Suprapontine Lesions and Neurogenic Pelvic Dysfunctions

This book provides a detailed review of neurogenic pelvic dysfunctions following a suprapontine lesion, since a clear understanding of the pathogenesis of vesical and bowel dysfunctions has become increasingly important in medical education.

It covers both urinary incontinence and retention, constipation and faecal incontinence resulting from ischemic, haemorrhagic and traumatic brain injury and Parkinson’s disease. It also offers a concise yet comprehensive summary of the neurologic examination of the pelvis: all chapters include the most up-to-date scientific and clinical information with the relevant level of clinical evidence.

The book is divided into three sections, which integrate basic science with clinical medicine.

The first section features a general introduction and essential background into micturition and bowel neural control, focusing on cortical control.

Section 2 is devoted to common clinical problems regarding the neurologic assessment of the perineum, while the last section summarises urological and bowel dysfunction in suprapontine lesions.

Providing a clear, concise and informative introduction to urology, it is a practical guide for professionals, medical students and residents in Physical Medicine and Rehabilitation, Urology and Neurology.

Cover

·  Front Matter

·  1. The Bladder, the Rectum and the Sphincters: Neural Pathways and Peripheral Control

·  2. Reflex Testing and Pelvic Examination

·  3. Investigation of the Central Nervous System in Neurogenic Pelvic Dysfunctions by Imaging

·  4. Urodynamic Patterns and Prevalence of N-LUTDs in Suprapontine Lesions

·  5. Suprapontine Lesions and Neurogenic Pelvic Dysfunctions

·  6. Management of the Central Nervous System Chronic Pelvic Pain

·  7. Management of Bowel Dysfunction in Patients with Central Nervous System Diseases

·  8. Management of the Suprapontine Neurogenic Lower Urinary Tract Dysfunction

·  9. Pelvic Floor Muscle Training and Neurogenic Overactive Bladder in Stroke and Multiple Sclerosis

·  10. Sexual Dysfunction in Suprapontine Lesions