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Pelvic Floor Re-Education


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Table of Contents

1. Function and dysfunction of the pelvic floor and viscera: Functional anatomy of the pelvic floor and lower urinary tract.- Neural control of pelvic floor muscles.- The effects of pregnancy and childbirth on the pelvic floor.- Muscle function and ageing.- Urinary incontinence and voiding dysfunction.- Pelvic organ prolapse.- Anal incontinence, constipation and obstructed defaecation.- Overactive pelvic floor muscles and related pain.- 2. Evaluation of the pelvic floor: Clinical evaluation of the pelvic floor muscles.- Examination of patients with pelvic organ prolapse.Urodynamics.- Applying urodynamic findings to clinical practice.- Anorectal physiology.- Ultrasound imaging.- Magnetic resonance imaging.- Introduction and technique. Static MRI: anatomy, normal variation and pathology. Dynamic MRI of the pelvis.- Electrophysiology.- Outcome measures in pelvic floor rehabilitation.- 3. Techniques of pelvic floor rehabilitation and muscle training: Concepts of neuromuscular rehabilitation and pelvic floor muscle training.- Exercise, feedback and biofeedback.- Electrical stimulation.- Extracorporal magnetic stimulation.- Devices.- Alternative methods to pelvic floor muscle awareness and training.- 4. Treatment - condition-specific assessment and approaches: Behavioural treatment.- Stress urinary incontinence.- Evidence for the effectiveness of pelvic floor muscle training in the treatment and antenatal prevention of female urinary incontinence.- Postpartum management of the pelvic .- Role of a perineal clinic.- Overactive bladder.- Sexual dysfunction and the overactive pelvic floor.- Anal incontinence and evacuation difficulties.- Incontinence during sports and fitness activities.- Pelvic organ prolapse.- 5. What to do if physiotherapy fails?: Stress urinary incontinence: choice of surgery.- Genital prolapse: surgery for failed conservative treatment.- The anal sphincter.


From the reviews of the second edition:

'...the book is a good refresher for those currently working in the field of female continence and pelvic floor rehabilitation...the book gives a concise overview of anatomy, diagnosis and treatments with an emphasis on pelvic floor muscle retraining and alternatives if conservative treatment does not produce the desired outcomes...'

Eileen Lavis, Physiotherapist Private Practice Lake Macquarie, 2008 National Continence Scholarship Winner

"This is the second edition ... edited by a respected group of specialists in gynaecology, urogynaecology and gerontology. ... the book is appropriate for a wide range of clinicians including doctors, physiotherapists, nurses and practitioners who care for women with pelvic floor dysfunction. ... The book provides current, evidence-based research for each section, with extensive references for those wishing to read further. ... the book is a good refresher for those currently working in the field of female continence and pelvic floor rehabilitation." (Eileen Lavis, Australian and New Zealand Continence Journal, Vol. 15 (3), 2009)

"This update of a 1994 book comprehensively covers the anatomy, clinical examination, classification, and treatment approaches to pelvic floor function and dysfunction. ... This resource will benefit those in many disciplines who provide care for individuals with pelvic floor dysfunction. It would make an excellent educational tool for residency and fellowship training programs ... . I would recommend this book to anyone who desires to develop a discipline-specific clinical specialty in pelvic floor dysfunction. ... an excellent resource for the many disciplines in this field." (Theresa M Spitznagle, Doody's Review Service, November, 2009)

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