Therapeutic Management of Incontinence and Pelvic Pain : Pelvic Organ Disorders

As medical knowledge advances we tend to compartmentalise our specialties into smaller units; but, hand in hand with this, there is a growing understanding between the different disciplines within the caring professions. Thus we are able to share our special skills to the benefit of patients. This book is an excellent example of the advantage of interdisciplinary communication and demonstrates a refreshing holistic approach to the problems of incontinence and pelvic pain. Written with physiotherapists in mind, the editors have invited contributions from many distinguished experts in their own field. These have been compiled into a comprehensive book, which will appeal to many healthcare professionals. I have had great pleasure in reading this book. During the time that I have been involved with 'pelvic dysfunction' there have been many exciting advances. These are all included in a most readable sequence, some presented with a refreshing new twist. In particular, I would like to bring to your attention the section on 'pelvic pain'. Because of our lack of understanding it has been a problem that is too often ignored and here at last are some practical ideas for therapeutic management. There is still much progress to be made in the field of incontinence and pelvic pain and as yet, no editors can be expected to produce a definitive work. However, I would like to recommend this book most strongly. It has a new approach to this topic, which is still a major problem for many people. Front Matter....Pages i-xxi Front Matter....Pages 1-1 Prevalence of Urinary Incontinence: A Review of the Literature....Pages 3-5 Anatomy....Pages 7-16 Aetiology and Classification of Urinary Incontinence....Pages 17-22 Assessment and Treatment of Urinary Incontinence in Neurologically Impaired Patients....Pages 23-37 The Ageing Lower Urinary Tract....Pages 39-44 Patient Assessment....Pages 45-54 Investigations....Pages 55-59 Front Matter....Pages 61-61 Pelvic Floor Muscle Exercise in the Treatment of Urinary Incontinence....Pages 63-71 Improving Patient’s Adherence....Pages 73-74 Biofeedback for the Assessment and Re-education of the Pelvic Floor Musculature....Pages 75-81 Vaginal Cones....Pages 83-84 Electrical Stimulation....Pages 85-89 Prosthetic Devices, Inserts and Plugs for the Management of Stress Incontinence....Pages 91-94 Surgery for Genuine Stress Incontinence....Pages 95-97 The Importance of Fluids....Pages 99-100 The Male Patient....Pages 101-102 Bladder Training and Behavioural Therapy....Pages 103-107 Voiding Problems in Women....Pages 109-112 Drugs Acting on the Lower Urinary Tract....Pages 113-115 Front Matter....Pages 117-117 An Anatomical Overview....Pages 119-127 Front Matter....Pages 117-117 Faecal Incontinence....Pages 129-141 Constipation....Pages 143-153 Front Matter....Pages 155-155 Prevalence of Pelvic Pain....Pages 157-159 Anatomy....Pages 161-165 Aetiology of Pelvic Floor Muscle Pain Syndromes....Pages 167-170 Assessment of Pelvic Pain....Pages 171-176 Treatment of Pelvic Pain....Pages 177-189 Front Matter....Pages 191-191 Background....Pages 193-196 Evaluation of Prolapse....Pages 197-199 Treatment and Prevention of Prolapse....Pages 201-207 Front Matter....Pages 209-209 Osteopathy....Pages 211-217 Acupuncture....Pages 219-223 Reflex Therapy....Pages 225-230 Homeopathy....Pages 231-234 Front Matter....Pages 235-235 Research Trials in Incontinence....Pages 237-240 Audit....Pages 241-242 Infection Control Issues....Pages 243-248 Back Matter....Pages 249-265 Therapeutic Management of Incontinence and Pelvic Pain, 2nd edition contains contributions from many of the well-known authors of the successful first edition, who have updated their chapters in light of more recent research. Chapters include coverage of the management and treatment of bladder and bowel dysfunctions in men and women, pelvic organ prolapse; issues concerning the elderly, neurologically impaired patients and those with pelvic pain. Allied updated chapters are presented on research methodology, the importance of fluids and infection control. Other new chapters are concerned with quality of life, the treatment of bladder and bowel dysfunction in children, the history of pelvic floor muscle exercise and manual therapy. In addition, the use of real-time ultrasound to evaluate pelvic floor muscle contractility, exercise balls to promote coordination of trunk stabilisers and the pelvic floor muscles, and the role of the Occupational Therapist in the continence service are discussed. Finally, a new section on ethical issues regarding the management of incontinence completes this well-illustrated text. This book will be of interest to physiotherapists and nurses working in the continence field, and to all health professionals who wish to gain a better insight into the conservative management of pelvic floor muscle disorders. It will enable the reader to question their present practice and will help in encouraging further research Therapeutic Management of Incontinence and Pelvic Pain provides a clear, concise and practical clinical introduction to the assessment and conservative treatment of pelvic floor disorders in both men and women. It is the first practical textbook on this topic to enable clinicians to learn about the practicalities of assessment and treatment. Many different specialists have contributed to the text, critically reviewing the literature and recommending evidence-based practice and possible further research. Primarily written for physiotherapists working in this specialist field, this book is also a useful reference and practical guide for all health professionals dealing with incontinence and some pelvic floor disorders, including urologists, gynaecologists and general practitioners, students of alternative therapies and osteopaths. This title will complement under-graduate and post-graduate formal lectures and practical sessions, with references supporting the proposed clinical guidelines This title provides a clear, concise and practical clinical introduction to the assessment and conservative treatment of pelvic floor disorders in both men and women. It is the first practical textbook on this topic to enable clinicians to learn about the practicalities of assessment and treatment. Many different specialists have contributed to the text, critically reviewing the literature and recommending evidence-based practice and possible further research. The book is written primarily for physical therapists working in this specialist field. However, it will also be a useful reference and practical guide for all health professionals dealing with incontinence and pelvic floor disorders, i.e. students of alternative therapies, osteopaths, urologists, gynecologists and general practitioners. This title will complement undergraduate and post-graduate formal lectures and practical sessions, with references supporting the proposed clinical guidelines.