Biomechanics of the Female Pelvic Floor

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Author :
Publisher : Academic Press
ISBN 13 : 0128032294
Total Pages : 468 pages
Book Rating : 4.1/5 (28 download)

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Book Synopsis Biomechanics of the Female Pelvic Floor by : Lennox Hoyte

Download or read book Biomechanics of the Female Pelvic Floor written by Lennox Hoyte and published by Academic Press. This book was released on 2016-03-01 with total page 468 pages. Available in PDF, EPUB and Kindle. Book excerpt: Biomechanics of the Female Pelvic Floor, Second Edition, is the first book to specifically focus on this key part of women’s health, combining engineering and clinical expertise. This edited collection will help readers understand the risk factors for pelvic floor dysfunction, the mechanisms of childbirth related injury, and how to design intrapartum preventative strategies, optimal repair techniques, and prostheses. The authors have combined their expertise to create a thorough, comprehensive view of female pelvic floor biomechanics in order to help different disciplines discuss, research, and drive solutions to pressing problems. The book includes a common language for the design, conduct, and reporting of research studies in female PFD, and will be of interest to biomechanical and prosthetic tissue engineers and clinicians interested in female pelvic floor dysfunction, including urologists, urogynecologists, maternal fetal medicine specialists, and physical therapists. Contains contributions from leading bioengineers and clinicians, and provides a cohesive multidisciplinary view of the field Covers causes, risk factors, and optimal treatment for pelvic floor biomechanics Combines anatomy, imaging, tissue characteristics, and computational modeling development in relation to pelvic floor biomechanics

Biomechanical Mapping of the Female Pelvic Floor

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Author :
Publisher : Elsevier
ISBN 13 : 0323851614
Total Pages : 394 pages
Book Rating : 4.3/5 (238 download)

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Book Synopsis Biomechanical Mapping of the Female Pelvic Floor by : Vladimir Egorov

Download or read book Biomechanical Mapping of the Female Pelvic Floor written by Vladimir Egorov and published by Elsevier. This book was released on 2023-03-15 with total page 394 pages. Available in PDF, EPUB and Kindle. Book excerpt: The female pelvic floor includes the muscles, ligaments, connective tissues and nerves that support the uterus, bladder, vagina and rectum. It is a complex system which may have multiple diseased conditions related to changes in biomechanical conditions of pelvic tissues and structures. Among them are highly prevalent pelvic organ prolapse, urinary incontinence and tissue atrophy. Biomechanical Mapping of the Female Pelvic Floor explores new technological advances in women's healthcare intended to improve pelvic floor characterization, diagnosis and prediction of treatment outcomes. By discussing different technologies used on the biomechanical characterization of pelvic floor, it describes the anatomy, physiology, musculoskeletal, and tissue characteristics of the pelvic floor tissues, and explores how to detect conditions that may lead to problems such as spontaneous preterm delivery and childbirth trauma, providing insight into ways to reduce childbirth related injury and Pelvic floor disorders (PFDs). This book is a valuable resource for researchers focused on gynecology, urogynecology or obstetrics, clinicians, graduate students and biomedical scientists and bioengineers who need to understand more the technological advances on biomechanical characterization and how they can be used not only for diagnosis but also for monitoring several OBGYN-related conditions. Discusses the most recent advances in the field of biomechanical characterization of soft tissues, including different applications of tactile imaging and other pelvic floor assessment techniques, such as Electromyography (EMG) and Ultrasound Explores new diagnostic devices and techniques, mathematical models and simulations to address preoperative assessment and prediction of pelvic surgery outcomes and delivery Presents review of the results of multiple clinical studies with the biomechanical mapping of human tissues and organs to provide comprehensive information on the subject and determine the future directions in the field

Biomechanical Mapping of the Female Pelvic Floor

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Author :
Publisher : Elsevier
ISBN 13 : 0323859836
Total Pages : 396 pages
Book Rating : 4.3/5 (238 download)

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Book Synopsis Biomechanical Mapping of the Female Pelvic Floor by : Vladimir Egorov

Download or read book Biomechanical Mapping of the Female Pelvic Floor written by Vladimir Egorov and published by Elsevier. This book was released on 2023-03-28 with total page 396 pages. Available in PDF, EPUB and Kindle. Book excerpt: Biomechanical Mapping of the Female Pelvic Floor explores new technological advances in women’s healthcare intended to improve pelvic floor characterization, diagnosis and prediction of treatment outcomes. The book describes biomechanical approaches and clinical examples to demonstrate how one can evaluate the changes in the pelvic floor to gain a better understanding of an individual patient’s pelvic floor dysfunctions, such as prolapse, incontinence, chronic pelvic pain, and even conditions leading to spontaneous preterm delivery and predicting maternal birth trauma. This book is a valuable resource for researchers focused on gynecology, urogynecology or obstetrics, clinicians, graduate students and biomedical scientists and bioengineers who need to better understand the technological advances in biomechanical characterization and how they can be used not only for diagnosis but also for monitoring several OBGYN-related conditions. Discusses the most recent advances in the field of biomechanical characterization of soft tissues, pelvic support and function, including different applications of tactile imaging, ultrasound and magnetic resonance elastography Explores new diagnostic devices and techniques, mathematical models and simulations to address preoperative assessment and prediction of pelvic surgery outcomes and delivery Presents reviews of the results of multiple clinical studies with the biomechanical mapping of human tissues and organs to provide comprehensive information on the subject and determine future directions in the field

The Female Pelvic Floor

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Author :
Publisher : Springer Science & Business Media
ISBN 13 : 3662054450
Total Pages : 244 pages
Book Rating : 4.6/5 (62 download)

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Book Synopsis The Female Pelvic Floor by : Peter E. Papa Petros

Download or read book The Female Pelvic Floor written by Peter E. Papa Petros and published by Springer Science & Business Media. This book was released on 2013-04-18 with total page 244 pages. Available in PDF, EPUB and Kindle. Book excerpt: The initial objective of this work was to reduce stress incontinence surgery from a major surgical procedure (requiring up to ten days in hospital) to a minor day-care operation. From the beginning it was clear that the two major impediments to achieving this goal were post operative pain and urinary retention. Addressing these problems became a long and winding road and culminated in the Integral Theory. The IVS 'tension-free' tape operation was inspired by Dr Robert Zacharin's anatomical studies. Though Zacharin suggested that the ligaments and muscles around the urethra were important for urinary continence control, he did not say how. The observation that implanted foreign materials created scar tissue led to the hypothesis that a plastic tape inserted in the position of the pubourethrallig ament, would leave behind sufficient scar tissue to reinforce that ligament, which would then anchor the muscles for urethral closure. In September 1986, two prototype Intravaginal Sling operations were per formed. A Mersilene tape was inserted with neither tension nor elevation, in the position of the pubourethral ligament. Restoration of continence was immediate and both patients were discharged on the day following surgery without require ment for catheterization. There was minimal pain, and immediate restoration of continence. After six weeks the tapes were removed. Both patients were still conti nent at last review 10 years later. The results appeared to confirm the importance of a midurethral anchoring point.

The Pelvic Girdle E-Book

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Publisher : Elsevier Health Sciences
ISBN 13 : 0702049158
Total Pages : 448 pages
Book Rating : 4.7/5 (2 download)

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Book Synopsis The Pelvic Girdle E-Book by : Diane G. Lee

Download or read book The Pelvic Girdle E-Book written by Diane G. Lee and published by Elsevier Health Sciences. This book was released on 2011-10-28 with total page 448 pages. Available in PDF, EPUB and Kindle. Book excerpt: Authored by Diane Lee with major contribution from Linda-Joy Lee The Pelvic Girdle continues to provide the busy clinician with the latest evidence and clinical tools/knowledge to immediately impact and enhance daily practice for the management of lumbopelvic-hip pain and disability. This fourth edition has changed fundamentally in presentation and content to provide the clinician with the evidence and clinical tools for effective practice. The new model presented in this edition - The Integrated Systems Model and the Clinical Puzzle - co-developed by Diane Lee & Linda-Joy Lee, facilitates effective clinical reasoning, hypothesis development and prescriptive treatment. It is highly unlikely that there will ever be enough research evidence to me the needs of a clinician who is faced with patients presenting with a wide and variable range of single and multiple impairments every day. Clinical expertise (knowing how to do the right thing at the right time) comes from disciplined, reflective practice and it is hoped that this text will help more clinicians become expert in this field. Presents an evidence-based approach to the examination, diagnosis and treatment of the lumbopelvic region Easy to read and clinican friendly Demonstrates how clinicians can translate knowledge derived from scientific research into clinical practice and also use knowledge gained from clinical practice to evaluate the relevance of the scientific research Highly illustrated descriptions of tests and techniques for practice The author team - Diane Lee, Linda-Joy Lee and Andry Vleeming - all have international reputations as clinicians and researchers Book now available in full colour online! Website! Log on to www.thepelvicgirlde.com and use your unique PIN code from inside the book to unlock the following: Over 240 tests and techniques video clips demonstrating the clinical application of TheIntegrated Systems Model Full colour e-book Further case studies Historical perspectives and the evolution of myths

Biomechanics of the Female Reproductive System: Breast and Pelvic Organs

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Author :
Publisher : Academic Press
ISBN 13 : 0128236760
Total Pages : 534 pages
Book Rating : 4.1/5 (282 download)

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Book Synopsis Biomechanics of the Female Reproductive System: Breast and Pelvic Organs by : Mathias Brieu

Download or read book Biomechanics of the Female Reproductive System: Breast and Pelvic Organs written by Mathias Brieu and published by Academic Press. This book was released on 2023-04-21 with total page 534 pages. Available in PDF, EPUB and Kindle. Book excerpt: Biomechanics of the Female Reproductive System: Breast and Pelvic Organs: From Models to Patients synthesizes complementary advances in women’s reproductive biomechanics, medical imaging analysis, patient-specific characterization, and computational finite element models. The book discusses the biomechanical aspects related to the breast and female pelvic floor system at each step of development. The table of contents also covers certain events and diseases, including cancers, delivery, aging, breast, hysterectomy or prolapse surgery. It presents the main biomechanical experimental results obtained and models developed this last decade to highlight the importance of accounting for patient-specific history and aging characteristics to consider damage growth effect and impact. As part of Elsevier’s Biomechanics of Living Organs series, this book provides an opportunity for students, researchers, clinicians and engineers to study the main topics related to the biomechanics of the women’s reproductive system in a single book written by a global base of experts. Introduces fundamental aspects of breast and pelvic floor Anatomy, Physiology and Physiopathology Covers the most recent imaging techniques (such as image analysis reconstruction, elastography, tagged MRI, nondestructive inverse methods) developed to characterize patient-specific anatomy and mechanical properties characteristics Discusses the main computational studies performed this last decade for modeling the delivery process and potential induced injury

Women's Health and Biomechanics

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Author :
Publisher : Springer
ISBN 13 : 3319715747
Total Pages : 231 pages
Book Rating : 4.3/5 (197 download)

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Book Synopsis Women's Health and Biomechanics by : Sofia Brandão

Download or read book Women's Health and Biomechanics written by Sofia Brandão and published by Springer. This book was released on 2018-01-09 with total page 231 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book focuses on particular mental and physical aspects of women’s health, presenting topics concerning the pelvis and pelvic floor dysfunction and the breast during a woman’s life, such as rehabilitation for pelvic and breast disorders, and the benefits of biomechanical analysis in treating these conditions. With each chapter providing a brief survey of a major research area related to the theme, the book offers an integrated overview of topics such as the bio-psycho-social model of women’s health, pelvic floor evaluation in sports, the breast, pregnancy and delivery. It is a valuable resource for a wide range of readers, including researchers, graduates and professionals.

Urogynecology and Reconstructive Pelvic Surgery E-Book

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Author :
Publisher : Elsevier Health Sciences
ISBN 13 : 0323081916
Total Pages : 615 pages
Book Rating : 4.3/5 (23 download)

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Book Synopsis Urogynecology and Reconstructive Pelvic Surgery E-Book by : Mark D. Walters

Download or read book Urogynecology and Reconstructive Pelvic Surgery E-Book written by Mark D. Walters and published by Elsevier Health Sciences. This book was released on 2006-10-10 with total page 615 pages. Available in PDF, EPUB and Kindle. Book excerpt: Edited and authored by some of the most respected figures in the field, this newly revised book is your comprehensive guide to all areas of urogynecology, including urinary and fecal incontinence, urodynamic testing, management of genuine stress incontinence, pelvic organ prolapse, overactive bladder, and much more. Uniquely organized to reflect a physician's decision-making process, this practical, clinically oriented text moves from basic concepts through to clinical and urodynamic evaluation, management, and treatment. Inside, you'll find evidence-based assessments of appropriate therapies, along with algorithmic approaches to common complaints, and clear surgical illustrations. Exclusive to the third edition is a section addressing painful and irritative voiding disorders, including overactive bladder, as well as 20 new case presentations that offer opinions from the leading experts in urogynecology and urology. Features step-by-step instructions for urodynamic testing. Addresses all urogynecologic disorders, including genuine stress incontinence · pelvic organ prolapse · defecation disorders · painful and irritative voiding disorders · and specific conditions such as urinary tract infection. Presents vital information on urethral injections, covering the newest treatment options available. Examines the use of autologous materials and mesh in reconstructive pelvic surgery. Uses over 300 crisp illustrations to illuminate every detail. Contains a new section on painful and irritative voiding disorders, including a discussion of overactive bladder and the latest treatment options available. Discusses urodynamics and the most up-to-date testing available for urethral sphincteric function. Features 20 all new case presentations with expert commentary.

Evidence-Based Physical Therapy for the Pelvic Floor

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Publisher : Elsevier Health Sciences
ISBN 13 : 0702060739
Total Pages : 448 pages
Book Rating : 4.7/5 (2 download)

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Book Synopsis Evidence-Based Physical Therapy for the Pelvic Floor by : Kari Bo

Download or read book Evidence-Based Physical Therapy for the Pelvic Floor written by Kari Bo and published by Elsevier Health Sciences. This book was released on 2014-11-04 with total page 448 pages. Available in PDF, EPUB and Kindle. Book excerpt: Bridging the gap between evidence-based research and clinical practice, Physical Therapy for the Pelvic Floor has become an invaluable resource to practitioners treating patients with disorders of the pelvic floor. The second edition is now presented in a full colour, hardback format, encompassing the wealth of new research in this area which has emerged in recent years. Kari Bø and her team focus on the evidence, from basic studies (theories or rationales for treatment) and RCTs (appraisal of effectiveness) to the implications of these for clinical practice, while also covering pelvic floor dysfunction in specific groups, including men, children, elite athletes, the elderly, pregnant women and those with neurological diseases. Crucially, recommendations on how to start, continue and progress treatment are also given with detailed treatment strategies around pelvic floor muscle training, biofeedback and electrical stimulation. aligns scientific research with clinical practice detailed treatment strategies innovative practice guidelines supported by a sound evidence base colour illustrations of pelvic floor anatomy and related neuroanatomy/ neurophysiology MRIs and ultrasounds showing normal and dysfunctional pelvic floor

Advances in Applied Electromyography

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Publisher : BoD – Books on Demand
ISBN 13 : 9533073829
Total Pages : 228 pages
Book Rating : 4.5/5 (33 download)

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Book Synopsis Advances in Applied Electromyography by : Joseph Mizrahi

Download or read book Advances in Applied Electromyography written by Joseph Mizrahi and published by BoD – Books on Demand. This book was released on 2011-08-29 with total page 228 pages. Available in PDF, EPUB and Kindle. Book excerpt: The electrical activity of the muscles, as measured by means of electromyography (EMG), is a major expression of muscle contraction. This book aims at providing an updated overview of the recent developments in electromyography from diverse aspects and various applications in clinical and experimental research. It consists of ten chapters arranged in four sections. The first section deals with EMG signals from skeletal muscles and their significance in assessing biomechanical and physiologic function and in applications in neuro-musculo-skeletal rehabilitation. The second section addresses methodologies for the treatment of the signal itself: noise removal and pattern recognition for the activation of artificial limbs. The third section deals with utilizing the EMG signals for inferring on the mechanical action of the muscle, such as force, e.g., pinching force in humans or sucking pressure in the cibarial pump during feeding of the hematophagous hemiptera insect. The fourth and last section deals with the clinical role of electromyograms in studying the pelvic floor muscle function.

Pelvic Power

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Publisher :
ISBN 13 : 9780871272591
Total Pages : 0 pages
Book Rating : 4.2/5 (725 download)

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Book Synopsis Pelvic Power by : Eric N. Franklin

Download or read book Pelvic Power written by Eric N. Franklin and published by . This book was released on 2003 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Combining scientific principles with movement and imagery exercises...demonstrates how to create a stronger body by toning the pelvic floor." -- Back cover.

Women's Health and Biomechanics

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Author :
Publisher : Springer
ISBN 13 : 9783319890845
Total Pages : 0 pages
Book Rating : 4.8/5 (98 download)

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Book Synopsis Women's Health and Biomechanics by : Sofia Brandão

Download or read book Women's Health and Biomechanics written by Sofia Brandão and published by Springer. This book was released on 2019-06-06 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book focuses on particular mental and physical aspects of women’s health, presenting topics concerning the pelvis and pelvic floor dysfunction and the breast during a woman’s life, such as rehabilitation for pelvic and breast disorders, and the benefits of biomechanical analysis in treating these conditions. With each chapter providing a brief survey of a major research area related to the theme, the book offers an integrated overview of topics such as the bio-psycho-social model of women’s health, pelvic floor evaluation in sports, the breast, pregnancy and delivery. It is a valuable resource for a wide range of readers, including researchers, graduates and professionals.

Computational Biomechanics for Medicine

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Publisher : Springer
ISBN 13 : 303015923X
Total Pages : 149 pages
Book Rating : 4.0/5 (31 download)

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Book Synopsis Computational Biomechanics for Medicine by : Martyn P. Nash

Download or read book Computational Biomechanics for Medicine written by Martyn P. Nash and published by Springer. This book was released on 2019-08-13 with total page 149 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book contains contributions from computational biomechanics specialists who present and exchange opinions on the opportunities for applying their techniques to computer-integrated medicine, including computer-aided surgery and diagnostic systems. Computational Biomechanics for Medicine collects peer-reviewed chapters from the annual Computational Biomechanics for Medicine Workshop, in conjunction with the Medical Image Computing and Computer Assisted Intervention [MICCAI] Society conference. The works are dedicated to research in the field of methods and applications of computational biomechanics to medical image analysis, image-guided surgery, surgical simulation, surgical intervention planning, disease diagnosis and prognosis, analysis of injury mechanisms, implant and prosthesis design, artificial organ design, and medical robotics. These chapters will appeal to a wide range of researchers and students within the fields of engineering and medicine, as well as those working in computational science.

Pelvic Ring Fractures

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Publisher : Springer Nature
ISBN 13 : 3030547302
Total Pages : 622 pages
Book Rating : 4.0/5 (35 download)

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Book Synopsis Pelvic Ring Fractures by : Axel Gänsslen

Download or read book Pelvic Ring Fractures written by Axel Gänsslen and published by Springer Nature. This book was released on 2020-11-25 with total page 622 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book provides in-depth coverage of all aspects of pelvic ring fractures and their management. The opening chapters supply essential information on surgical anatomy, biomechanics, classification, clinical evaluation, radiological diagnostics, and emergency and acute management. The various operative techniques, including navigation techniques, that have been established and standardized over the past two decades are then presented in a step-by-step approach. Readers will find guidance on surgical indications, choice of approaches, reduction and fixation strategies, complication management, and optimization of long-term results. Specific treatment concepts are described for age-specific fractures, including pediatric and geriatric injuries, and secondary reconstructions. Pelvic ring fractures represent challenging injuries, especially when they present with concomitant hemodynamic instability. This book will help trauma and orthopaedic surgeons at all levels of experience to achieve the primary treatment aim of anatomic restoration of the bony pelvis to preserve biomechanical stability and avoid malunion with resulting clinical impairments.

Practical Pelvic Floor Ultrasonography

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Publisher : Springer Science & Business Media
ISBN 13 : 146148426X
Total Pages : 244 pages
Book Rating : 4.4/5 (614 download)

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Book Synopsis Practical Pelvic Floor Ultrasonography by : S. Abbas Shobeiri

Download or read book Practical Pelvic Floor Ultrasonography written by S. Abbas Shobeiri and published by Springer Science & Business Media. This book was released on 2014-07-08 with total page 244 pages. Available in PDF, EPUB and Kindle. Book excerpt: Practical Pelvic Floor Ultrasonography: A Multicompartmental Approach to 2D/3D/4D Ultrasonography of Pelvic Floor provides an introduction to pelvic floor imaging, as well as a resource to be used during initial and more advanced practice. The book helps readers gain competence in performing 2D/3D/4D transperineal, and 2D/3D endovaginal / endoanal ultrasound evaluation of the pelvic floor, including anal sphincter and levator ani complex. The text also shows interested clinicians how to obtain optimal images of pelvic floor muscles and organs, how to obtain useful images of the anal canal, levator ani complex, urethra, and how to interpret clinical implications of alterations of the anatomy. In addition, emerging techniques of “dynamic” pelvic floor ultrasound and 3D/4D ultrasound are introduced through step by step protocols that are aimed at optimizing sonographic images. Written entirely by experts in their fields, Practical Pelvic Floor Ultrasonography: A Multicompartmental Approach to 2D/3D/4D Ultrasonography of Pelvic Floor is a comprehensive resource that will be of great value to urogynecologists, colorectal surgeons, obstetrician and gynecologists, female urologists, ultrasonographers, radiologists, physiotherapists, as well as fellows in urogynecology and colorectal surgery.

The Female Pelvic Floor

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Author :
Publisher : Springer Science & Business Media
ISBN 13 : 3642037879
Total Pages : 330 pages
Book Rating : 4.6/5 (42 download)

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Book Synopsis The Female Pelvic Floor by : Peter E. Papa Petros

Download or read book The Female Pelvic Floor written by Peter E. Papa Petros and published by Springer Science & Business Media. This book was released on 2011-02-04 with total page 330 pages. Available in PDF, EPUB and Kindle. Book excerpt: "...This represents a new refreshing and logical approach to the whole anatomy and function of the pelvic floor. The Integral Theory over the years has been debated and discussed at various scientific meetings but this is the first time that the Theory has been condensed into an exciting and readable format with excellent illustrations and diagrams. I think it is an important publication which has been long overdue..." Comment on first edition from a prominent British urogynaecologist In this 3rd edition, multimedia in the accompanying DVD is used to more fully explain how lax suspensory ligaments may cause multiple pelvic floor dysfunctions, how to diagnose which structures are causing the problem, and how to perform ‘simulated’ or ‘virtual’ operations. New insights into the pathogenesis of pelvic organ prolapse, pelvic pain, vulvodynia and interstitial cystitis are presented. The tensioned minisling as used for cystocoele, uterine prolapse, rectocoele, stress incontinence and other symptoms is described in the book and demonstrated in the DVD.

The Overactive Pelvic Floor

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Author :
Publisher : Springer
ISBN 13 : 3319221507
Total Pages : 346 pages
Book Rating : 4.3/5 (192 download)

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Book Synopsis The Overactive Pelvic Floor by : Anna Padoa

Download or read book The Overactive Pelvic Floor written by Anna Padoa and published by Springer. This book was released on 2015-12-01 with total page 346 pages. Available in PDF, EPUB and Kindle. Book excerpt: This textbook provides a comprehensive, state-of-the art review of the Overactive Pelvic Floor (OPF) that provides clinical tools for medical and mental health practitioners alike. Written by experts in the field, this text offers tools for recognition, assessment, treatment and interdisciplinary referral for patients with OPF and OPF related conditions. The text reviews the definition, etiology and pathophysiology of non-relaxing pelvic floor muscle tone as well as discusses sexual function and past sexual experience in relation to the pelvic floor. Specific pelvic floor dysfunctions associated with pelvic floor overactivity in both men and women are reviewed in detail. Individual chapters are devoted to female genital pain and vulvodynia, female bladder pain and interstitial cystitis, male chronic pelvic and genital pain, sexual dysfunction related to pelvic pain in both men and women, musculoskeletal aspects of pelvic floor overactivity, LUTS and voiding dysfunction, and anorectal disorders. Assessment of the pelvic floor is addressed in distinct chapters describing subjective and objective assessment tools. State of the art testing measures including electromyographic and video-urodynamic analysis, ultrasound and magnetic resonance imaging are introduced. The final chapters are devoted to medical, psychosocial, and physical therapy treatment interventions with an emphasis on interdisciplinary management The Overactive Pelvic Floor serves physicians in the fields of urology, urogynecology and gastroenterology as well as psychotherapists, sex therapists and physical therapists.