Childbirth-Related Pelvic Floor Dysfunction

1. Front Matter

   Pages i-x

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2. Anatomy and Physiology of the Pelvic Floor

   • Gianni F. A. Baudino

   Pages 1-24

3. Perineal and Anal Sphincter Obstetric Injury

   • Gianfranco Minini

   Pages 25-33

4. A Computerized Model of Pelvic Floor Muscles Physiology During Delivery

   • Maurizio Serati, Giorgio Bogani

   Pages 35-39

5. Clinical Approach to the Evaluation of Pelvic Floor Dysfunctions

   • Giancarlo Vignoli

   Pages 41-50

6. Echographic Diagnosis of Childbirth-Related Pelvic Floor Injuries

   • Giulio A. Santoro, Maher A. Abbas

   Pages 51-68

7. Combined Three-Dimensional Transperineal Ultrasonography (3-D TPUS) and Magnetic Resonance Imaging (MRI) After Vaginal Delivery

   • Vittorio L. Piloni, Fabio Muggia

   Pages 69-82

8. Pelvic Floor EMG: Principles, Techniques, and Applications

   • Roberto Merletti

   Pages 83-99

9. Sexual Function After Delivery

   • Stefano Salvatore, Anna Redaelli, Ilaria Baini, Massimo Candiani

   Pages 101-104

10. The Controversial Role of Episiotomy

    • Diego Riva

    Pages 105-114

11. Perineal Care During Pregnancy, Delivery, and Postpartum

    • Giuseppe Ettore, Gabriella Torrisi, Sebastiana Ferraro

    Pages 115-134

12. Genital Prolapse and Urinary Incontinence After Childbirth

    • Francesco Marson, Luisella Squintone

    Pages 135-142

13. Fecal Incontinence After Childbirth: Diagnostic and Clinical Aspects

    • Alvise Frasson, Giuseppe Dodi

    Pages 143-154

14. Principles and Methods of Physiotherapy After Delivery

    • Simonetta Minoli

    Pages 155-163

15. Surgery for Urinary Incontinence and Prolapse Shortly After Childbirth

    • Luisa Ricci

    Pages 165-170

16. A Practical Approach to Pelvic Floor Dysfunctions After Childbirth: Diagnostic and Therapeutic Flowcharts

    • Antonella Biroli

    Pages 171-184

17. Clinical Cases

    • Arianna Bortolami

    Pages 185-194

18. Back Matter

    Pages 195-197

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​This book offers an up-to-date overview of childbirth-related pelvic floor dysfunction covering prevention, diagnosis, and management. It encompasses all relevant conditions, with particular focus on genital prolapse, urinary incontinence, and fecal incontinence. Risk factors for pelvic floor damage related to childbirth are identified, and a 3D simulation of delivery is presented. The role of various diagnostic tools, including pelvic floor ultrasonography and magnetic resonance imaging and anal sphincter electromyography, is clearly described. The importance of physiotherapy in preventing future alterations is explained, and the indications for surgery, which is reserved for more severe situations, are discussed. The book highlights the need for a multidisciplinary approach involving obstetricians, gynecologists, urologists, midwives, radiologists, physiotherapists, muscle laboratory engineers, and computer technicians.

• Delivery
• Electromyography
• Fecal incontinence
• Genital prolapse
• Urinary incontinence
• Diagnostic Radiology

• Department of Gynecology, "S. Pio X" Clinic, Milan, Italy

  Diego Riva

• Urogynecology, "Città di Brescia" Clinic Institute, Brescia, Italy

  Gianfranco Minini

Dr. Diego Riva is a Urogynecologic Consultant at Clinica S. Pio X and San Carlo Hospital in Paderno Dugnano, Milan, Italy. He was Director of the Obstetrics and Gynecology Department at Hospital of Cantù from 2001 to 2012 and served as President of the Italian UroGynecology Association (AIUG) from 2006 to 2009. He is a member of the Scientific Committee of the Italian Continence Foundation (FIC) and a past member of the Scientific Committee of the Italian Urodynamics Society (SIUD).

Dr. Gianfranco Minini has been Director of the Urogynecology Unit, Department of Obstetrics and Gynecology, Spedali Civili, University, Brescia, Italy and is now Consultant of the Department of Gynecology at Città di Brescia Clinic Institute. He is a member of the Italian Foundation for Continence and a member of the Executive Committee of the Gruppo di Lavoro Uroginecologia Pavimento Pelvico (Working Group on Urogynecology and the Pelvic Floor). He has been a lead or co-author of more than 250 publications.

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