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Pelvic floor disorders, which include urinary and fecal incontinence and pelvic organ prolapse, are highly prevalent conditions in women. In the United States alone, this affects almost 25% of women. These disorders often affect women's daily life activities, their sexual function, their ability to exercise, and their social and psychological life. Pelvic floor disorders are usually diagnosed clinically, but in complicated cases, pelvic imaging and electromyographic studies may be required. This book attempts to discuss the pathophysiology of pelvic floor disorders, its treatment by the use of a new synthetic material, and treatment for recurrent POP. Although there are many books available on this topic, it includes some of the original research work and surgical innovation. We would like to acknowledge all the authors for their hard work in completing this book.

Pelvic floor --- Diseases --- Treatment. --- Floor of pelvis --- Pelvis --- Medicine --- Urogynecology --- Health Sciences --- Obstetrics and Gynecology

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I f rst encountered the Integral T eory system in the early 1990’s at the Royal Perth Hospital laboratory in Western Australia where I was working on laparoscopic colposuspension. Even in prototype form, the IVS operation was so simple and ef ective that I adopted it immediately. Subsequently, based on my experiences, I wrote the following in the Medical Journal of Australia in October 1994: (the operations) promise a new era for women, virtually pain-free cure of prolapse and incontinence without catheters, and return to normal activities within days. Now, ten years later, more than 500,000 ‘tension-free’ anterior or posterior sling operations have been performed. One case in particular stands out from those early years. A woman patient in her mid-50’s came to see me with a f ve year history of urinary retention which required an indwelling catheter. T is woman had consulted more than a dozen medical specialists who had told her the same story: no cure was possible. Using the Structured Assessment of the Integral T eory it was deduced that she had a posterior zone defect. I performed a Posterior IVS. T e next day the patient was voiding spontaneously with low residuals, and she has remained well since.

Pelvic floor. --- Pelvis --- Diseases. --- Floor of pelvis --- Gynecology. --- Urology. --- Medicine --- Genitourinary organs --- Gynaecology --- Generative organs, Female --- Diseases --- Gynecology .

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This book provides information about this rather uncommon technique and lists the indications, applications and advantages of vaginal palpation..Sets quality standards for pelvic floor training, a major enhancement to the therapeutic spectrum for avoiding invasive procedures. A course book for practitioners Contains numerous colour illustrations and algorithms. Gezieltes Beckenbodentraining kann operative Eingriffe verhindern oder die ärztliche Therapie unterstützen. Für das vorwiegend von Physiotherapeuten durchgeführte Training gibt es internationale Leitlinien, die sich an evidenzbasierten Arbeiten orientieren. Eine wichtige Voraussetzung für das Beckenbodentraining ist die vaginale oder rektale Palpation. Dieses Buch beschreibt nicht nur die Technik selbst, sondern auch, wie diese an Lernende vermittelt werden kann und führt die Indikationen, Anwendungen, Vorteile und Grenzen der vaginalen und rektalen Palpation auf. Durch Einsatz der im Buch gezeigten Untersuchungstechnik kann Folgendes erreicht werden: Standardisierung der Tastuntersuchung des Beckenbodens Objektive Beurteilung einer muskulären Beckenbodenschwäche Festlegung von Behandlungszielen Viele farbige Abbildungen und Merksätze in diesem Buch gewährleisten eine gute Umsetzbarkeit der gezeigten Methode und ihrer Lehre; es ist daher als Kursbuch für Praxis und Unterricht besonders gut geeignet.

Palpation. --- Pelvic floor --- Diseases. --- Gynecology. --- Incontinence. --- Pelvic Floor Training. --- Physiotherapy. --- Prevention. --- Floor of pelvis --- Pelvis --- Physical diagnosis

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A sound and detailed knowledge of the anatomy of the pelvic floor is of the utmost importance to gynecologists, obstetricians, surgeons, and urologists, since they all share the same responsibility in treating patients with different pathological conditions caused by pelvic floor dysfunction. The most common clinical expressions of pelvic floor dysfunction are urinary incontinence, anal incontinence, and pelvic organ prolapse. Most often these clinical expressions are found in women, and they are briefly discussed below based on the outline presented in the Third International Consultation on Incontinence, a joint effort of the International Continence Society and the World Health Organization. Established potential risk factors are age, childbearing, and obesity. The pelvic floor plays an important role in these risk factors. There is evidence that the pelvic floor structures change with age, giving rise to dysfunction. Pregnancy, and especially vaginal delivery, may result in pelvic floor laxity as a consequence of weakening, stretching, and even laceration of the muscles and connective tissue, or due to damage to pudendal and pelvic nerves. Comparable to pregnancy, obesity causes chronic strain, stretching, and weakening of muscles, nerves, and other structures of the pelvic floor.

Pelvic floor --- Pathophysiology. --- Floor of pelvis --- Pelvis --- Medicine. --- Biomedicine general. --- Clinical sciences --- Medical profession --- Human biology --- Life sciences --- Medical sciences --- Pathology --- Physicians --- Health Workforce --- Biomedicine, general. --- Medicine --- Biology --- Biomedical Research. --- Research. --- Biological research --- Biomedical research

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This text provides a comprehensive, state of the art review of this field and will serve as a resource for urologists, colorectal surgeons, geriatricians, and gynecologists as well as researchers interested in neuromuscular phenomena in the pelvis. The book also reviews new data regarding risk factors for pelvic floor muscle dysfunction and profiles new minimally invasive surgical strategies for well known pelvic disease processes. Each chapter is chock full of data from landmark trials which have been published over the past few years and placed in context with respect to current management techniques for pelvic floor disorders. Written by experts in their field, Pelvic Floor Dysfunction and Pelvic Surgery in the Elderly: An Integrated Approachprovides a concise yet comprehensive summary to help guide patient management.

Medicine. --- Gynecology. --- Geriatrics. --- Rectum --- Urology. --- Medicine & Public Health. --- Colorectal Surgery. --- Geriatrics/Gerontology. --- Surgery. --- Pelvic floor --- Diseases. --- Floor of pelvis --- Pelvis --- Colon (Anatomy) --- Gynaecology --- Medicine --- Generative organs, Female --- Gerontology --- Older people --- Genitourinary organs --- Diseases --- Health and hygiene --- Rectum—Surgery . --- Gynecology .