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Urinary incontinence causes discomfort and distress for millions of women, particularly those who have borne children, are postmenopausal, or have passed the age of forty. This condition can have a severe negative impact on one's quality of life, and successful treatment, while possible, is complex. Cowritten by a gynecologist and a urologist who have helped thousands of frustrated women, this new guide gives patients the information they need to understand their condition and make the right treatment decisions. Dr. Rene Genadry and Dr. Jacek L. Mostwin explain how nerves, muscles, and other anatomical factors work in concert to control the bladder and how they can be affected by pregnancy, menopause, and aging. The authors discuss the common and uncommon causes of urinary incontinence, how the condition is evaluated and diagnosed, and how it can be treated. Drs. Genadry and Mostwin walk through the various treatment options—including biofeedback and behavioral conditioning, pelvic floor exercises, medications, and surgery, as well as new and emerging therapies. They also discuss what to do if a particular treatment fails. The knowledge provided here gives the woman with urinary incontinence the power to choose treatments that meet her specific needs and preferences. Friendly, accessible, and packed with valuable information, this guide is an essential resource for women who are troubled by urinary incontinence.
Internationally known experts offer multidisciplinary guidance on the diagnosis and management of the full spectrum of pelvic floor disorders. It covers the diagnosis and clinical assessment of continence mechanisms and sexual dysfunction, as well as conservative management of the lower urinary tract, disorders of anorectal functions and sexual functions, exploring techniques such as electrical stimulation, anti-incontinence devices, and biofeedback. This valuable text also provides information on the management and treatment of a full range of disorders, from childbirth damage and post-prostatectomy incontinence, to neuropathic voiding dysfunction. Reviews normal anatomy and physiology as well as pathophysiology, providing an in-depth understanding of how and why various pelvic floor disorders occur. Covers the complete spectrum of pelvic floor disorders, including childbirth damage · lower urinary tract dysfunction in the female and male · urinary incontinence in the elderly · pelvic organ prolapse · post-prostatectomy incontinence · neurogenic voiding dysfunction · fecal incontinence · defecatory disorders · pediatric urology · male and female sexual dysfunction. Discusses all types of diagnostic approaches, including urodynamics · imaging · MRI · endoscopy · and electrodiagnosis. Conservative treatment is based on different techniques: pelvic floor muscles training · behavioral therapy · biofeedback · electrical stimulation and anti-continence devices. Represents a practical approach to surgery and conservative treatment for the physician and health care professionals and provides practical suggestions on these techniques. Features contributions from urologists, gynecologists, coloproctologists, continence specialists, specialist physical therapists, and nurses, for exceptionally multidisciplinary, well-rounded coverage of every aspect of the field.
Pediatric incontinence: evaluation and clinical management offers urologists practical, 'how-to' clinical guidance to what is a very common problem affecting up to 15% of children aged 6 years old. Introductory chapters cover the neurophysiology, psychological and genetic aspects, as well as the urodynamics of incontinence, before it moves on to its core focus, namely the evaluation and management of the problem. All types of management methods will be covered, including behavioural, psychological, medical and surgical, thus providing the reader with a solution to every patient's specific problem. The outstanding editor team led by Professor Israel Franco, one of the world’s leading gurus of pediatric urology, have recruited a truly stellar team of contributors each of whom have provided first-rate, high-quality contributions on their specific areas of expertise. Clear management algorithms for each form of treatment support the text, topics of controversy are covered openly, and the latest guidelines from the ICCS, AUA and EAU are included throughout. Perfect to refer to prior to seeing patients on the wards and in the clinics, this is the ideal guide to the topic and an essential purchase for all urologists, pediatric urologists and paediatricians managing children suffering from incontinence.
This book is designed as a guide for management of advanced clinical scenarios encountered by the contemporary pelvic floor surgeon. It is organized by pelvic floor disorder (PFD) and covers the evaluation and treatment of urinary incontinence, fecal incontinence, and pelvic organ prolapse. Opening chapters in each section cover the fundamentals of proper and comprehensive assessment of patient PFDs, as well as the treatment options that are available for each disorder. The book then focuses on more complex and challenging situations that are becoming more frequently encountered as the number of patients being treated for PFD increases and the length of patient follow-up grows. Each chapter finally includes an expert commentary to address these new scenarios and offers a shifted approach from that required for treatment-naïve patients. Female Pelvic Medicine: Challenging Cases with Expert Commentary teaches the reader how to approach the most difficult of clinical situations in a multidisciplinary fashion.
Discusses questions about incontinence among women, covering causes, types, and diagnosis, the range of treatments, including pelvic floor therapy, bladder training, medication, and electric stimulation, and offers encouragement for those seeking to improve or cure their problem.
The interest in pelvic floor reconstruction has grown rapidly in recent years. The collaboration between urologists, gynaecologists and colorectal surgeons has also increased. The book covers the surgical anatomy, urinary and faecal incontinence and their treatment, prolapse surgery, fistulae and post-operative management. Female Pelvic Reconstructive Surgery is a multi-disciplinary book edited by Stuart L Stanton, Urogynaecologist, and Phillipe Zimmern, Urologist, with contributions by internationally known and experienced clinicians. The book is well illustrated, up to date and authoritative.
The prevalence of urinary incontinence increases with age. It has recognised social and psychological impact on individuals as well as a financial implication to individuals and healthcare systems. The book attempt to discuss the assessment of urinary incontinence, followed by surgical and conservative treatment options in a concise way, within the framework of clinical practice. We would like to acknowledge all the authors for their hard work in completing this book.
This book provides a comprehensive review of the etiology, anatomy, diagnosis, treatments, and future directions of care for female incontinence. It includes a historical review of past treatments many women have undergone and resultant altered anatomy. This book discusses conservative treatments such as patient and provider handouts on behavioral modification and how to perform pelvic floor exercises. It also covers medical therapy from minimally invasive treatments to radical surgical approaches and management of treatment failures. Addressing the treatment of stress incontinence with chapters progressing from least invasive to most invasive therapies, it also describes mesh complications and treatment failures. The book illuminates the intersection of prolapse with female incontinence, incontinence diagnosis and management after major reconstructions such as neobladder or penile inversion, vaginoplasty, and incontinence due to rarer conditions such as fistulas. Further chapters explore female urinary incontinence in special populations including pediatric patients, the elderly, and women with neurogenic lower urinary tract dysfunction, as well as poorly understood populations such as older children, women post-reconstruction, and trans-women. It also addresses research needs and the ever-expanding horizon of new developments in the field of incontinence in women. Female Urinary Incontinence provides a comprehensive text directed towards urologists, gynecologists, and those trained in female pelvic medicine and reconstructive surgery (FPMRS). Given the topic of incontinence specifically in women and the burgeoning rise of women in the field of FPMRS, the book features an all-female author list comprised of an international group of female urologists and urogynecologists selected to author chapters on their particular expertise.
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.