Female pelvic medicine and reconstructive surgery:
Saved in:
| Format: | Book |
|---|---|
| Language: | English |
| Published: |
Philadelphia, PA
Saunders
2009
|
| Series: | Obstetrics and gynecology clinics of North America
36,3 |
| Subjects: | |
| Online Access: | Inhaltsverzeichnis |
| Item Description: | Includes bibliographical references and index Anatomy of pelvic floor dysfunction / Marlene M. Corton -- Epidemiology of pelvic floor dysfunction / Vivian W. Sung and Brittany Star Hampton -- Clinical approach and office evaluation of the patient with pelvic floor dysfunction / Cecilia K. Wieslander -- Pathophysiology of urinary incontinence, voiding dysfunction, and overactive bladder / David D. Rahn and Shayzreen M. Roshanravan -- Behavior treatment of urinary incontinence, voiding dysfunction, and overactive bladder / Kathryn L. Burgio -- Pharmacologic management of urinary incontinence, voiding dysfunction, and overactive bladder / Emily K. Saks and Lily A. Arya -- Surgical treatment for stress and urge urinary incontinence / Clifford Y. Wai -- Pathophysiology of pelvic organ prolapse / R. Ann Word, Sujatha Pathi, and Joseph I. Schaffer -- Pessary use and management for pelvic organ prolapse / Shanna D. Atnip -- Vaginal surgery for pelvic organ prolapse / Stephen B. Young -- Abdominal, laparoscopic, and robotic surgery for pelvic organ prolapse / Colleen D. McDermott and Douglass S. Hale -- Use of mesh and materials in pelvic floor surgery / Miles Murphy -- Obliterative vaginal surgery for pelvic organ prolapse / Thomas L. Wheeler II, Kimberly A. Gerten, and Jeffrey B. Garris -- Pathophysiology of anal incontinence, constipation, and defecatory dysfunction / Marc R. Toglia -- Evaluation and treatment of anal incontinence, constipation, and defecatory dysfunction / Tola B. Omotosho and Rebecca G. Rogers -- Pathophysiology of pelvic floor hypertonic disorder / Charles W. Butrick -- Pelvic floor hypertonic disorders ; identification and management / Charles W. Butrick |
| Physical Description: | XVII S., S. 401 - 735 zahlr. Ill., graph. Darst. 24 cm |
| ISBN: | 9781437712490 1437712495 |
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| 650 | 4 | |a Pelvic Floor / surgery | |
| 650 | 4 | |a Pelvic Floor / physiopathology | |
| 650 | 4 | |a Pelvic Organ Prolapse / surgery | |
| 650 | 4 | |a Pelvic Organ Prolapse / therapy | |
| 650 | 4 | |a Female Urogenital Diseases / therapy | |
| 650 | 4 | |a Female Urogenital Diseases / surgery | |
| 650 | 4 | |a Female Urogenital Diseases / surgery | |
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| 650 | 4 | |a Female Urogenital Diseases |x surgery | |
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| adam_text | Titel: Female pelvic medicine and reconstructive surgery
Autor: Schaffer, Joseph I.
Jahr: 2009
Female Pelvic Medicine and Reconstructive Surgery
Contents
Foreword xv
William F. Rayburn
Preface xvii
Joseph I. Schaffer
Anatomy of Pelvic Floor Dysfunction 401
Marlene M. Corton
Normal physiologic function of the pelvic organs depends on the anatomic
integrity and proper interaction among the pelvic structures, the pelvic
floor support components, and the nervous system. Pelvic floor dysfunc-
tion includes urinary and anal incontinence; pelvic organ prolapse; and
sexual, voiding, and defecatory dysfunction. Understanding the anatomy
and proper interaction among the support components is essential to di-
agnose and treat pelvic floor dysfunction. The primary aim of this article
is to provide an updated review of pelvic support anatomy with clinical cor-
relations. In addition, surgical spaces of interest to the gynecologic sur-
geon and the course of the pelvic ureter are described. Several
concepts reviewed in this article are derived and modified from a previous
review of pelvic support anatomy.
Epidemiology of Pelvic Floor Dysfunction 421
Vivian W. Sung and Brittany Star Hampton
The epidemiology of female pelvic floor disorders, including urinary incon-
tinence, pelvic organ prolapse, anal incontinence, and interstitial cystitis/
painful bladder syndrome is reviewed. The natural history, prevalence,
incidence, remission, risk factors, and potential areas for prevention are
considered.
Clinical Approach and Office Evaluation of the Patient with Pelvic
Floor Dysfunction 445
Cecilia K. Wieslander
Pelvic floor disorders are common health issues for women and have
a great impact on quality of life. These disorders can present with a wide
spectrum of symptoms and anatomic defects. This article reviews the clin-
ical approach and office evaluation of patients with pelvic floor disorders,
including pelvic organ prolapse, urinary dysfunction, anal incontinence,
sexual dysfunction, and pelvic pain. The goal of treatment is to provide
as much symptom relief as possible. After education and counseling,
patients may be candidates for non-surgical or surgical treatment, and
expectant management.
Contents
Pathophysiology of Urinary Incontinence,Voiding Dysfunction,
and Overactive Bladder 463
David D. Rahn and Shayzreen M. Roshanravan
Urinary incontinence and voiding dysfunction are common forms of pelvic
floor dysfunction affecting women. The complex interactions between the
nervous system and lower urinary tract anatomy allow for the coordinated
functions of urine storage and evacuation. A thorough understanding of
these components and their interactions is the foundation for the diagnosis
and treatment of pathologic conditions affecting urine storage or evacua-
tion. These components include changes in neurologic or muscular func-
tion, alterations in anatomy, and the deleterious effects of many common
comorbid conditions on the lower urinary tract.
Behavioral Treatment of Urinary Incontinence,Voiding Dysfunction,
and Overactive Bladder 475
Kathryn L. Burgio
Behavioral treatments have been used for several decades to treat urinary
incontinence, overactive bladder, and other lower urinary tract symptoms.
The spectrum of behavioral treatments includes those that target voiding
habits and life style, as well as those that train pelvic floor muscles to im-
prove strength and control. What they all have in common is that they im-
prove symptoms by teaching skills and by changing the patient s behavior.
Most patients are not cured through behavioral intervention, but the abun-
dance of literature tells us that most patients experience significant reduc-
tions in symptoms and improvements in quality of life. Behavioral
treatments should be a mainstay in the care of women of all ages with in-
continence or other lower urinary tract symptoms.
Pharmacologic Management of Urinary Incontinence,Voiding Dysfunction,
and Overactive Bladder 493
Emily K. Saks and Lily A. Arya
Most drugs used in the treatment of urinary incontinence and voiding dys-
function in women modulate neuromuscular transmission in the urethra
and bladder. Pharmacotherapy is the mainstay of treatment for overactive
bladder. Although several different antimuscarinic medications are avail-
able for the treatment of overactive bladder, most have similar efficacy
and tolerability. Pharmacotherapy has a limited role in the management
of stress incontinence and voiding dysfunction in women. Newer drugs
that target different mechanisms of action are being developed for the
treatment of urinary incontinence and voiding dysfunction in women.
Surgical Treatment for Stress and Urge Urinary Incontinence 509
Clifford Y. Wai
Surgical management for urinary incontinence is appropriate when con-
servative treatment is unsuccessful or not desired. Although many opera-
tions have been developed for the treatment of incontinence, there is no
Contents
consensus on which is the single best treatment and therapy should be
individualized for each patient. This review will mainly focus on stress uri-
nary incontinence, discuss some of the theories behind the pathophysiol-
ogy of this condition, and provide some rationale for selecting a particular
surgical procedure for incontinence.
Pathophysiology of Pelvic Organ Prolapse 521
R. Ann Word, Sujatha Pathi, and Joseph I. Schaffer
The pathophysiology of pelvic organ prolapse is believed to be multifacto-
rial. Several risk factors, such as childbirth and aging, have been identified.
Suspected aberrations in the structure and function of the connective tis-
sue, muscles, and nerves of the pelvic floor are still under investigation. In
this article, the cellular, biochemical, and molecular basis of pelvic organ
prolapse is discussed with a focus on the new theory of elastinopathy as
an etiology of prolapse.
Pessary Use and Management for Pelvic Organ Prolapse 541
Shanna D. Atnip
Pessary is a low-risk and effective non-surgical treatment option for pelvic
organ prolapse. Indications for pessary include symptomatic prolapse, if
surgery is not desired or recommended, and use as a diagnostic tool to
predict surgical outcomes. Evidence for pessary selection and manage-
ment is incomplete so trial and error, expert opinion, and experience re-
main the best guides for use and management of the pessary. With
proper training and understanding of pessary management, most patients
can be successfully fitted and taught to manage the pessary either for
short- or long-term relief of symptoms. Patient satisfaction is high making
pessary an important tool in treating prolapse.
Vaginal Surgery for Pelvic Organ Prolapse 565
Stephen B. Young
The vaginal approach to pelvic organ prolapse repair has been a mainstay
of surgical therapy since the beginning of modern gynecologic surgery. In
this article, the major vaginal procedures are reviewed with emphasis on
techniques of pelvic reconstruction. Vaginal hysterectomy, apical suspen-
sion, repair of the anterior and posterior compartments, and perineal repair
are covered in detail.
Abdominal, Laparoscopic, and Robotic Surgery for Pelvic Organ Prolapse 585
Colleen D. McDermott and Douglass S. Hale
Abdominal correction of pelvic organ prolapse remains a viable option for
patients and surgeons. The transition from open procedures to less inva-
sive laparoscopic and robotic-assisted surgeries is evident in the literature.
This article reviews the surgical options available for pelvic organ prolapse
Contents
repair and their reported outcomes. Procedures reviewed include apical
support (sacral, uterosacral, and others), and abdominal anterior and pos-
terior vaginal wall support. Long-term follow-up and appropriately de-
signed studies will further help direct surgeons in deciding which
approach to incorporate into their practice.
Use of Mesh and Materials in Pelvic Floor Surgery 615
Miles Murphy
The complex issues regarding the use of mesh and materials in pelvic floor
dysfunction are discussed. The various types of grafts available for use
and the outcomes of the case series and comparative studies of graft re-
pairs used in the treatment of stress urinary incontinence and pelvic organ
prolapse are examined.
Obliterative Vaginal Surgery for Pelvic Organ Prolapse 637
Thomas L. Wheeler II, Kimberly A. Gerten, and Jeffrey B. Garris
Obliterative vaginal surgery is an appropriate management option for pel-
vic organ prolapse in women who do not desire future vaginal intercourse.
When colpoclesis is not technically feasible, constricting repairs can be
performed. Obliterative surgery in older women has the advantages of
fewer complications and less surgical time than reconstructive proce-
dures, especially in those with medical comorbidities. Age-related
changes in physiology should be kept in mind along with the risk of post-
operative delirium. Candidates should be counseled regarding high suc-
cess and satisfaction rates.
Pathophysiology of Anal Incontinence, Constipation, and Defecatory Dysfunction 659
Marc R. Toglia
Anorectal disorders cause significant discomfort and embarrassment in
women. The onset typically follows childbirth and symptoms increase
with age. This article discusses anal incontinence, defecatory dysfunction,
rectal prolapse, and constipation.
Evaluation and Treatment of Anal Incontinence, Constipation, and Defecatory
Dysfunction 673
Tola B. Omotosho and Rebecca G. Rogers
Posterior compartment disorders include anal incontinence, constipation,
and defecatory dysfunction. These disorders cause considerable morbid-
ity, and are typically underreported by patients and undertreated by pro-
viders. The purpose of this article is outline the approach to diagnosis
and treatment of anal incontinence, constipation, and defecatory dys-
function with a brief description of the nature of the problem and ap-
proaches to evaluation and diagnosis, as well as medical and surgical
management.
Contents
Pathophysiology of Pelvic Floor Hypertonic Disorder 699
Charles W. Butrick
The pelvic floor represents the neuromuscular unit that provides support
and functional control for the pelvic viscera. Its integrity, both anatomic
and functional, is the key in some of the basic functions of life: storage
of urine and feces, evacuation of urine and feces, support of pelvic organs,
and sexual function. When this integrity is compromised, the results lead to
many of the problems seen by clinicians. Pelvic floor dysfunction can in-
volve weakness and result in stress incontinence, fecal incontinence,
and pelvic organ prolapse. Pelvic floor dysfunction can also involve the de-
velopment of hypertonic, dysfunctional muscles. This article discusses the
pathophysiology of hypertonic disorders that often result in elimination
problems, chronic pelvic pain, and bladder disorders that include bladder
pain syndromes, retention, and incontinence. The hypertonic disorders are
very common and are often not considered in the evaluation and manage-
ment of patients with these problems.
Pelvic Floor Hypertonic Disorders: Identification and Management 707
Charles W. Butrick
Patients with hypertonic pelvic floor disorders can present with pelvic pain
or dysfunction. Each of the various syndromes will be discussed including
elimination disorders, bladder pain syndrome/interstitial cystitis (BPS/IC),
vulvodynia, vaginismus, and chronic pelvic pain. The symptoms and ob-
jective findings on physical examination and various diagnostic studies
will be reviewed. Therapeutic options including physical therapy, pharma-
cologic management, and trigger point injections, as well as botulinum
toxin injections will be reviewed in detail.
Index 723
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| spelling | Female pelvic medicine and reconstructive surgery guest ed. Josepth I. Schaffer Philadelphia, PA Saunders 2009 XVII S., S. 401 - 735 zahlr. Ill., graph. Darst. 24 cm txt rdacontent n rdamedia nc rdacarrier Obstetrics and gynecology clinics of North America 36,3 Includes bibliographical references and index Anatomy of pelvic floor dysfunction / Marlene M. Corton -- Epidemiology of pelvic floor dysfunction / Vivian W. Sung and Brittany Star Hampton -- Clinical approach and office evaluation of the patient with pelvic floor dysfunction / Cecilia K. Wieslander -- Pathophysiology of urinary incontinence, voiding dysfunction, and overactive bladder / David D. Rahn and Shayzreen M. Roshanravan -- Behavior treatment of urinary incontinence, voiding dysfunction, and overactive bladder / Kathryn L. Burgio -- Pharmacologic management of urinary incontinence, voiding dysfunction, and overactive bladder / Emily K. Saks and Lily A. Arya -- Surgical treatment for stress and urge urinary incontinence / Clifford Y. Wai -- Pathophysiology of pelvic organ prolapse / R. Ann Word, Sujatha Pathi, and Joseph I. Schaffer -- Pessary use and management for pelvic organ prolapse / Shanna D. Atnip -- Vaginal surgery for pelvic organ prolapse / Stephen B. Young -- Abdominal, laparoscopic, and robotic surgery for pelvic organ prolapse / Colleen D. McDermott and Douglass S. Hale -- Use of mesh and materials in pelvic floor surgery / Miles Murphy -- Obliterative vaginal surgery for pelvic organ prolapse / Thomas L. Wheeler II, Kimberly A. Gerten, and Jeffrey B. Garris -- Pathophysiology of anal incontinence, constipation, and defecatory dysfunction / Marc R. Toglia -- Evaluation and treatment of anal incontinence, constipation, and defecatory dysfunction / Tola B. Omotosho and Rebecca G. Rogers -- Pathophysiology of pelvic floor hypertonic disorder / Charles W. Butrick -- Pelvic floor hypertonic disorders ; identification and management / Charles W. Butrick Pelvic Floor / surgery Pelvic Floor / physiopathology Pelvic Organ Prolapse / surgery Pelvic Organ Prolapse / therapy Female Urogenital Diseases / therapy Female Urogenital Diseases / surgery Female Urogenital Diseases surgery Female Urogenital Diseases therapy Pelvic Floor physiopathology Pelvic Floor surgery Pelvic Organ Prolapse surgery Pelvic Organ Prolapse therapy Schaffer, Joseph I. Sonstige (DE-588)140181288 oth Obstetrics and gynecology clinics of North America 36,3 (DE-604)BV000617486 36,3 HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=018800980&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Female pelvic medicine and reconstructive surgery Obstetrics and gynecology clinics of North America Pelvic Floor / surgery Pelvic Floor / physiopathology Pelvic Organ Prolapse / surgery Pelvic Organ Prolapse / therapy Female Urogenital Diseases / therapy Female Urogenital Diseases / surgery Female Urogenital Diseases surgery Female Urogenital Diseases therapy Pelvic Floor physiopathology Pelvic Floor surgery Pelvic Organ Prolapse surgery Pelvic Organ Prolapse therapy |
| title | Female pelvic medicine and reconstructive surgery |
| title_auth | Female pelvic medicine and reconstructive surgery |
| title_exact_search | Female pelvic medicine and reconstructive surgery |
| title_full | Female pelvic medicine and reconstructive surgery guest ed. Josepth I. Schaffer |
| title_fullStr | Female pelvic medicine and reconstructive surgery guest ed. Josepth I. Schaffer |
| title_full_unstemmed | Female pelvic medicine and reconstructive surgery guest ed. Josepth I. Schaffer |
| title_short | Female pelvic medicine and reconstructive surgery |
| title_sort | female pelvic medicine and reconstructive surgery |
| topic | Pelvic Floor / surgery Pelvic Floor / physiopathology Pelvic Organ Prolapse / surgery Pelvic Organ Prolapse / therapy Female Urogenital Diseases / therapy Female Urogenital Diseases / surgery Female Urogenital Diseases surgery Female Urogenital Diseases therapy Pelvic Floor physiopathology Pelvic Floor surgery Pelvic Organ Prolapse surgery Pelvic Organ Prolapse therapy |
| topic_facet | Pelvic Floor / surgery Pelvic Floor / physiopathology Pelvic Organ Prolapse / surgery Pelvic Organ Prolapse / therapy Female Urogenital Diseases / therapy Female Urogenital Diseases / surgery Female Urogenital Diseases surgery Female Urogenital Diseases therapy Pelvic Floor physiopathology Pelvic Floor surgery Pelvic Organ Prolapse surgery Pelvic Organ Prolapse therapy |
| url | http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=018800980&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA |
| volume_link | (DE-604)BV000617486 |
| work_keys_str_mv | AT schafferjosephi femalepelvicmedicineandreconstructivesurgery |