Pelvic Floor Disorders for the Colorectal Surgeon

by Lindsey, Ian; Nugent, Karen; Dixon, Tony

• ISBN13: 9780199579624
• ISBN10: 0199579628
• Edition: 1st
• Format: Hardcover
• Copyright: 2010-12-09
• Publisher: Oxford University Press

Summary

Aimed at consultant colorectal surgeons and those in training who wish to expand their practice into pelvic floor pathology- a complex and developing area of surgery- Pelvic Floor Disorders for the Colorectal Surgeon provides a modern, thought-provoking approach to pelvic floor disorders written by emerging young leaders in the field. These conditions are of high importance and interest to colorectal surgeons, but also gynaecologists, gastroenterologists and general gastrointestinal surgeons. The layout of the text book is in 3 sections. The first provides an organizational and diagnostic approach to pelvic floor problems that is conceptual in scope, the second details the patho-anatomical and physiological entities that this diagnostic approach will bring to light and describes their management, while the third is more technical, covering key new diagnostic and therapeutic procedures and their results. The textbook aims to encourage the reader to critically analyze some of their own cherished views, and those more widely established, on colorectal pelvic floor practice.

Table of Contents

Contributors list	p. ix
Approaches
Establishing and developing a pelvic floor service: the multidisciplinary team and the approach to patient assessment	p. 3
Radiological workup	p. 15
Anorectal physiology	p. 27
Faecal incontinence: a pathophysiological approach	p. 47
Obstructed defaecation: a pathophysiological approach	p. 57
Chronic anorectal pain: a pathophysiological approach	p. 69
Conservative treatment of pelvic floor disorders	p. 75
Three compartments-working with a multidisciplinary team	p. 85
Clinical Syndromes
Internal rectal prolapse	p. 93
Anismus	p. 103
Rectocele	p. 115
Solitary rectal ulcer syndrome (SRUS)	p. 127
Slow transit constipation	p. 135
Perineoproctology (fissures and haemorrhoids)	p. 145
Pudendal pain syndrome	p. 153
Obstetric sphincter injury	p. 167
Rectal sensory dysfunction	p. 179
Techniques
Laparoscopic ventral rectopexy (with posterior colporraphy and vaginal sacrocolpopexy)	p. 191
STARR and transtar	p. 201
Complete pelvic floor ultrasound	p. 211
Sacral neuromodulation	p. 225
Anal bulking	p. 237
Anterior sphincter repair	p. 251
Neosphincters and artificial sphincters for treating faecal incontinence	p. 259
Index	p. 271
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