By Gamal M. Ghoniem, G. Willy Davila
ISBN-10: 1435626273
ISBN-13: 9781435626270
ISBN-10: 1841843989
ISBN-13: 9781841843988
Pelvic ground issues impact a wide percentage of girls world wide. This publication is a hugely functional consultant highlighting all of the various kinds of such difficulties. incorporated are chapters at the pathophysiology of the feminine pelvic flooring, the evaluate and prognosis of difficulties, the sensible administration of indicators, and the issues which can come up from surgical and scientific therapy.
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Additional info for Practical Guide to Female Pelvic Medicine
Sample text
The two groups of individuals mostly affected are females and the elderly. 4 The pathophysiology of this disease is multifactorial and not yet fully understood. While decades ago fecal incontinence was often seen as ‘idiopathic’, since the advent of physiology testing, major progress has been made in understanding the complexity of this disease. The aim of this chapter is to highlight the various forms of fecal incontinence and to explain possible pathophysiologic mechanisms as a basis for a proper individually tailored treatment.
The bilateral ATFP bands support the lateral vaginal walls. 16 Addition of in-vitro estrogen produced less response in the incontinent group, suggesting the possibility of genetic differences predisposing patients to SUI. 20 The etiology of urge urinary incontinence has been theorized as neurogenic or myogenic. What is not debated is that the intricate mechanisms maintaining continence can be disrupted at many levels, resulting in detrusor overactivity and subsequent urge urinary incontinence. 21 As these are better defined, therapy can become more specific and effective.
The aim of this chapter is to highlight the various forms of fecal incontinence and to explain possible pathophysiologic mechanisms as a basis for a proper individually tailored treatment. Definitions Before discussing anal incontinence it is important to understand the main factors responsible for continence. Stool consistency, capacity and compliance of the rectum, normal reflex patterns like the rectoanal inhibitory reflex, as well as proper sensitivity, and intact pelvic floor and sphincter muscles all help to retain feces in the rectum.
Practical Guide to Female Pelvic Medicine by Gamal M. Ghoniem, G. Willy Davila
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