Suprapontine Lesions and Neurogenic Pelvic Dysfunctions

1. Front Matter

   Pages i-x

   PDF

2. The Bladder, the Rectum and the Sphincters: Neural Pathways and Peripheral Control

   • Gianfranco Lamberti, Antonella Biroli

   Pages 1-21

3. Reflex Testing and Pelvic Examination

   • Donatella Giraudo, Francesco Verderosa

   Pages 23-33

4. Investigation of the Central Nervous System in Neurogenic Pelvic Dysfunctions by Imaging

   • Achim Herms, Alida M. R. Di Gangi Herms

   Pages 35-43

5. Urodynamic Patterns and Prevalence of N-LUTDs in Suprapontine Lesions

   • Eugenia Fragalà

   Pages 45-52

6. Suprapontine Lesions and Neurogenic Pelvic Dysfunctions

   • Julien Renard, Eugenia Fragalà, Gianfranco Lamberti, Federica Petraglia, Francesco Verderosa, Anna Cassio et al.

   Pages 53-60

7. Management of the Central Nervous System Chronic Pelvic Pain

   • Marilena Gubbiotti, Antonella Giannantoni

   Pages 61-69

8. Management of Bowel Dysfunction in Patients with Central Nervous System Diseases

   • Gabriele Bazzocchi, Mimosa Balloni, Erica Poletti, Roberta Manara, Paola Mongardi, Marica Vicchi et al.

   Pages 71-80

9. Management of the Suprapontine Neurogenic Lower Urinary Tract Dysfunction

   • Gaetano De Rienzo, Gianfranco Lamberti, Luisa De Palma, Donatella Giraudo, Elena Bertolucci, Giuseppina Gibertini et al.

   Pages 81-92

10. Pelvic Floor Muscle Training and Neurogenic Overactive Bladder in Stroke and Multiple Sclerosis

    • Kari Bø

    Pages 93-105

11. Sexual Dysfunction in Suprapontine Lesions

    • David B. Vodušek

    Pages 107-114

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.

• Neurogenic bladder
• Neurogenic bowel dysfunction
• Ischemic stroke
• Bowel and bladder neural control
• Hemorrhagic stroke

• Neurorehabilitation Unit and Pelvic Floor Dysfunction Rehabilitation Center, SS Trinità Hospital, Cuneo, Italy

  Gianfranco Lamberti

• Urology Department, San Raffaele Hospital, Milano, Italy

  Donatella Giraudo

• Department of Neurourology, Careggi University Hospital, Florence, Italy

  Stefania Musco

Gianfranco Lamberti graduated from the University of Turin, School of Medicine and is board certified in Physical Medicine & Rehabilitation by the University of Turin (Italy), School of Physical Medicine and Rehabilitation. He serves as the Medical Director of Department of Rehabilitation Medicine, Spinal Unit and Intensive Rehabilitation Unit, AUSL Piacenza (Italy).

Dr Lamberti is an active member of several professional organisations, including the International Continence Society (ICS), Mediterranean Incontinence and Pelvic Floor Society (MIPS), International Brain Injury Association (IBIA.), European Brain Injury Association (EBIS), Italian Society of Urodynamics and Pelvic Floor (SIUD), and the Italian Society of Rehabilitation Medicine (SIMFER).

He has published > 50 scientific papers on pelvic floor dysfunction and brain injury and has given > 50 invited national and international keynote presentations.

Donatella Giraudo is a Doctor of Physical Therapy from the University of Chieti, Italy. She is registered with the Leduc Medical Lymphatic Drainage III Master Degree (trainer Prof. Albert Leduc) and the Global Postural Reeducation Master’s Degree, and she has completed specialist postgraduate education focusing on assessment, treatment, and rehabilitation of the pelvic floor and associated dysfunctions and is considered an Expert Level Therapist, having participated in over 50 courses in Italy.

She has worked as a Consultant Physical Therapist in private practice for S. Raffaele Turro HOSPITAL Pelvic Floor Rehab Services  in Milan (Italy) since 2006.

Dr. Giraudo is an active member of several professional organisations, including the International Continence Society (ICS), Mediterranean Incontinence and Pelvic Floor Society (MIPS) and the Italian Society of Urodynamics and Pelvic Floor (SIUD). She has published > 50 scientific papers on pelvic floor dysfunction, treatment of urinary and faecal i^ 50 invited national and international keynote presentations.

Stefania Musco is a MD urologist working as consultant in Neuro-Urology Dept at Careggi University Hospital in Florence (Italy). Since 2015 she has been collaborating as panel associate for the Neuro-Urology EAU guideline. The other fields of scientific and clinical interests are urodynamics, diagnosis and treatment of female urinary incontinence (uro-rehabilitation, intravesical injections, mid-urethral sling procedures, neuromodulation techniques including tibial, sacral and pudendal). She is authors of several papers on indexed journals and she severally has been invited to review by AJA, European of Urology, BJU, BMC Urology, Urologia Internationalis. She has participated to many national and international congresses, courses and training. Currently she has been a board of trustees member of the Italian Urodynamic society (SIUD) and of the Italian association for the study of neuro-vegetative(AINV). S^ 50 scientific papers on Pelvic Floor Dysfunction and Neuro-Urology.

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