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The Female Pelvic Floor: Disorders of Function and Support,9780803600751
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The Female Pelvic Floor: Disorders of Function and Support


Edition: 1st
Author(s): Brubaker, Linda T.; Saclarides, Theodore J.
ISBN10:  0803600755
ISBN13:  9780803600751
Format:  Hardcover
Pub. Date:  9/1/1996
Publisher(s): F a Davis Co

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SummaryTable of Contents
A. Davis. Rush Medical College, Chicago, IL. Text on the treatment and management of pelvic floor disorders, for gynecologists and surgeons. Presents anatomy of the pelvis and discusses evaluation of painful and functional pelvic disorders. 44 contributors, 42 U.S. DNLM: Pelvic Floor - physiopathology.
Section One. Structure and Function 1(38)
Anatomy of Female Pelvic Support
3(19)
Sandra S. Retzky
Robert M. Rogers, Jr.
A. Cullen Richardson
Bones and Ligaments
3(6)
Muscles and Parietal Fascia
9(6)
Endopelvic Fascia
15(7)
Structure and Function of the Lower Gastrointestinal Tract
22(11)
Sang-Jeon Lee
Alan P. Meagher
John H. Pemberton
Structure of the Colon
22(2)
Structure of the Rectum and Anus
24(7)
Function of the Colon
31(2)
Clinically Relevant Neuroanatomy
33(6)
Linda T. Brubaker
J. Thomas Benson
General Terminology
33(1)
Mechanisms of Injury
34(2)
Clinical Effects of Neuroanatomic Lesions
36(3)
Section Two. Preliminary Evaluation 39(20)
Initial Evaluation and Physical Examination
41(9)
B. L. Shull
History
41(1)
Urogenital History
42(1)
Physical Examination
42(6)
Gynecologic Pelvimetry
48(2)
First-Line Testing of Patients with Urinary Incontinence
50(9)
Nicolette S. Horbach
Urinalysis and Urine Culture
50(1)
Direct Observation of Urethrovesical Junction Mobility
51(1)
Stress Test
52(1)
Cystometry
52(3)
Uroflowmetry
55(1)
Pad Test
56(3)
Section Three. Diagnostic Adjuncts 59(66)
Multichannel Urodynamic Testing
61(13)
Richard C. Bump
Multichannel Urodynamic Equipment
62(1)
Philosophy of Multichannel Urodynamics
62(1)
Questions to Be Answered by Multichannel Urodynamics
63(1)
Multichannel Urodynamic Assessment of the Filling Phase
63(8)
Multichannel Urodynamic Assessment of the Emptying Phase
71(3)
Anal Manometry
74(7)
Lee E. Smith
Indication
74(1)
Manometric Systems
74(3)
Technique of the Examination
77(1)
Interpretation
77(2)
Abnormal Manometry
79(2)
Fluoroscopic Evaluation of the Pelvic Floor
81(8)
Claire Smith
Linda T. Brubaker
Theodore J. Saclarides
Diagnostic Methods of Evaluation
81(1)
Dynamic Fluoroscopy
82(1)
Fluoroscopic Findings
83(4)
Clinical Experience
87(2)
Assessing Colonic Motility and Colon Transit
89(5)
Amanda M. Metcalf
Indications
89(1)
Technique
90(1)
Interpretation of Abdominal Films
90(1)
Calculations
91(1)
Interpretation of Results
91(3)
Endoluminal Ultrasonography of the Anal Sphincters
94(6)
Jeffrey W. Milsom
Tracy L. Hull
Principles of Ultrasound
94(1)
Performing the Anal Ultrasound Examination
95(1)
Indications
96(4)
Electrodiagnostic Assessment: A Diagnostic Adjunct
100(9)
J. Thomas Benson
Linda T. Brubaker
Electrodiagnostic Equipment
101(1)
Nerve Conduction Studies
101(2)
Needle Electromyography (EMG)
103(2)
Testing of Sacral Reflexes
105(1)
Somatosensory Evoked Potentials
106(1)
Autonomic Studies
107(2)
Cystourethroscopy
109(12)
Alfred E. Bent
Anne L. Viselli
History of Endoscopy
109(1)
Indications
110(1)
Cystourethroscopy: Gas vs. Fluid for Infusion
110(1)
Cystourethroscopy: Flexible vs. Rigid Instrumentation
110(1)
Urethroscopy
110(4)
Cystoscopy
114(3)
Operative Endoscopy
117(1)
Intraoperative Endoscopy
118(1)
Complications of Endoscopy
119(2)
Physical Therapy Evaluation of the Pelvic Floor
121(4)
Rhonda K. Kotarinos
Dee E. Fenner
History
121(1)
Physical Examination
122(3)
Section Four. Disorders of Pain 125(26)
Lower Urinary Tract Pain
127(12)
Tamara G. Bavendam
Lower Urinary Tract Function
128(1)
Pain: A Conceptual Overview
129(1)
Causes of Lower Urinary Tract Pain
130(2)
History
132(1)
Physical Examination
133(1)
Treatment
134(5)
Bening Anorectal Conditions
139(7)
Theodore J. Saclarides
Jose M. Velasco
Pain Patterns
139(1)
Patient Evaluation
140(1)
Hemorrhoids
140(1)
Abscesses
141(1)
Fistulas
142(2)
Anal Fissures
144(2)
Levator Ani Syndrome
146(5)
William Altringer
Daniel J. Deziel
Levator Ani Syndrome
146(3)
Proctalgia Fugax
149(2)
Section Five. Disorders of Function 151(102)
Etiology of Genuine Stress Incontinence
153(5)
Peggy A. Norton
Epidemiology and Possible Disease Models
153(1)
Possible Intrinsic or Underlying Factors
154(1)
Possible Extrinsic or Environmental Factors
155(3)
Nonsurgical Management of Urinary Incontinence
158(7)
S. Renee Edwards
Linda T. Brubaker
Environmental Interventions
159(1)
Behavioral Interventions
160(1)
Devices
161(1)
Pharmacologic Interventions
162(3)
Genuine Stress Incontinence: Traditional Surgical Management
165(10)
W. Glenn Hurt
Goals of Surgical Management
166(1)
Selection of Operative Procedure
166(1)
Preoperative Care
167(1)
Vaginal Procedures
167(3)
Abdominal Procedures
170(2)
Complications of Surgical Management
172(1)
Results and Follow-up
173(2)
Genuine Stress Incontinence: Innovative Surgical Approaches
175(7)
Geoffrey Cundiff
Alfred E. Bent
Laparoscopic Retropubic Urethropexy
175(2)
Approaches to Intrinsic Urethral Sphincter Deficiency
177(5)
Urinary Tract Fistuals
182(6)
Theodore J. Saclarides
Dee E. Fenner
Colovesical Fistulas
182(2)
Vesicovaginal Fistulas
184(4)
Constipation: Etiology and Evaluation
188(5)
Elisa H. Birnbaum
Etiology
188(1)
Pathophysiology
189(1)
Evaluation
190(3)
Medical Management of Constipation
193(8)
Sheldon Sloan
Classes of Laxatives
194(3)
General Approach to the Patient with Constipation
197(1)
Special Circumstances in Management of Constipation
198(3)
Constipation: Results of Surgical Therapy
201(7)
Tracy L. Hull
Jeffrey W. Milsom
Colonic Inertia
202(1)
Anorectal Outlet Obstruction
203(1)
Adult Hirschsprung's Disease
204(4)
Fecal Incontinence: Etiology and Evaluation
208(6)
James W. Fleshman
Definition
208(1)
Etiology
208(2)
Evaluation
210(4)
Fecal Incontinence: Nonsurgical Therapy
214(6)
Jeannette Tries
Eugene Eisman
Theoretic Background
214(1)
Development of Biofeedback for Incontinence
215(1)
Rectal Sensation: An Essential Factor in Continence
215(1)
Strengthening the External Anal Sphincter and Pelvic Floor Muscles
216(1)
Confounding Factors in the Literature
216(1)
Summary of Reported Findings and Clinical Observations
217(1)
Biofeedback Treatment Goals for Fecal Incontinence
218(2)
Fecal Incontinence: Surgical Therapy
220(9)
Steven D. Wexner
Stephanie L. Schmitt
Preoperative Assessment
220(1)
Isolated Sphincter Defects
221(2)
Idiopathic-Neurogenic Fecal Incontinence
223(2)
Neosphincter Procedures
225(1)
Colostomy
226(3)
Rectovaginal Fistula
229(11)
Anthony Senagore
Classification
229(1)
Etiology
229(1)
Clinical Evaluation
230(1)
Surgical Management
230(10)
The Role of Physiotherapy
240(7)
Rhonda Kotarinos
Linda T. Brubaker
Correction of Posture
240(1)
Rehabilitation of the Pelvic Floor
241(6)
Perineal Skin Care for the Bedridden Patient with Incontinence
247(6)
Ruth C. McMyn
Costs of Incontinence
247(1)
Etiology of Skin Irritation Related to Incontinence
248(1)
Management Techniques
248(3)
Community Resources
251(2)
Section Six. Disorders of Support 253(44)
Posterior Vaginal Support Defects
255(7)
Linda T. Brubaker
Dee E. Fenner
Theodore J. Saclarides
Rectocele
255(4)
Enterocele
259(3)
Vaginal Vault Prolapse
262(7)
M. Chrystie Timmons
W. Allen Addison
Etiology
262(1)
Diagnosis
263(1)
Management
264(5)
Cystocele
269(9)
Anita Pillai-Allen
J. Thomas Benson
Definition
269(2)
Diagnosis and Grading
271(1)
Nonsurgical Management
271(1)
Surgical Management
271(7)
Use and Care of the Pessary
278(5)
Linda T. Brubaker
Michael Heit
Prerequisites for Pessary Placement
278(1)
Fitting
279(1)
Pessary Options: Types of Pessaries
279(2)
Discussions After Fitting
281(1)
Follow-up
281(1)
Diagnostic Use of the Pessary
282(1)
Preprolapse Syndromes
283(6)
Jose M. Dominguez
Theodore J. Saclarides
Solitary Rectal Ulcer Syndrome
283(2)
Colitis Cystica Profunda
285(1)
Descending Perineum Syndrome
286(3)
Rectal Prolapse
289(8)
Steven J. Stryker
Etiology
289(1)
Clinical Features and Evaluation
290(1)
Treatment
291(4)
Functional Abnormalities Persisting After Prolapse Repair
295(2)
Section Seven. Future Considerations, Research 297(4)
The Frontiers of Female Pelvic Floor Disorders
299(2)
Linda T. Brubaker
Theodore J. Saclarides
Index 301

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