Pelvic Floor Disorders

1. Front Matter

   Pages i-xxv

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2. State of the Art Pelvic Floor Anatomy

   1. Front Matter

      Pages 1-1

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   2. Pelvic Floor Anatomy

      • S. Abbas Shobeiri, John O. L. DeLancey

      Pages 3-24

   3. Biochemical Properties and Hormonal Receptors of Pelvic Floor Tissues

      • Heinz Koelbl, Ksenia Halpern-Elenskaia

      Pages 25-30

   4. The Integral System of Pelvic Floor Function and Dysfunction

      • Peter Petros, Michael Swash, Darren Gold

      Pages 31-55

   5. The Pelvic Floor: Neurocontrol and Functional Concepts

      • Michael Swash, Peter Petros

      Pages 57-70

3. Pelvic Floor Imaging

   1. Front Matter

      Pages 71-71

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   2. Principles and Technical Aspects of Integrated Pelvic Floor Ultrasound

      • Andrzej P. Wieczorek, Magdalena Maria Woźniak, Jacek Piłat, Giulio A. Santoro

      Pages 73-87

   3. Transperineal Ultrasonography: Methodology and Normal Pelvic Floor Anatomy

      • Hans Peter Dietz

      Pages 89-109

   4. Endovaginal Ultrasonography: Methodology and Normal Pelvic Floor Anatomy

      • Giulio A. Santoro, Andrzej P. Wieczorek, S. Abbas Shobeiri, Aleksandra Stankiewicz

      Pages 111-131

   5. Endoanal and Endorectal Ultrasonography: Methodology and Normal Anorectal Anatomy

      • Giulio A. Santoro, Luigi Brusciano, Abdul H. Sultan

      Pages 133-146

   6. Technical Innovations in Pelvic Floor Ultrasonography

      • Magdalena Maria Woźniak, Andrzej P. Wieczorek, Giulio Aniello Santoro, Aleksandra Stankiewicz, Jakob Scholbach, Michał Chlebiej

      Pages 147-170

   7. Magnetic Resonance Imaging: Methodology and Normal Pelvic Floor Anatomy

      • Jeroen A. W. Tielbeek, Jaap Stoker

      Pages 171-177

   8. Dynamic Magnetic Resonance Imaging of the Pelvic Floor: Technique and Methodology

      • Khoschy Schawkat, Cäcilia S. Reiner

      Pages 179-185

4. Obstetric Pelvic Floor and Anal Sphincter Trauma

   1. Front Matter

      Pages 187-187

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   2. Mechanisms of Pelvic Floor Trauma During Vaginal Delivery

      • James A. Ashton-Miller, John O. L. DeLancey

      Pages 189-209

   3. Posterior Compartment Trauma and Management of Acute Obstetric Anal Sphincter Injuries

      • Abdul H. Sultan, Ranee Thakar

      Pages 211-221

   4. Neurogenic Trauma During Delivery

      • Kimberly Kenton, Julia Geynisman-Tan

      Pages 223-228

   5. Prevention of Perineal Trauma

      • Ranee Thakar, Abdul H. Sultan

      Pages 229-236

5. Urinary Incontinence and Voiding Dysfunction

   1. Front Matter

      Pages 237-237

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This excellent textbook provides up-to-date information on all aspects of pelvic floor disorders. After an opening section on anatomy and physiology, it explains the methodology, role and application of the integrated imaging approach in detail, including the most advanced 3D, 4D, and dynamic ultrasound techniques, illustrated with hundreds of images. It then discusses in depth the epidemiology, etiology, assessment, and management of the full range of pelvic floor disorders from multidisciplinary and practical perspectives. The book also provides information on the various forms of obstetric perineal trauma, urinary incontinence and voiding dysfunction, anal incontinence, pelvic organ prolapse, constipation and obstructed defecation, pelvic pain and sexual dysfunction, and fistulas, and includes treatment algorithms as well as helpful guidance on what to do when surgical treatment goes wrong. The authors are leading experts in the field from around the globe. Since the first edition from 2010 (more than 200,000 chapter downloads), the book has been extensively rewritten and features numerous additional topics. The result is a comprehensive textbook that is invaluable for gynecologists, colorectal surgeons, urologists, radiologists, and gastroenterologists, beginners and veterans alike.

• 3D ultrasonography
• Dynamic magnetic resonance
• Dynamic ultrasonography
• Pelvic floor anatomy
• Pelvic floor ultrasonography
• imaging
• Anal Sphincter Trauma
• Voiding Dysfunction
• Urinary Incontinence
• Anal Incontinence
• Pelvic Organ Prolapse
• Sexual Dysfunction
• Pelvic Pain
• Anorectal Fistulae

• Tertiary Referral Pelvic Floor and Incontinence Center, IV°Division of General Surgery, Regional Hospital, Treviso, University of Padua, Padua, Italy

  Giulio A. Santoro

• Department of Pediatric Radiology, Medical University of Lublin, Children’s University Hospital, Lublin, Poland

  Andrzej P. Wieczorek

• Urogynaecology and Pelvic Floor, Reconstruction Unit, Croydon University Hospital, St George’s University of London, London, UK

  Abdul H. Sultan

Giulio A. Santoro was educated at the University of Naples and at the University of Siena, Italy. He has been Chief of the Tertiary Referral Pelvic Floor and Incontinence Center and Consultant General Surgeon and Colorectal Surgeon, IV°Division of Surgery at Treviso Regional Hospital, Italy, for 20 years. He was Consultant Colorectal Surgeon at Cleveland Clinic Abu Dhabi, UAE for 1 year from August 2014 to 2015. He holds academic appointments as Professor of Surgery at University of Padua, Italy and as Honorary Professor of Surgery at Shandong University, China. He is Director of the Italian School of Pelvic Floor Ultrasonography and Past-President of the Italian Society of Colorectal Surgery (in 2015 he was President of the VI° National Congress of the society). He is member of the editorial board of World Journal of Gastrointestinal Surgery, Female Pelvic Medicine Reconstructive Surgery, Pelviperineology and Journal of Ultrasonography. He is also author of more than 200 chaptersand articles published on peer-review journals as well as author of four books. He was part of the faculty of more than 300 international Congresses, Workshops and Courses.


Andrzej Paweł Wieczorek is a Professor of Radiology and Head of the Department of Pediatric Radiology at the Medical University of Lublin, Poland. Besides pediatric radiology, one of his main scientific focus is uroradiology and pelvic floor ultrasound, as well as ultrasound diagnostics of male and female urinary incontinence in adults and children, pelvic organ prolapse in women, male and female infertility, diagnostics of prostate diseases.  He authored several articles published in peer-review journals covering these topics. He is actively teaching pelvic floor ultrasound on numerous Polish and international congresses and workshops propagating the idea among various specialties in medicine. He is a lecturer on congresses, workshops and courses organized by Polish Society of Ultrasound (PTU), Polish Medical Society of Radiology (PLTR), International Urogynecological Association (IUGA), European Society of Coloproctology (ESCP), European Society of Uroradiology (ESUR). In the past he was playing a role of Vice-President of the Polish Society of Ultrasound (PTU) for 8 years. He is also author of more than 170 chapters and articles published on peer-review journals as well as an author of one book. He is an organizer of annual course about most recent developments in ultrasound since 17 years. He was part of the faculty of more than 300 international Congresses, Workshops and Courses.
 
Abdul H Sultan is a Consultant Obstetrician and UroGynecologist at Croydon University Hospital and honorary Reader at St George's University of London. He completed his basic medical training (MB.ChB) in South Africa prior to moving to the United Kingdom in 1984 and obtained the MRCOG degree in 1990 (FRCOG 2003). He subsequently he took up a research post under the supervision of Prof Chris Hudson at St Bartholomews and Homerton Hospitals and Professors Clive Bartram and Mike Kamm at St Mark's Hospital. The research involved studying the effects of childbirth on the pelvic floor and anal sphincters. This led to a landmark paper published in the New England Journal of Medicine and to a Doctorate (MD).  His pioneering work highlighted the deficiencies in training of doctors and midwives in detecting and repairing injuries to the perineum and anal sphincter after childbirth. His past academic positions include: executive member of the British Society of Urogynaecology, International Consultation on Incontinence, The Scientific Advisory Committee (RCOG), and the scientific committee of The International Urogynecological Association. He is the co-director of a tertiary referral urogynecology Unit at Croydon University Hospital with subspecialty training and has an active research programme. He has over 200 publications and has produced thefirst comprehensive textbook, ‘Perineal and Anal Sphincter Trauma’. He is the co-director of the popular international Perineal Trauma and Pelvic Floor Ultrasound courses conducted in Croydon. He was awarded the prestigious overall “UK Hospital Doctor of the Year” award and is the past President of the Section of Obstetrics and Gynaecology of the Royal Society of Medicine.

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