Pelvic Floor Re-education (eBook)

Preface 5
Contents 6
Contributors 9
Function and Dysfunction of the Pelvic Floor and Viscera 12
Functional Anatomy of the Pelvic Floor and Lower Urinary Tract 13
Neural Control of Pelvic Floor Muscles 32
The Effects of Pregnancy and Childbirth on the Pelvic Floor 46
Muscle Function and Ageing 59
Urinary Incontinence and Voiding Dysfunction 72
Pelvic Organ Prolapse 81
Anal Incontinence, Constipation, and Obstructed Defecation 85
Overactive Pelvic Floor Muscles and Related Pain 93
Evaluation of the Pelvic Floor 99
Clinical Evaluation of the Pelvic Floor Muscles 100
Examination of Patients with Pelvic Organ Prolapse 114
Urodynamics 118
Applying Urodynamic Findings to Clinical Practice 129
Anorectal Physiology 133
Ultrasound Imaging 144
Magnetic Resonance Imaging 153
Electrophysiology 164
Outcome Measures in Pelvic Floor Rehabilitation 171
Techniques of Pelvic Floor Rehabilitation and Muscle Training 184
Concepts of Neuromuscular Rehabilitation and Pelvic Floor Muscle Training 185
Exercise, Feedback, and Biofeedback 192
Electrical Stimulation 198
Extracorporeal Magnetic Stimulation 204
Devices 209
Alternative Methods to Pelvic Floor Muscle Awareness and Training 216
Treatment: Condition-Specific Assessment and Approaches 221
Behavioral Treatment 222
Stress Urinary Incontinence 228
Evidence for the Effectiveness of Pelvic Floor Muscle Training in the Treatment and Antenatal Prevention of Female Urinary Incontinence 235
Postpartum Management of the Pelvic Floor 242
Role of a Perineal Clinic 249
Overactive Bladder 253
Sexual Dysfunction and the Overactive Pelvic Floor 260
Anal Incontinence and Evacuation Difficulties 266
Incontinence During Sports and Fitness Activities 274
Pelvic Organ Prolapse - Pessary Treatment 278
What to Do if Physiotherapy Fails? 285
Stress Urinary Incontinence: Choice of Surgery 286
Genital Prolapse: Surgery for Failed Conservative Treatment 290
The Anal Sphincter 294
Index 298