Urodynamics, Neurourology and Pelvic Floor Dysfunctions – serie

This book provides a comprehensive and up-to-date overview of the surgical treatment of pelvic organ prolapse, focusing especially on issues that continue to arouse controversy. In the first section, leading experts present detailed information on the surgical anatomy, pathophysiology, and epidemiology of prolapse and also the impact of concomitant functional disorders. The second section focuses on diagnostic work-up and the third is dedicated to the various treatment options aimed at resolution of the condition. The closing chapters discuss outcome measures and analyze the effects of prolapse surgery on urinary, bowel, and sexual symptoms. In 1966 Richard TeLinde stated that, “Every honest surgeon of extensive and long experience will have to admit that he is not entirely and absolutely satisfied with his long-term results of all his operations for prolapse and allied conditions.”  Although many uncertainties in the field have since been resolved, some major issues still require clarification. Often it can be difficult to find the right balance between treatment effectiveness in the long term and risk reduction, including with respect to complications. This book will help trainees and less experienced surgeons to make appropriate treatment choices and achieve optimal outcomes.

This book aims to impart all the practical knowledge required in order to evaluate and treat children with anatomical, neurological, and functional incontinence. It explains how appropriate choice of management in childhood depends first of all on a correct diagnosis, then on thorough urodynamic evaluation, and finally on sound assessment of the condition of the individual patient. The full range of relevant pathologies are considered and all of the treatment options are extensively discussed, including behavioral therapy, rehabilitation, physiotherapy, pharmacotherapy, neuromodulation, endoscopic procedures, and surgical reconstruction. Careful attention is paid to the impacts that treatments performed during childhood may have on later adult life, including on fertility and pregnancy, with a view to ensuring that the reader will be in a position to time treatments correctly, thereby avoiding adverse effects, and possess all the information needed to address the concerns of patients and their families. The book will be of value to pediatricians, urologists, nurses, physiotherapist, students, and all others with an interest in the field.

This book provides a detailed review of neurogenic pelvic dysfunctions following a suprapontine lesion, since a clear understanding of the pathogenesis of vesical and bowel dysfunctions has become increasingly important in medical education.It covers both urinary incontinence and retention, constipation and faecal incontinence resulting from ischemic, haemorrhagic and traumatic brain injury and Parkinson’s disease. It also offers a concise yet comprehensive summary of the neurologic examination of the pelvis: all chapters include the most up-to-date scientific and clinical information with the relevant level of clinical evidence.The book is divided into three sections, which integrate basic science with clinical medicine. The first section features a general introduction and essential background into micturition and bowel neural control, focusing on cortical control. Section 2 is devoted to common clinical problems regarding the neurologic assessment of the perineum, while the last section summarises urological and bowel dysfunction in suprapontine lesions.Providing a clear, concise and informative introduction to urology, it is a practical guide for professionals, medical students and residents in Physical Medicine and Rehabilitation, Urology and Neurology.

This book provides a detailed review of neurogenic pelvic dysfunctions following a suprapontine lesion, since a clear understanding of the pathogenesis of vesical and bowel dysfunctions has become increasingly important in medical education.It covers both urinary incontinence and retention, constipation and faecal incontinence resulting from ischemic, haemorrhagic and traumatic brain injury and Parkinson’s disease. It also offers a concise yet comprehensive summary of the neurologic examination of the pelvis: all chapters include the most up-to-date scientific and clinical information with the relevant level of clinical evidence.The book is divided into three sections, which integrate basic science with clinical medicine. The first section features a general introduction and essential background into micturition and bowel neural control, focusing on cortical control. Section 2 is devoted to common clinical problems regarding the neurologic assessment of the perineum, while the last section summarises urological and bowel dysfunction in suprapontine lesions.Providing a clear, concise and informative introduction to urology, it is a practical guide for professionals, medical students and residents in Physical Medicine and Rehabilitation, Urology and Neurology.

This book provides readers with a holistic approach to chronic pelvic pain which is an extremely complex condition with associated pelvic dysfunctions. This approach significantly facilitates and accelerates the clinical assessment and subsequent follow-up.  The pathophysiologic mechanisms involving  the nervous system, the pelvic organs and the pelvic floor are discussed,  deepening the possible implications on mind, sexuality and pelvic dysfunctions.Evaluation and diagnosis are examined for different types of syndromes. Moreover, since the Bladder Pain Syndrome and the Interstitial Cystitis are main causes of  pelvic pain, an original diagnostic approach is proposed specifically for these conditions. In order to deliver the best clinical outcomes, this new system provides a multidisciplinary approach, both in the diagnostic phase and in the therapeutic phaseThe most recent therapies for chronic pelvic pain following a multidisciplinary approach are described in detail. Due to its practice-oriented contents, the book will greatly benefit all professionals dealing with this debilitating disease, supporting them in their daily clinical routine.

This book provides readers with a holistic approach to chronic pelvic pain which is an extremely complex condition with associated pelvic dysfunctions. This approach significantly facilitates and accelerates the clinical assessment and subsequent follow-up.  The pathophysiologic mechanisms involving  the nervous system, the pelvic organs and the pelvic floor are discussed,  deepening the possible implications on mind, sexuality and pelvic dysfunctions.Evaluation and diagnosis are examined for different types of syndromes. Moreover, since the Bladder Pain Syndrome and the Interstitial Cystitis are main causes of  pelvic pain, an original diagnostic approach is proposed specifically for these conditions. In order to deliver the best clinical outcomes, this new system provides a multidisciplinary approach, both in the diagnostic phase and in the therapeutic phaseThe most recent therapies for chronic pelvic pain following a multidisciplinary approach are described in detail. Due to its practice-oriented contents, the book will greatly benefit all professionals dealing with this debilitating disease, supporting them in their daily clinical routine.

This book is exclusively devoted to the often-challenging diagnosis, management and treatment of patients with non-neurogenic bladder dysfunction. A unique team of experts in the field report on the state of the art and the latest trends concerning overactive and underactive bladder dysfunctions, while also discussing detrusor overactivity impaired contractility.Given its scope, the book will benefit all urologists, and offers a valuable tool for professionals and physicians who care and deal with patients with non-neurogenic bladder dysfunctions.

This book is exclusively devoted to the often-challenging diagnosis, management and treatment of patients with non-neurogenic bladder dysfunction. A unique team of experts in the field report on the state of the art and the latest trends concerning overactive and underactive bladder dysfunctions, while also discussing detrusor overactivity impaired contractility.Given its scope, the book will benefit all urologists, and offers a valuable tool for professionals and physicians who care and deal with patients with non-neurogenic bladder dysfunctions.

This book provides indicators for the best practices in diagnosis, rehabilitative and surgical management of bladder, bowel and sexual dysfunctions after prostate and bladder surgery. Covering all concepts that are essential to the understanding of the Physical Medicine and Rehabilitation strategy to evaluate disability and implement interventions - that may lead to the improvement of functioning and health after prostate and bladder surgery -, the book aims to be an excellent resource for urologists, gynecologists, colonproctologists, physiatrists, neurologists, general practitioners, students of physiotherapy and rehabilitators.

This book aims to offer a comprehensive and up-to-date overview of male stress urinary incontinence that will serve as a useful tool and reference for urologists, andrologists, physiotherapists, general practitioners, and nurses. Detailed information is provided on diagnostic workup, including clinical assessment and the role of urodynamic evaluations and other instrumental examinations, and on the full range of potential treatments, from conservative and pharmacological interventions to surgical options. In addition to careful descriptions of the surgical procedures themselves, clear advice is given on the management of iatrogenic complications of incontinence surgery. Helpful treatment algorithms and recommendations offer further practical support. Relevant background knowledge is provided in expert reviews of topics such as the functional anatomy of the male pelvis and the pathophysiology, epidemiology, and classification of male urinary incontinence.

This book offers a comprehensive guide to state-of-the-art techniques in functional urologic surgery that minimize functional damage to the urinary tract and are of particular value in patients with oncologic or neurogenic diseases. It describes the main minimally invasive surgical techniques currently available step by step, while also offering guidance on indications and how to select appropriate surgical devices to achieve specific oncological and functional outcomes. Further, the book presents data from relevant case series, documenting the favorable functional and oncologic results achieved with these techniques and devices as well as the low associated morbidity and positive impacts on quality of life. Lastly, it offers advice on preoperative assessment and postoperative care, and presents specific diagnostic algorithms of value in daily clinical practice. The contributing authors represent an international mix of respected experts carefully selected for their knowledge of the topics discussed.

This book aims to offer a comprehensive and up-to-date overview of male stress urinary incontinence that will serve as a useful tool and reference for urologists, andrologists, physiotherapists, general practitioners, and nurses. Detailed information is provided on diagnostic workup, including clinical assessment and the role of urodynamic evaluations and other instrumental examinations, and on the full range of potential treatments, from conservative and pharmacological interventions to surgical options. In addition to careful descriptions of the surgical procedures themselves, clear advice is given on the management of iatrogenic complications of incontinence surgery. Helpful treatment algorithms and recommendations offer further practical support. Relevant background knowledge is provided in expert reviews of topics such as the functional anatomy of the male pelvis and the pathophysiology, epidemiology, and classification of male urinary incontinence.

This book aims to impart all the practical knowledge required in order to evaluate and treat children with anatomical, neurological, and functional incontinence. It explains how appropriate choice of management in childhood depends first of all on a correct diagnosis, then on thorough urodynamic evaluation, and finally on sound assessment of the condition of the individual patient. The full range of relevant pathologies are considered and all of the treatment options are extensively discussed, including behavioral therapy, rehabilitation, physiotherapy, pharmacotherapy, neuromodulation, endoscopic procedures, and surgical reconstruction. Careful attention is paid to the impacts that treatments performed during childhood may have on later adult life, including on fertility and pregnancy, with a view to ensuring that the reader will be in a position to time treatments correctly, thereby avoiding adverse effects, and possess all the information needed to address the concerns of patients and their families. The book will be of value to pediatricians, urologists, nurses, physiotherapist, students, and all others with an interest in the field.

This book provides a comprehensive and up-to-date overview of the surgical treatment of pelvic organ prolapse, focusing especially on issues that continue to arouse controversy. In the first section, leading experts present detailed information on the surgical anatomy, pathophysiology, and epidemiology of prolapse and also the impact of concomitant functional disorders. The second section focuses on diagnostic work-up and the third is dedicated to the various treatment options aimed at resolution of the condition. The closing chapters discuss outcome measures and analyze the effects of prolapse surgery on urinary, bowel, and sexual symptoms. In 1966 Richard TeLinde stated that, “Every honest surgeon of extensive and long experience will have to admit that he is not entirely and absolutely satisfied with his long-term results of all his operations for prolapse and allied conditions.”  Although many uncertainties in the field have since been resolved, some major issues still require clarification. Often it can be difficult to find the right balance between treatment effectiveness in the long term and risk reduction, including with respect to complications. This book will help trainees and less experienced surgeons to make appropriate treatment choices and achieve optimal outcomes.

This book offers a comprehensive guide to state-of-the-art techniques in functional urologic surgery that minimize functional damage to the urinary tract and are of particular value in patients with oncologic or neurogenic diseases.