, and maintain vibrant pelvic health well into their later years.Inside you'll find out: -How to know whether or not you have pelvic floor dysfunction.-Why doing more Kegels may not be the answer - and could be making matters worse.-The common bladder habits of women who struggle with bladder control, and what to do instead.-How and when to start rehabilitating your pelvic floor and abdomen safely after giving birth.-How to resolve sexual pain by treating the cause of the problem - instead of numbing it or forcing through pain. -How to treat your pelvic pain by looking beyond the pelvis.-Why movement may be the key to getting your life back - even if you hurt too much to exercise.-Why your health practitioners have not yet recommended pelvic rehabilitation for you.-How to find and work with the best pelvic health specialist for you.What are you missing out on most because of difficulty controlling your bladder?How much longer will the pain in your pelvis, abdomen, hips, buttocks or tailbone keeping you from living a full life?Scroll back to the top and click "Buy Now" to take the first step toward living the life you love!
This text provides a comprehensive, state – of – the art review of this new and emerging field, as the number of men who suffer from post-prostatectomy incontinence increases by greater than 10,000 per year. How to evaluate and manage this devastating disorder has become a necessary part of nearly every urologic practice. This book serves a valuable resource for physicians with an interest in managing patients with post-prostatectomy incontinence. In addition, treatment includes algorithms and suggested office evaluation that will help guide conservative management that is appropriate for most patients. The text provides insight into the history of male incontinence surgery, as well as the current surgical techniques for the operative management of post-prostatectomy incontinence in those who fail conservative management. This text reviews current data regarding surgical outcomes for the most common and newly developed incontinence procedures, as well as step-by-step descriptions of the key surgical steps necessary for success. All chapters are written by world renowned experts in this field and include the most up to date clinical information.
"Previously published as The Guide to Optimizing Recovery after Prostate Cancer Surgery by Sam Hughes." Discover the key to reclaiming your life after prostate cancer surgery! If you or a loved one is facing prostate cancer and has opted for surgery, "The Guide to Optimizing Recovery after Prostate cancer" is an essential guide for you . Written by Samantha Hughes, a Licensed Physical Therapist with years of experience in helping men navigate pre and post-surgery challenges, this book is your ally in the journey to recovery. While urinary incontinence often improves after surgery, some men continue to struggle, significantly impacting their quality of life. Samantha Hughes offers an easy-to-read, empowering resource filled with practical advice and proven strategies to optimize recovery and address urinary symptoms effectively. Highly recommended by Urologists and healthcare professionals, this book is a must-read for anyone preparing for or recovering from prostate cancer surgery. Equip yourself with the knowledge and tools to overcome these challenges and restore your confidence and well-being. Don't let urinary incontinence and erectile dysfunction dictate your life-take control with this invaluable guide. Second Edition: Updated and Revised This is the second edition of the patient guide book, reviewed and revised with the latest research in prostate cancer survivorship and pelvic floor physiotherapy.
This much-needed, holistic resource is an integrated whole-body approach to the treatment of prostate cancer survivors. Based on the latest research in men's health, this book goes beyond the biological and surgical implications of prostate cancer treatment and offers invaluable insight into the psychological and social factors of the recovery process including behavioural changes, mental health, pelvic floor muscle training, general exercises, relaxation, and stretches. Complete with practical strategies and handouts, this book is ideal for physiotherapists, prostate cancer survivors and their families, as well as healthcare workers interested in expanding their knowledge in the second most common form of cancer in men worldwide, this is an essential resource that provides actionable advice and an expansive approach to recovery.
Incontinence affects four out of 10 women, about one out of 10 men, and about 17% of children below age 15. The most common reason for admitting a family member to a nursing home is the family's inability to cope with incontinence. It is estimated that in the US incontinence costs 26 billion dollars a year.While it is common to exercise many parts of the body to stay fit, very little attention is paid to exercising the pelvic floor. Many exercises exist for the general fitness of the body, strengthening of the arms and legs and the abdominal and back muscles. Finding fun exercises for the pelvic floor involves searching through a great deal of literature; finding exercises suitable for men, women, and children that are fun and effective appears to be impossible. This book should provide therapists with treatment ideas and encourage patients to ask for help. It focuses on exercises and discusses other treatment options.