The Pelvic Floor

John Pemberton: Professor of Surgery and consultant in Colon and Rectal Surgery at the Mayo Clinic. He is a high-profile surgeon and in the US, and is editor and contributor to many titles. He lectures on pelvic floor dysfunction both nationally and internationally.

Michael Swash is a neurologist with a specialist interest in neurological control of voiding and is author of the following titles:
Hutchison's Clinical Methods
Outcomes in Neurological and Neurosurgical Disorders
Neurology for Lawyers

Section 1 - Algorithms. Algorithms. Section 2 - The Normal Pelvic Floor A) Anterior Pelvic Floor.The Female Genito-Urinary System. Urinary Storage and Voiding. Childbirth. B) Posterior Pelvic Floor. Colon, Rectum, Anus, Anal Sphincters and the Pelvic Floor. Defecation and Fecal Continence. Colonic Motility and Colonic Function. Neural Mechanisms in Pelvic Floor and Sphincter Function. Section 3 - Investigation of Pelvic Floor Dysfunction. A) Anterior Pelvic Floor. Investigation of Pelvic Floor Dysfunction: Anterior Pelvic Floor; Clinical Features. Voiding Studies. Imaging of the Bladder and Urethra. Electrophysiology of the Anterior Pelvic Floor and Urinary Sphincters. B) Posterior Pelvic Floor. Clinical Features. Anal Manometry and Colo-Anal Motility Studies. Imaging the Colon and Rectum. Electrophysiology of the Posterior Pelvic Floor and Anal Sphincters. C) Reflex Responses. Pelvic Floor Reflexes in the Assessment of Pelvic Floor Disorders. Section 4 - Pathophysiology and Management of Pelvic Floor Disorders. A) Prolapse and the Pelvic Floor. Urogenital Prolapse. Rectal Prolapse. B) Urinary Voiding Disorders. Dysfunctional Voiding and Urinary Retention. Bladder Dysfunction in Neurological Disorders. C) Disorders of Defecation. Constipation. Irritable Bowel Syndrome. Fecal Incontinence. Solitary Rectal Ulcer, Rectocele, Hemorrhoids, and Pelvic Pain. Anorectal Dysfunction in Neurological Disorders. Biofeedback in Pelvic Floor Disorders. Section 5 - Consequences of Pelvic Floor Dysfunction and Its Treatment. Prevention and Management in Pelvic Floor Disorders. The Application of Theory to Surgical Practice in Pelvic Floor Disorders. Effects of Pelvic Floor Surgery. Psychological Aspects of Pelvic Floor Disorders.