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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.

This book provides to nurses an understanding of female sexual function and dysfunction specifically in relation to common gynecological conditions. It offers evidence based overview of assessment of sexual function, including available questionnaires and provides a multidisciplinary approach to managing sexual dysfunction, from incontinence to pelvic organ prolapse and recurrent urinary tract infections. It also covers a holistic approach including over the counter and home treatments, psychological therapies, physical therapies, pharmacological options and if necessary more invasive interventions. Sexual function and pelvic floor dysfunction is often a neglected area due to the taboo nature of discussions. This book aims to educate nurses, to help them understand the types of treatment options available, and encourage them to engage in conversations about sexual function with women, so that they can be referred to appropriate healthprofessionals and access the right care.

​This book offers an up-to-date overview of childbirth-related pelvic floor dysfunction covering prevention, diagnosis, and management. It encompasses all relevant conditions, with particular focus on genital prolapse, urinary incontinence, and fecal incontinence. Risk factors for pelvic floor damage related to childbirth are identified, and a 3D simulation of delivery is presented. The role of various diagnostic tools, including pelvic floor ultrasonography and magnetic resonance imaging and anal sphincter electromyography, is clearly described. The importance of physiotherapy in preventing future alterations is explained, and the indications for surgery, which is reserved for more severe situations, are discussed. The book highlights the need for a multidisciplinary approach involving obstetricians, gynecologists, urologists, midwives, radiologists, physiotherapists, muscle laboratory engineers, and computer technicians.

This book will enable the reader to gain a sound understanding of contemporary and futuristic evidence-based interventions and assessment procedures for pelvic floor disorders. It gathers the experiences of some of the most important experts on electrical stimulation techniques, offering a multidisciplinary and problem-oriented approach organized according to therapeutic goals. Interventions are recommended that are consistent with theory and display clinical efficacy for specific disorders, including urinary incontinence or retention, fecal incontinence, constipation, pelvic pain, sexual dysfunction and neurological diseases involving the pelvic floor. All of the surgical or rehabilitative techniques requiring electrical stimulation for the treatment of these disorders are explored and essential background information is provided on functional anatomy, neurophysiology and concepts in electrotherapy. This volume will be a very useful tool for urologists, general or colorectal surgeons, gynecologists and anesthesiologists and also physiotherapists and alternative medicine practitioners (a specific chapter focuses on electroacupuncture). It will assist in their clinical practice as they seek to help the very many patients who suffer from any of the wide range of functional pelvic floor disorders.

Minimally Invasive Therapy for Urinary Incontinence and Pelvic Organ Prolapse provides a detailed insight into “when, why, what and how” of various minimally invasive surgical procedures for surgical management of SUI, OAB & POP. The volume provides detailed diagrammatic and pictorial step-by-step descriptions of the techniques and management of complications related to these procedures. This book also presents an up to date, one-stop reference for anything pertaining to MIT of these pelvic disorders.Written by experts in the field, Minimally Invasive Therapy for Urinary Incontinence and Pelvic Organ Prolapse is a comprehensive resource designed for both the urologist and urogynecologist treating patients with urinary disorders and pelvic organ prolapsed, as well as for residents in training.

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.

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.

I f rst encountered the Integral T eory system in the early 1990's at the Royal Perth Hospital laboratory in Western Australia where I was working on laparoscopic colposuspension. Even in prototype form, the IVS operation was so simple and ef ective that I adopted it immediately. Subsequently, based on my experiences, I wrote the following in the Medical Journal of Australia in October 1994: (the operations) promise a new era for women, virtually pain-free cure of prolapse and incontinence without catheters, and return to normal activities within days. Now, ten years later, more than 500,000 ‘tension-free'anterior or posterior sling operations have been performed. One case in particular stands out from those early years. A woman patient in her mid-50's came to see me with a f ve year history of urinary retention which required an indwelling catheter. T is woman had consulted more than a dozen medical specialists who had told her the same story: no cure was possible. Using the Structured Assessment of the Integral T eory it was deduced that she had a posterior zone defect. I performed a Posterior IVS. T e next day the patient was voiding spontaneously with low residuals, and she has remained well since.

Pelvic floor disorders affect a large proportion of women worldwide. This book is a highly practical guide highlighting all the varying forms of such problems. Included are chapters on the pathophysiology of the female pelvic floor, the evaluation and diagnosis of problems, the practical management of symptoms, and the complications that can arise