| Section One. Structure and Function |
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1 | (38) |
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Anatomy of Female Pelvic Support |
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3 | (19) |
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3 | (6) |
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Muscles and Parietal Fascia |
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9 | (6) |
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15 | (7) |
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Structure and Function of the Lower Gastrointestinal Tract |
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22 | (11) |
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22 | (2) |
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Structure of the Rectum and Anus |
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24 | (7) |
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31 | (2) |
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Clinically Relevant Neuroanatomy |
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33 | (6) |
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33 | (1) |
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34 | (2) |
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Clinical Effects of Neuroanatomic Lesions |
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36 | (3) |
| Section Two. Preliminary Evaluation |
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39 | (20) |
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Initial Evaluation and Physical Examination |
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41 | (9) |
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41 | (1) |
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42 | (1) |
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42 | (6) |
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48 | (2) |
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First-Line Testing of Patients with Urinary Incontinence |
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50 | (9) |
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Urinalysis and Urine Culture |
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50 | (1) |
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Direct Observation of Urethrovesical Junction Mobility |
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51 | (1) |
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52 | (1) |
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52 | (3) |
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55 | (1) |
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56 | (3) |
| Section Three. Diagnostic Adjuncts |
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59 | (66) |
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Multichannel Urodynamic Testing |
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61 | (13) |
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Multichannel Urodynamic Equipment |
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62 | (1) |
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Philosophy of Multichannel Urodynamics |
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62 | (1) |
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Questions to Be Answered by Multichannel Urodynamics |
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63 | (1) |
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Multichannel Urodynamic Assessment of the Filling Phase |
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63 | (8) |
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Multichannel Urodynamic Assessment of the Emptying Phase |
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71 | (3) |
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74 | (7) |
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74 | (1) |
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74 | (3) |
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Technique of the Examination |
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77 | (1) |
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77 | (2) |
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79 | (2) |
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Fluoroscopic Evaluation of the Pelvic Floor |
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81 | (8) |
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Diagnostic Methods of Evaluation |
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81 | (1) |
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82 | (1) |
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83 | (4) |
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87 | (2) |
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Assessing Colonic Motility and Colon Transit |
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89 | (5) |
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89 | (1) |
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90 | (1) |
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Interpretation of Abdominal Films |
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90 | (1) |
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91 | (1) |
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Interpretation of Results |
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91 | (3) |
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Endoluminal Ultrasonography of the Anal Sphincters |
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94 | (6) |
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94 | (1) |
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Performing the Anal Ultrasound Examination |
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95 | (1) |
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96 | (4) |
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Electrodiagnostic Assessment: A Diagnostic Adjunct |
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100 | (9) |
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Electrodiagnostic Equipment |
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101 | (1) |
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101 | (2) |
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Needle Electromyography (EMG) |
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103 | (2) |
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Testing of Sacral Reflexes |
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105 | (1) |
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Somatosensory Evoked Potentials |
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106 | (1) |
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107 | (2) |
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109 | (12) |
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109 | (1) |
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110 | (1) |
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Cystourethroscopy: Gas vs. Fluid for Infusion |
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110 | (1) |
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Cystourethroscopy: Flexible vs. Rigid Instrumentation |
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110 | (1) |
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110 | (4) |
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114 | (3) |
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117 | (1) |
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118 | (1) |
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Complications of Endoscopy |
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119 | (2) |
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Physical Therapy Evaluation of the Pelvic Floor |
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121 | (4) |
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121 | (1) |
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122 | (3) |
| Section Four. Disorders of Pain |
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125 | (26) |
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127 | (12) |
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Lower Urinary Tract Function |
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128 | (1) |
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Pain: A Conceptual Overview |
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129 | (1) |
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Causes of Lower Urinary Tract Pain |
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130 | (2) |
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132 | (1) |
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133 | (1) |
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134 | (5) |
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Bening Anorectal Conditions |
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139 | (7) |
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139 | (1) |
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140 | (1) |
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140 | (1) |
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141 | (1) |
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142 | (2) |
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144 | (2) |
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146 | (5) |
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146 | (3) |
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149 | (2) |
| Section Five. Disorders of Function |
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151 | (102) |
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Etiology of Genuine Stress Incontinence |
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153 | (5) |
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Epidemiology and Possible Disease Models |
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153 | (1) |
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Possible Intrinsic or Underlying Factors |
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154 | (1) |
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Possible Extrinsic or Environmental Factors |
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155 | (3) |
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Nonsurgical Management of Urinary Incontinence |
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158 | (7) |
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Environmental Interventions |
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159 | (1) |
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160 | (1) |
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161 | (1) |
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Pharmacologic Interventions |
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162 | (3) |
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Genuine Stress Incontinence: Traditional Surgical Management |
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165 | (10) |
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Goals of Surgical Management |
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166 | (1) |
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Selection of Operative Procedure |
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166 | (1) |
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167 | (1) |
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167 | (3) |
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170 | (2) |
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Complications of Surgical Management |
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172 | (1) |
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173 | (2) |
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Genuine Stress Incontinence: Innovative Surgical Approaches |
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175 | (7) |
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Laparoscopic Retropubic Urethropexy |
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175 | (2) |
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Approaches to Intrinsic Urethral Sphincter Deficiency |
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177 | (5) |
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182 | (6) |
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182 | (2) |
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184 | (4) |
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Constipation: Etiology and Evaluation |
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188 | (5) |
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188 | (1) |
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189 | (1) |
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190 | (3) |
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Medical Management of Constipation |
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193 | (8) |
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194 | (3) |
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General Approach to the Patient with Constipation |
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197 | (1) |
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Special Circumstances in Management of Constipation |
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198 | (3) |
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Constipation: Results of Surgical Therapy |
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201 | (7) |
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202 | (1) |
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Anorectal Outlet Obstruction |
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203 | (1) |
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Adult Hirschsprung's Disease |
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204 | (4) |
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Fecal Incontinence: Etiology and Evaluation |
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208 | (6) |
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208 | (1) |
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208 | (2) |
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210 | (4) |
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Fecal Incontinence: Nonsurgical Therapy |
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214 | (6) |
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214 | (1) |
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Development of Biofeedback for Incontinence |
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215 | (1) |
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Rectal Sensation: An Essential Factor in Continence |
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215 | (1) |
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Strengthening the External Anal Sphincter and Pelvic Floor Muscles |
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216 | (1) |
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Confounding Factors in the Literature |
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216 | (1) |
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Summary of Reported Findings and Clinical Observations |
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217 | (1) |
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Biofeedback Treatment Goals for Fecal Incontinence |
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218 | (2) |
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Fecal Incontinence: Surgical Therapy |
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220 | (9) |
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220 | (1) |
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Isolated Sphincter Defects |
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221 | (2) |
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Idiopathic-Neurogenic Fecal Incontinence |
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223 | (2) |
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225 | (1) |
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226 | (3) |
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229 | (11) |
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229 | (1) |
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229 | (1) |
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230 | (1) |
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230 | (10) |
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The Role of Physiotherapy |
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240 | (7) |
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240 | (1) |
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Rehabilitation of the Pelvic Floor |
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241 | (6) |
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Perineal Skin Care for the Bedridden Patient with Incontinence |
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247 | (6) |
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247 | (1) |
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Etiology of Skin Irritation Related to Incontinence |
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248 | (1) |
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248 | (3) |
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251 | (2) |
| Section Six. Disorders of Support |
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253 | (44) |
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Posterior Vaginal Support Defects |
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255 | (7) |
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255 | (4) |
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259 | (3) |
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262 | (7) |
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262 | (1) |
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263 | (1) |
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264 | (5) |
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269 | (9) |
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269 | (2) |
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271 | (1) |
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271 | (1) |
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271 | (7) |
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Use and Care of the Pessary |
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278 | (5) |
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Prerequisites for Pessary Placement |
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278 | (1) |
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279 | (1) |
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Pessary Options: Types of Pessaries |
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279 | (2) |
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Discussions After Fitting |
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281 | (1) |
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281 | (1) |
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Diagnostic Use of the Pessary |
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282 | (1) |
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283 | (6) |
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Solitary Rectal Ulcer Syndrome |
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283 | (2) |
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285 | (1) |
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Descending Perineum Syndrome |
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286 | (3) |
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289 | (8) |
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289 | (1) |
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Clinical Features and Evaluation |
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290 | (1) |
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291 | (4) |
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Functional Abnormalities Persisting After Prolapse Repair |
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295 | (2) |
| Section Seven. Future Considerations, Research |
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297 | (4) |
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The Frontiers of Female Pelvic Floor Disorders |
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299 | (2) |
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| Index |
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301 | |