Edited and written by multidisciplinary teams of coloprocologists, urologists, gynecologists and neurologists, this clinically focused resource covers the pelvic floor in both health and disease states. An evidence-based approach to management of problems is adopted throughout. The text is augmented by a plethora of illustrations, photgraphs, summary tables and boxes, together with helpful management algorithms that summarize treatment pathways for all common clinical problems of the pelvic floor.
- Clinically focussed on the care and management of the patient
- Accessible - contains many tables and summary boxes to help the reader get fast access to the answer.
- The first chapter provides invaluable management algorithms for all common pelvic floor problems
- Chapters are written by multidisciplinary teams of coloproctologists, urologists, neurologists and gynecologists, to reflect the way patients are treated in practice.
- International line-up of contributors and coverage of treatment issues
- Comprehensively illustrated with black-and-white photographs and a specially commissioined artwork program.
Contributors ix Preface xiii Acknowledgements xiv Section 1 ALGORITHMS 1(10) Algorithms 3(8) John H Pemberton Michael Swash Michael M Henry Deborah J Lightner Section 2 THE NORMAL PELVIC FLOOR 11(92) A Anterior pelvic floor Anterior pelvic floor in the female 13(16) John O L DeLancey Urinary storage and voiding 29(17) Edwin P Arnold Childbirth and pelvic floor injury 46(15) Michelle Fynes Colm OHerlihy P Ronan OConnell B Posterior pelvic floor Colon, rectum, anus, anal sphincters and the pelvic floor 61(16) Tim A Cook Neil Mortensen Fecal continence and defecation 77(7) David C C Bartolo A D H Macdonald Colonic motility and colonic function 84(10) Eamonn M M Quigley C Neural control of the pelvic floor The central control of the pelvic floor 94(9) Gert Holstege Judith A M L Sie Section 3 INVESTIGATION OF PELVIC FLOOR DYSFUNCTION 103(146) A Anterior pelvic floor Investigation of pelvic floor dysfunction: anterior pelvic floor; clinical features 105(7) Philip Toozs-Hobson Linda Cardozo Voiding studies 112(18) John M Reynard Imaging of the bladder and urethra 130(24) Johnathan Sullivan Paul Abrams Electrophysiology of the anterior pelvic floor and urinary sphincter 154(13) Simon Podnar David B Vodusek Clare J Fowler B Posterior pelvic floor Clinical features of posterior pelvic floor 167(5) John H Pemberton Colonic and ano-rectal motility studies 172(14) R W Hagger Davinder Kumar Coloproctology and the pelvic floor - imaging 186(27) Clive I Bartram Steve Halligan Electrophysiological investigation of the posterior pelvic floor and anal sphincters 213(24) Michael Swash C Reflex responses Sacral reflexes 237(12) David B Vodusek Section 4 PATHOPHYSIOLOGY AND MANAGEMENT OF PELVIC FLOOR DISORDERS 249(156) A Prolapse and the pelvic floor Urogenital prolapse 251(14) Patrick Hogston Rectal prolapse 265(20) Alan P Meagher David Z Lubowski Michael L Kennedy B Urinary voiding disorders Dysfunctional voiding and urinary retention 285(11) J Quentin Clemens Edward J McGuire Bladder dysfunction in neurological disorders 296(17) Michael J Swinn Clare J Fowler C Disorders of defecation Constipation 313(17) Michael Camilleri Lawrence A Szarka Irritable bowel syndrome 330(11) W Grant Thompson Fecal incontinence - Pathophysiology and management 341(17) A James Eccersley Norman S Williams Solitary rectal ulcer, rectocele, hemorrhoids, and pelvic pain 358(27) Leo P Lawler James W Fleshman Neurological disorders and the pelvic floor 385(8) Michael Swash Michael M Henry Biofeedback in pelvic floor disorders 393(12) Paul Enck Frauke Musial Section 5 CONSEQUENCES OF PELVIC FLOOR DYSFUNCTION AND ITS TREATMENT 405(72) Prevention and management in pelvic floor disorders 407(10) Christine Norton Application of theory to surgical management of female pelvic floor disorders 417(12) Peter E P Petros Effects of pelvic floor surgery 429(12) Steven D Wexner Rong H Zhao Psychological aspects of pelvic floor disorders 441(16) Barbara K Bruce Christopher D Sletten Sexually transmitted disease and the pelvic floor 457(9) Peter Sagar Magnetic Resonance Imaging and the pelvic floor 466(11) Lennox Hoyte Eboo Versi Index 477
John Pemberton: Professor of Surgery and consultant in Colon and Rectal Surgery at the Mayo Clinic. He is a high-profile surgeon and in the US, and is editor and contributor to many titles. He lectures on pelvic floor dysfunction both nationally and internationally.
Michael Swash is a neurologist with a specialist interest in neurological control of voiding and is author of the following titles:
Hutchison's Clinical Methods
Outcomes in Neurological and Neurosurgical Disorders
Neurology for Lawyers
