Pelvic Floor Disorders: A Multidisciplinary Textbook

Description:

Dramatic improvement in imaging techniques (3D ultrasonography, dynamic magnetic resonance) allows greater insight into the complex anatomy of the pelvic floor and its pathological modifications.Obstetrical events leading to fecal and urinary incontinence in women, the development of pelvic organ prolapse, and mechanism of voiding dysfunction and obstructed defecation can now be accurately assessed, which is fundamental for appropriate treatment decision making. This book is written for gynecologists, colorectal surgeons, urologists, radiologists, and gastroenterologists with a special interest in this field of medicine. It is also relevant to everyone who aspires to improve their understanding of the fundamental principles of pelvic floor disorders.

Table of Contents:

Part I. State of the Art Pelvic Floor Anatomy

1. Pelvic Floor Anatomy

2. Biochemical Properties and Hormonal Receptors of Pelvic Floor Tissues

3. The Integral System of Pelvic Floor Function and Dysfunction

4. The Pelvic Floor: Neurocontrol and Functional Concepts

Part II. Pelvic Floor Imaging

5. Principles and Technical Aspects of Integrated Pelvic Floor Ultrasound

6. Transperineal Ultrasonography: Methodology and Normal Pelvic Floor Anatomy

7. Endovaginal Ultrasonography: Methodology and Normal Pelvic Floor Anatomy

8. Endoanal and Endorectal Ultrasonography: Methodology and Normal Anorectal Anatomy

9. Technical Innovations in Pelvic Floor Ultrasonography

10. Magnetic Resonance Imaging: Methodology and Normal Pelvic Floor Anatomy

11. Dynamic Magnetic Resonance Imaging of the Pelvic Floor: Technique and Methodology

Part III. Obstetric Pelvic Floor and Anal Sphincter Trauma

12. Mechanisms of Pelvic Floor Trauma During Vaginal Delivery

13. Posterior Compartment Trauma and Management of Acute Obstetric Anal Sphincter Injuries

14. Neurogenic Trauma During Delivery

15. Prevention of Perineal Trauma

Part IV. Urinary Incontinence and Voiding Dysfunction

16. Overview: Epidemiology and Etiology of Urinary Incontinence and Voiding Dysfunction

17. Urinary Incontinence and Voiding Dysfunction: Patient-Reported Outcome Assessment

18. Urodynamics Techniques and Clinical Applications

19. Ultrasonographic Techniques and Clinical Applications

20. Biofeedback

21. Selection of Midurethral Slings for Women with Stress Urinary Incontinence

22. Tape Positioning: Does It Matter?

23. Colposuspension and Fascial Sling

24. Injectable Biomaterials

25. Artificial Urinary Sphincter in Women

26. Pharmacological Treatment of Urinary Incontinence and Overactive Bladder: The Evidence

27. Intravesical Botulinum Toxin for the Treatment of Overactive Bladder

28. Sacral Nerve Stimulation for Overactive Bladder and Voiding Dysfunction

Part V. Anal Incontinence

29. Overview: Epidemiology and Aetiology of Anal Incontinence

30. Patient-Reported Outcome Assessment in Anal Incontinence

31. Anorectal Manometry

32. Endoanal Ultrasonography in Anal Incontinence

33. Transperineal Ultrasonography in the Assessment of Anal Incontinence and Obstetric Anal Sphincter Injuries

34. Magnetic Resonance Imaging

35. Neurophysiological Evaluation: Techniques and Clinical Evaluation

36. Behavioral Therapies and Biofeedback for Anal Incontinence

37. Sphincter Repair and Postanal Repair

38. Dynamic Graciloplasty

39. Injectable and Implantable Biomaterials for Anal Incontinence

40. Sacral Neuromodulation for Fecal Incontinence

41. Posterior Tibial Nerve Stimulation for Faecal Incontinence

42. Radiofrequency

43. Other Surgical Options for Anal Incontinence: From End Stoma to Stem Cell

44. Treatment of Anal Incontinence: Which Outcome Should We Measure?

Part VI. Pelvic Organ Prolapse

45. Epidemiology and Etiology of Pelvic Organ Prolapse

46. Patient-Reported Outcomes and Pelvic Organ Prolapse

47. Integrated Imaging Approach to Pelvic Organ Prolapse

48. Transperineal Ultrasound: Practical Applications

49. Three-Dimensional and Dynamic Endovaginal Ultrasonography for Pelvic Organ Prolapse and Levator Ani Damage

50. Magnetic Resonance Imaging, Levator Ani Damage, and Pelvic Organ Prolapse

51. Dynamic Magnetic Resonance Imaging of Pelvic Floor Pathologies

52. Pelvic Floor Muscle Training in Prevention and Treatment of Pelvic Organ Prolapse

53. Use of Pessaries for Pelvic Organ Prolapse

54. Anterior and Posterior Colporrhaphy: Native Tissue Versus Mesh

55. Apical Prolapse Surgery

56. Laparoscopic Pelvic Floor Surgery

57. The Robotic Approach to Urogenital Prolapse

58. Concurrent Prolapse and Incontinence Surgery

59. Management of Pelvic Organ Prolapse: A Unitary or Multidisciplinary Approach?

Part VII. Constipation and Obstructed Defecation

60. Epidemiology and Etiology of Constipation and Obstructed Defecation: An Overview

61. Patient-Reported Outcome Assessment in Constipation and Obstructed Defecation

62. Anorectal Manometry, Rectal Sensory Testing and Evacuation Tests

63. Ultrasonography in the Assessment of Obstructive Defecation Syndrome

64. Echodefecography: Technique and Clinical Application

65. Evacuation Proctography

66. The Abdominal Approach to Rectal Prolapse

67. The Perineal Approach to Rectal Prolapse

68. The Laparoscopic Approach to Rectal Prolapse

69. The Role of Robotic Surgery in Rectal Prolapse

70. Sacral Neuromodulation for Constipation

Part VIII. Pelvic Pain and Sexual Dysfunction

71. Bladder Pain Syndrome/Interstitial Cystitis

72. Pelvic Pain Associated with a Gynecologic Etiology

73. Chronic Idiopathic Anorectal Pain Disorders

74. Female Sexual Dysfunction

75. A Myofascial Perspective on Chronic Urogenital Pain in Women

76. Pharmacological Treatment of Chronic Pelvic Pain

77. Idiopathic Chronic Pelvic Pain: A Different Perspective

Part IX. Fistulae

78. Urogenital Fistulae

79. Rectovaginal Fistulae

80. Emerging Concepts in Classification of Anal Fistulae

81. Ultrasonographic Assessment of Anorectal Fistulae

82. MR Imaging of Fistula-in-Ano

83. Surgical Treatment of Anorectal Sepsis

84. Management of Anorectal Fistulae in Crohn’s Disease

Part X. Failure or Recurrence After Surgical Treatment: What to Do When It All Goes Wrong

85. Imaging and Management of Complications of Urogynecologic Surgery

86. Surgical Management of Complications After Urogynaecological Surgery

87. Endosonographic Investigation of Anorectal Surgery Complications

88. Investigation and Management of Complications After Coloproctological Surgery

Part XI. Miscellaneous

89. Congenital Abnormalities of the Pelvic Floor: Assessment and Management

90. Male Urinary Incontinence: Assessment and Management

Back Matter