Pelvic Floor Dysfunctions : a multidisciplinary approach

__Pelvic Floor Dysfunction: A Multidisciplinary Approach__ provides the most up-to-date and comprehensive aspects of evaluation and therapy of female pelvic floor dysfunction. The book is edited by well-known international surgeons who have clinical practices within one tertiary referral institution, the Pelvic Floor Center at Cleveland Clinic Florida in Weston (Fort Lauderdale), Florida. All of the contributing authors are staff clinicians at the Cleveland Clinic in the Cleveland, Ohio,Weston, Florida, or Naples, Florida campuses. Recognized by clinicians worldwide for its excellence in this clinical area, Cleveland Clinic departments of Gynecology,Urology, and Colorectal Surgery have combined their expertise in producing this text. The importance of a team approach to the evaluation and management of Pelvic Floor problems is emphasized. __Pelvic Floor Dysfunction: A Multidisciplinary Approach__ is focused on urinary incontinence and other voiding dysfunctions, fecal incontinence and other distal gastroenterologic problems, genital and rectal prolapse, and other recognized pelvic floor problems. Since the Pelvic Floor encompasses all the organs within the pelvic cavity, this work is essential reading for the practicing Gynecologist/Urogynecologist,Urologist, and Colorectal Surgeon. Focuses On Urinary Incontinence And Other Voiding Dysfunctions, Fecal Incontinence And Other Distal Gastroenterologic Problems, Genital And Rectal Prolapse, And Other Recognized Pelvic Floor Problems. Foreword / Robert Kay -- Introduction / G. Willy Davila -- Sect. I. Concept Of The Pelvic Floor As A Unit -- Concept Of The Pelvic Floor As A Unit / G. Willy Davila -- Sect. Ii. Epidemiology And Prevalence -- Epidemiology Of Non-neurogenic Urinary Dysfunction / Usama M. Khater, Gassan Haddad And Gamal M. Ghoniem -- Bowel Dysfunction / James Doty And Jonathan E. Efron -- Genital Prolapse, Urogenital Atrophy, And Sexual Dysfunction / Minda Neimark -- Sect. Iii. Evaluation -- Introduction / Gamal M. Ghoniem -- Primary Evaluation Of The Pelvic Floor / Nathan Guerette, Dana R. Sands And G. Willy Davila -- Urodynamics / Gamal M. Ghoniem And Usama M. Khater -- Imaging Of The Genitourinary Tract In Females / M. Louis Moy And Sandip P. Vasavada -- Anorectal Physiology / T. Christina Sardinha And Dana R. Sands -- Anorectal Ultrasound / Juan J. Nogueras -- Neurologic Evaluation Of The Pelvic Floor / Virgilio Salanga -- Upper Gastrointestinal Evaluation Related To The Pelvic Floor / Gregory F. Bonner -- Sect. Iv. Anatomic Correlates -- Introduction / G. Willy Davila -- Urologic Anatomic Correlates / Jonathan Jay -- Genital Anatomic Correlates / Kevin J. Stepp And Matthew D. Barber -- Colorectal Anatomic Correlates / James Daty And Eric G. Weiss -- Sect. V. Sexual Function -- Female Sexual Dysfunction / Lawrence S. Hakim And Giovanna M. Dasilva -- Sect. Vi. Incontinence Therapy -- Introduction / Steven D. Wexner -- Device Therapy For Stress Incontinence / Jennifer T. Pollak And G. Willy Davila -- Medications For Stress Urinary Incontinence / G. Willy Davila -- Sling/tension-free Vaginal Tape / Gamal M. Ghoniem And Usama M. Kater -- Bulking Agents / Raymond R. Rackley And Ahmed Elazab -- Retropubic Therapy For Stress Incontinence / Mark D. Walters -- Laparoscopic Surgery For Urodynamic Stress Incontinence / Marie Fidela R. Paraiso -- Other Therapies For Stress Urinary Incontinence / Tara L. Frenkl And Sandip P. Vasavada -- Anal Sphincter Repair / Susan M. Cera And Steven D. Wexner -- Fecal Diversion / Benjamin Person, James Doty And Steven D. Wexner -- Acyst, Secca, Sacral Nerve Stimulation, Artificial Bowel Sphincter, And Stimulated Graciloplasty / Susan M. Cera And Eric G. Weiss -- Case Presentation : Stress Urinary Incontinence/fecal Incontinence / Daniel H. Biller And G. Willy Davila -- Sect. Vii. Urgency/frequency Syndromes Therapy -- Introduction / Gamal M. Ghoniem -- Overactive Bladder : Pharmacologic Therapy / Daniel H. Biller And G. Willy Davila -- Sacral Nerve Stimulation / Joanna M. Togami And Gamal M. Ghoniem -- Surgical Management Of The Overactive Bladder : Evacuation Disorders / Raymond R. Rackley And Joseph Abdelmalak -- Irritable Bowel Syndrome / Ronnie R. Pimentel -- Irritable Bowel-anismus / Wael Solh And Eric G. Weiss -- Sect. Viii. Prolapse Syndromes Therapy -- Introduction / G. Willy Davila -- Vaginal Pessaries / Minda Neimark -- Vaginal Vault Prolapse Surgery / G. Willy Davila -- Anterior Vaginal Prolapse Repairs / Sandip P. Vasavada And Matthew D. Barber -- Vaginal Enterocele Repairs / Andrew I. Sokol And Mark D. Walters -- Vaginal Rectocele Repairs / Jennifer T. Pollak And G. Willy Davila -- Rectal Prolapse Therapy / T. Cristina Sardinha And Steven D. Wexner -- Rectoanal Intussusception, Solitary Rectal Ulcer, And Sigmoidoceles / Juan J. Nogueras And Susan M. Cera -- Case Presentation : Prolapse / G. Willy Davila And Daniel H. Biller -- Sect. Ix. Pain And Irritative Syndromes Therapy -- Introduction / Gamal M. Ghoniem -- Interstitial Crystitis-painful Bladder Syndrome / Gamal M. Ghoniem And Usama M. Khater -- Painful Conditions Of The Urogenital Sinus / Nathan Guerette And G. Willy Davila -- Anal Pain / Tracy L. Hull -- Pain Localization And Control / Wagih W. Gobrial -- Acupuncture For Pelvic Floor Dysfunction / Lawrence P. Frank -- Sect. X. Evacuation Disorders -- Introduction / Steven D. Wexner -- Conservative Management Of Urinary Retention In Women / Tara L. Frenkl And Firouz Daneshgari -- Surgical Management Of Urinary Retention / Raymond R. Rackley And Tara L. Frenkl -- Bladder Outlet Obstruction After Anti-incontinence Surgery/urethrolysis / Gamal M. Ghoniem And Usama M. Khater -- Conservative Management Of Constipation / Gregory F. Bonner -- Surgical Management Of Constipation / Tracy L. Hull -- Sect. Xi. Hormonal Influences On The Pelvic Floor -- Hormonal Influences On The Pelvic Floor / G. Willy Davila -- Sect. Xii. Physiotherapeutic Approaches -- Introduction / G. Willy Davila -- Kegel Exercises And Biofeedback / Dawn Vickers And G. Willy Davila -- Timed Voiding And Fluid Management / Marie Fidela R. Paraiso And George Abate -- Bowel Retraining For Functional Disorders Of The Colon, Rectum, And Anus / Susan M. Cera And Jonathan E. Efron -- Sect. Xiii. Surgical Therapy : Mutual And Combined Aspects -- Introduction / G. Willy Davila -- Vesico-vaginal Fistula / Gamal M. Ghoniem And Usama M. Khater -- Rectovaginal Fistula / Susan M. Cera And Juan J. Nogueras -- Enterourinary Fistula / T. Cristina Sardinha, Samir M. Yebara And Steven D. Wexner -- Management Of Urinary Tract Injuries / Gamal M. Ghoniem And John C. Hairston -- Combined Versus Sequential Reconstructive Surgeries / G. Willy Davila -- Sect. Xiv. Severity Assessment -- Introduction / Steven D. Wexner -- Voiding Diary / Gamal M. Ghoniem And Usama M. Khater -- Scoring Systems / Wael Solh And Steven D. Wexner -- Quality-of-life Assessment Tools / G. Willy Davila. G. Willy Davila, Gamal M. Ghoniem, And Steven D. Wexner (eds.). Includes Bibliographical References And Index. All the characteristics and driving force of The Cleveland Clinic are to be found in this book on pelvic?oor function. The Cleveland Clinic is a group practice founded in 1921 on the principles of cooperation,collaboration,and collegiality.Its founders believed that many physicians working together will discover better solutions to medical problems than physicians working in isolation. They believed that the combination of disciplines, with their inherent differences in philosophy and skills, will produce a better outcome than might have evolved singularly. The power of the collaborative approach is on full display in this book. The pelvic?oor unites three separate organ systems. Before this time, each has been approached individually. Urologists, gynecologists, and colorectal surgeons are each trained in their own disciplines, and the pelvic?oor is subsumed in these larger?elds of study. When they combine their focus on the pelvic?oor, they bring their unique perspectives and different approaches to a common goal: the relief of pelvic?oor syndromes such as incontinence and pelvic organ prolapse. 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 and other voiding dysfunctions, fecal incontinence and other distal gastroenterologic problems, genital and rectal prolapse, and 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.