Pelvic Floor Dysfunction: A Multidisciplinary Approach

This book provides the most up-to-date and comprehensive aspects of evaluation and therapy of female pelvic floor dysfunction. It is edited by well-known international surgeons with clinical practices within one tertiary referral institution, the Pelvic Floor Center at Cleveland Clinic Florida in Weston (Fort Lauderdale), Florida which serves as a National and International referral center for women with symptomatic pelvic floor problems. Recognized worldwide for its excellence, Cleveland Clinic departments of Gynecology, Urology, and Colorectal Surgery have combined their expertise in producing this text. Focused on urinary incontinence & other voiding dysfunctions, fecal incontinence & other distal gastroenterologic problems, genital and rectal prolapse, & other recognized pelvic floor problems, the book should be of great interest to the practicing Gynecologist/Urogynecologist, Urologist, and Colorectal Surgeon as well as Sexual Dysfunction specialist, Gastroenterologist and Physical Therapist.

Table of Contents:
Concept of the Pelvic Floor as a Unit.- Concept of the Pelvic Floor as a Unit.- Epidemiology and Prevalence.- Epidemiology of Non-Neurogenic Urinary Dysfunction.- Bowel Dysfunction.- Genital Prolapse, Urogenital Atrophy, and Sexual Dysfunction.- Evaluation.- Primary Evaluation of the Pelvic Floor.- Urodynamics.- Imaging of the Genitourinary Tract in Females.- Anorectal Physiology.- Anorectal Ultrasound.- Neurologic Evaluation of the Pelvic Floor.- Upper Gastrointestinal Evaluation Related to the Pelvic Floor.- Anatomic Correlates.- Urologic Anatomic Correlates.- Genital Anatomic Correlates.- Colorectal Anatomic Correlates.- Sexual Function.- Female Sexual Dysfunction.- Incontinence Therapy.- Device Therapy for Stress Incontinence.- Medications for Stress Urinary Incontinence.- Sling/Tension-Free Vaginal Tape.- Bulking Agents.- Retropubic Therapy for Stress Incontinence.- Laparoscopic Surgery for Urodynamic Stress Incontinence.- Other Therapies for Stress Urinary Incontinence.- Anal Sphincter Repair.- Fecal Diversion.- ACYST, Secca, Sacral Nerve Stimulation, Artificial Bowel Sphincter, and Stimulated Graciloplasty.- Case Presentation: Stress Urinary Incontinence/Fecal Incontinence.- Urgency/Frequency Syndromes Therapy.- Overactive Bladder: Pharmacologic Therapy.- Sacral Nerve Stimulation.- Surgical Management of the Overactive Bladder: Evacuation Disorders.- Irritable Bowel Syndrome.- Irritable Bowel-Anismus.- Prolapse Syndromes Therapy.- Vaginal Pessaries.- Vaginal Vault Prolapse Surgery.- Anterior Vaginal Prolapse.- Vaginal Enterocele Repair.- Vaginal Rectocele Repairs.- Rectal Prolapse Therapy.- Rectoanal Intussusception, Solitary Rectal Ulcer, and Sigmoidoceles.- Case Presentation: Prolapse.- Pain and Irritative Syndromes Therapy.- Interstitial Cystitis-Painful Bladder Syndrome.- Painful Conditions of the Urogenital Sinus.- Anal Pain.- Pain Localization and Control.- Acupuncture for Pelvic Floor Dysfunction.- Evacuation Disorders.- Conservative Management of Urinary Retention in Women.- Surgical Management of Urinary Retention.- Bladder Outlet Obstruction after Anti-Incontinence Surgery/Urethrolysis.- Conservative Management of Constipation.- Surgical Management of Constipation.- Hormonal Influences on the Pelvic Floor.- Hormonal Influences on the Pelvic Floor.- Physiotherapeutic Approaches.- Kegel Exercises and Biofeedback.- Timed Voiding and Fluid Management.- Bowel Retraining for Functional Disorders of the Colon, Rectum, and Anus.- Surgical Therapy: Mutual and Combined Aspects.- Vesico-Vaginal Fistula.- Rectovaginal Fistula.- Enterourinary Fistula.- Management of Urinary Tract Injuries.- Combined Versus Sequential Reconstructive Surgeries.- Severity Assessment.- Voiding Diary.- Scoring Systems.- Quality-of-Life Assessment Tools.

Review :
From the reviews: "The authors wanted the book to translate the concept of a center approach to diseases of the pelvic floor where experts from all the three specialties that manage pelvic floor disorders provide their input. Indeed the authors were successful in getting together experts from their centers to contribute to a nicely organized book that translate their vision. Overall this is a well organized book that fulfills the vision of combining all the diseases of pelvic floor disorders in one text. I like the idea of grouping the disease entities under common syndromes to all the organ systems. I think that the cross talk among the three different specialties that deal with pelvic floor disorders will definitely help our patient population and I hope that the concept of a unified center/specialty will become a widely adapted practice pattern for the same reason." (Adonis K. Hijaz, Doody Enterprises, Inc. - COPYRIGHT 2006) "The information provided in this publication will be of interest for an interdisciplinary approach to pelvic floor diseases; helpful not only for urologists but for all practitioners involved in the treatment of these patients." (Paul Meria, European Urology Today, August 2006, page 33) "This book deals with the pelvic floor as a whole, mixing urologic, gynaecologic and colorectal situations. This is in accordance with the multidisciplinary approach many centres try to set up today for the greatest benefit of the patients. ... it could be of interest for the general surgeon or the trainee, looking for an easy and complete overview of this field." (J. Van de Stadt, Acta Chirurgica Belgica, Vol. 106 (3), 2006)