Anorectal Physiology

Lucia Camara Castro Oliveira: Board certified (Brazilian Society of Coloproctology and Brazilian College of Surgeons) colorectal surgeon who completed a research fellowship at the Department of Colorectal Surgery at the Cleveland Clinic, Florida. Created the first department of anorectal physiology in Rio de Janeiro. Her clinical focus is on the diagnosis and treatment of pelvic floor disorders including fecal incontinence, defecation disorders, and pelvic organ prolapse.

Anatomy of the anorectal region and pelvic floor.- Physiology of Continence and Defecation.- New concepts of anorectal anatomy, physiology and surgery according to the Integral System.- Clinical Evaluation of Continence and Defecation.- Introduction to Methods of Anorectal Physiology Evaluation.- Particulars of anal Manometry.- Endoanal, endovaginal and transperineal ultrasound.- Echodefecography: Technique and Clinical Application.- Cinedefecography.- MRI Defecography.- Neurophysiology of the Pelvic Floor.- Electromyography and Pudendal Nerve Terminal Motor Latency.- Anal Incontinence: Etiology and Clinical Treatment.- Anal incontinence: Minimally Invasive Options.- Stem cells: the state of cellular therapy in treatment of fecal incontinence.- Surgical Treatment of Fecal Incontinence.- Complex Procedures for Fecal Incontinence.- Constipation.- Obstructed Defecation Syndrome.- Defecation disorders in children and adolescents.- Anal Manometry and Chagasic colopathy.- New Functional Concepts of Chagas Disease.- Functional Aspects of Diabetes and Collagenosis.- Solitary Rectal Ulcer Syndrome.-Multiple Approaches for the Treatment of Rectoceles.- Rectal Prolapse.- Enterocele: Diagnosis and treatment.- Ventral Rectopexy: Indications, Surgical Considerations and Outcomes.- Pudendal neuropathy and pudendal canal decompression.- Anorectal and pelvic floor pain syndromes.- Neurogenic Bowel and Bladder Dysfunction.- Anorectal Physiology in Low Rectal Resection Syndrome.- Treatment of the low anterior resection syndrome.- Pelvic Floor Rehabilitation.- Biofeedback.- Sacral neuromodulation.- Sacral Neuromodulation for Anorectal Dysfunction.- Technical Aspects of Sacral Neuromodulation.- Posterior Tibial Nerve Stimulation.- Pelvic Floor Dysfunction.