Pelvic Floor Disorders: Imaging and Multidisciplinary Approach to Management

Pelvic Floor Disorders: Imaging and Multidisciplinary Approach to Management


Dramatic improvement in imaging techniques (3D ultrasonography, dynamic magnetic resonance) allows greater insight into
the complex anatomy of the pelvic floor and its pathological modifications.Obstetrical events leading to fecal and
urinary incontinence in women, the development of pelvic organ prolapse, and mechanism of voiding dysfunction and
obstructed defecation can now be accurately assessed, which is fundamental for appropriate treatment decision making.
This book is written for gynecologists, colorectal surgeons, urologists, radiologists, and gastroenterologists with a
special interest in this field of medicine. It is also relevant to everyone who aspires to improve their understanding
of the fundamental principles of pelvic floor disorders.







SECTION I Pelvic Floor Anatomy 1 State of the Art of Pelvic Floor Anatomy 2 Musco-Elastic Theory of Pelvic Floor
Function 3 The Pathophysiology of the Pelvic Floor Basic Physiology, Effects of Ageing and Menopausal Changes 4
Neurocontrol of the Pelvic Floor 5 Clinical Neurophysiology of the Pelvic Floor Invited commentary SECTION II
Sonographic Anatomy of the Pelvic Floor Introduction Endosonographic Anatomy of the Normal Pelvic Floor 6 3-D
Endovaginal Ultrasonography 7 3- and 4-D Transperineal Ultrasonography 8 3-D Endoanal and Endorectal Ultrasonography 9
Technical Innovations in Ultrasonography Invited commentary MR Anatomy of the Normal Pelvic Floor 10 MR imaging of
Pelvic Floor 11 Technical Innovations in MRI Invited commentary SECTION III Pelvic Floor Damage due to Childbirth
Introduction 12 Mechanisms of Pelvic Floor Trauma During Vaginal Delivery 13 Posterior Compartment Disorders and
Obstetric Trauma 14 Prevention of Perineal Trauma Invited commentary Invited commentary SECTION IV Urinary Incontinence
and Voiding Dysfunction Introduction Investigation 15 Ultrasonographic Assessment 16 Urodynamic Evaluation Invited
commentary Management 17 Tapes Positioning 18 Selection of Mid-urethral sling for which patient 19 Injectable
Biomaterials 20 Artificial Sphincter 21 Sacral Neuromodulation Invited commentary 22 Biofeedback 23 Medical Treatment
of Urinary Incontinence, Urinary Retention and Overactice Bladder Invited commentary SECTION V Fecal Incontinence
Introduction Investigation 24 3-D Endoluminal Ultrasonography 25 Transperineal Ultrasonography 26 MR Imaging Invited
commentary 27 Anorectal Manometry Invited commentary Management 28 Sphincter Repair and Postanal Repair 29
Graciloplasty 30 Radiofrequency and Injectable Biomaterials 31 Artificial Bowel Sphincter 32 Sacral Neuromodulation 33
Future Treatment Invited commentary Invited commentary 34 Biofeedback 35 Medical Treatment Invited commentary SECTION
VI Pelvic Organ Prolapse Introduction Investigation 36 Imaging as a Key to Understand Causes of Pelvic Floor Disorders
37 3-D Endoluminal Ultrasonography 38 Dynamic and 3-D/4-D Transperineal Ultrasonography 39 Cystography and Defecography
40 Magnetic Resonance Imaging and Dynamic MRI Invited commentary Invited commentary 41 Anorectal Manometry Invited
commentary Management 42 Management of Pelvic Floor Disorders Unitary or Multidisciplinary Approach? 43 Abdominal
Approach to Uro-Genital Prolapse 44 The Perineal Approach to Uro-Genital Prolapse 45 The Laparoscopic Approach to Uro-
Genital Prolapse 46 Total Pelvic Floor Reconstruction Invited commentary 47 The Abdominal Approach to Rectal Prolapse
48 The Perineal Approach to Rectal Prolapse Invited commentary 49 The Laparoscopic Approach to Rectal Prolapse Invited
commentary 50 Pelvic Floor Rehabilitation 51 Medical Treatment of Irritable Bowel Sindrome, Anismus and Constipation
Invited commentary SECTION VII Pelvic Pain Introduction 52 Painful Bladder Syndrome 53 Painful Conditions of the
Urogenital Compartment 54 Ano-Rectal Pain 55 Trigger Points and Biofeedback in Managing Pelvic Pain 56 Chronic pelvic
pain: a different perspective Invited commentary Invited commentary SECTION VIII Fistula Introduction 57 Vesico-Vaginal
and Urethro-Vaginal Fistulas 58 Recto-Vaginal Fistulas 59 Anorectal Fistulas Invited commentary Invited commentary
SECTION IX Failure or Recurrence after Surgical Treatment What to do When it all Goes Wrong Introduction 60
Investigation and Management of Complications after Urogynecological Surgery 61 Investigation and Management of
Complications after Coloproctological Surgery Invited commentary Invited commentary Invited commentary INDEX