The 2nd 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 anatomy, pathophysiology and possible causes of pelvic floor damage, the importance of pelvic floor evaluation is looked at to determine the type of treatment. 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.
This practical book is invaluable reading for all health care professionals working with incontinent patients, particularly urogynecologists, obstetricians, gynecologists and physiotherapists, as well as residents and trainees interested in the scientific and clinical fundamentals of pelvic floor re-education.
Cuprins
Function and Dysfunction of the Pelvic Floor and Viscera.- Functional Anatomy of the Pelvic Floor and Lower Urinary Tract.- Neural Control of Pelvic Floor Muscles.- The Effects of Pregnancy and Childbirth on the Pelvic Floor.- Muscle Function and Ageing.- Urinary Incontinence and Voiding Dysfunction.- Pelvic Organ Prolapse.- Anal Incontinence, Constipation, and Obstructed Defecation.- Overactive Pelvic Floor Muscles and Related Pain.- Evaluation of the Pelvic Floor.- Clinical Evaluation of the Pelvic Floor Muscles.- Examination of Patients with Pelvic Organ Prolapse.- Urodynamics.- Applying Urodynamic Findings to Clinical Practice.- Anorectal Physiology.- Ultrasound Imaging.- Magnetic Resonance Imaging.- Electrophysiology.- Outcome Measures in Pelvic Floor Rehabilitation.- Techniques of Pelvic Floor Rehabilitation and Muscle Training.- Concepts of Neuromuscular Rehabilitation and Pelvic Floor Muscle Training.- Exercise, Feedback, and Biofeedback.- Electrical Stimulation.- Extracorporeal Magnetic Stimulation.- Devices.- Alternative Methods to Pelvic Floor Muscle Awareness and Training.- Treatment: Condition-Specific Assessment and Approaches.- Behavioral Treatment.- Stress Urinary Incontinence.- Evidence for the Effectiveness of Pelvic Floor Muscle Training in the Treatment and Antenatal Prevention of Female Urinary Incontinence.- Postpartum Management of the Pelvic Floor.- Role of a Perineal Clinic.- Overactive Bladder.- Sexual Dysfunction and the Overactive Pelvic Floor.- Anal Incontinence and Evacuation Difficulties.- Incontinence During Sports and Fitness Activities.- Pelvic Organ Prolapse — Pessary Treatment.- What to Do if Physiotherapy Fails?.- Stress Urinary Incontinence: Choice of Surgery.- Genital Prolapse: Surgery for Failed Conservative Treatment.- The Anal Sphincter.
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