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pelvic
floor dysfuNction I
N V E S T I G A T I O N S & C
O N S E R V A T I V E T
R E A T M E N T Editors r.
a. appell
- a. bourcier - f. la torre
CASA EDITRICE SCIENTIFICA INTERNAZIONALE |
PREFACE
Urinary
incontinence, a very prevalent condition, is the principal voiding
dysfunction of childhood and very common in the elderly. Fecal
incontinence, an under reported, under-recognized condition is
associated with feelings of frustration, moodiness and decreased
self-esteem. All of these conditions and their consequences can be
devastating for the person concerned. Sexual problems are common in
both women and men and occur for several reasons. Sexual dysfunction
may be characterized as either psychological, gynecological,
urological or neurological. This
book is divided into four parts for easy orientation. Part I
highlights the pathophysiology of continence mechanisms, as well as
sexual dysfunction. Part II is dedicated to diagnostic techniques.
From routine office evalutation to sophisticated investigations, this
section presents a review of many different techniques. Part III
relates to nonsurgical treatment of lower urinary tract and sexual
dysfunctions. This part is focused on nonoperative treatment. The
authors discuss the therapies that have been developed for the
treatment of female and male pelvic floor dysfunction. A combination
of pelvic floor exercises, biofeedback and electrical stimulation are
all treatment options that do not involve surgery. Part IV includes a
group of chapters dedicated to the pharmacological treatment and the
selection of patients. There is no doubt that these therapies are
effective in selected cases and should be proposed prior to surgery.
The originality of this book is to gather all pelvic floor disorders,
allowing a multidisciplinary approach to investigations and
conservative treatment. It has been written with the intention of
putting an end to the confusion about pelvic floor re-education
methods and explaining their contributions. Not every patient with
incontinence problems requires rehabilitation, but the modern
physician should be sufficiently informed to select which patients may
benefit from the techniques which are presented.
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R.A.
Appell Head
of Sector of Voiding Dysfunction, Department of Female Urology,
Cleveland (USA) A. BourcierMedical
Consultant, Division of Uroginecology, Paris (France) F. La TorreDepartment of Colonproctology, European Hospital, Rome (Italy)
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CONTRIBUTORS
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C.E.S.I. - CASA EDITRICE SCIENTIFICA INTERNAZIONALE •
volume divided in 4 parts: Part IPathophysiology
of Pelvic Floor Disorders Part IIDiagnosis
and evaluation of pelvic floor disorders Part IIIPelvic
floor re-education Part IVSelection
of patients and conservative treatment • 66 contributions of experts known in all over the world |