Pelvic Floor Dysfunction

I. Concept of the Pelvic Floor as a Unit.- II Epidemiology and Prevalence: Non-neurogenic Urinary Dysfunction.- Bowel dysfunction.- Genital prolapse, Urogenital Atrophy and Sexual Dysfunction.- III Evaluation: Primary Evaluation of the Pelvic Floor.- Urodynamics.- Imaging of the Genitourinary Tract in Females.- Anorectal Physiology.- Anorectal Ultrasound Evaluation.- Neurologic Evaluation of the Pelvic Floor.- Upper GI Evaluation Related to the Pelvic Floor.- IV Anatomic Correlates: Genital Anatomic Correlates.- Colorectal Anatomic Correlates.- V Sexual Function.- VI Incontinence therapy: Device Therapy for Stress Incontinence.- Medications for Stress Urinary Incontinence.- Sling/ TVT.- Bulking Agents.- Retropubic Therapy for Stress Incontinence.- Laparoscopic Surgery for Urodynamic Stress Incontinence.- Other Therapies for Stress Urinary Incontinence.- Anal Sphincter Repair.- Fecal Diversion.- ACYST, SECCA, Sacral Nerve Stimulation, Artificial Bowel Sphincter and Stimulated Graciloplasty.- Case Presentation: SUI/FI.- VII Urgency/Frequency Syndromes Therapy: Overactive Bladder.- Sacral Nerve Stimulation.- Surgical Management of the Overactive Bladder: Evacuation Disorders.- Irritable Bowel Syndrome.- Irritable Bowel-Anismus.- VIII Prolapse Syndromes Therapy: Vaginal Pessaries.- Vaginal - Vault Surgery.- Anterior Vaginal Prolapse.- Vaginal enterocele Repair.- Vaginal Rectocele Repairs.- Rectoanal Intussusception, Solitary Rectal Ulcer and Sigmoidoceles.- Case Presentation: Prolapse (FE).- IX Pain and Irritative Syndromes Therapy: Interstitial Cystitis-Painful Bladder Syndrome.- Painful Conditions of the Urogenital Sinus.- Anal Pain.- Pain Localization and Control.- Acupuncture for Pelvic Floor Dysfunction.- X Evacuation Disorders: Conservative Management of Urinary Retention in Women.-Surgical Management of Urinary Retention.- Bladder Outlet Obstruction After Anti-Incontinence Surgery/ Urethrolysis.- Conservative Management of Constipation.- Surgical Management of Constipation.- XI Hormonal Influences on the Pelvic Floor.- XII Physiotherapeutic Approaches: Kegels and Biofeedback.- Timed Voiding and Fluid Management.- Bowel Retraining for Functional Disorders of the Colon Rectum and Anus.- XIII Surgical Therapy: Mututal and Combined Aspects:Vesico-vaginal Fistula.- Rectovaginal Fistula.- Enterourinary Fistula.- Management of Urinary Tract Injuries.- Combined vs. Sequential Reconstructive Surgeries.- XIV Severity Assessment:Voiding Diary.- Scoring Systems.- Quality of Life Assessment Tools.