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Pelvic Floor Disorders, An Issue of Gastroenterology Clinics of North America
- 1st Edition, Volume 51-1 - February 11, 2022
- Editor: Darren M. Brenner
- Language: English
- Hardback ISBN:9 7 8 - 0 - 3 2 3 - 8 1 3 4 3 - 3
- eBook ISBN:9 7 8 - 0 - 3 2 3 - 8 1 3 4 4 - 0
In this issue, guest editors bring their considerable expertise to this important… Read more
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Request a sales quoteIn this issue, guest editors bring their considerable expertise to this important topic.
Provides in-depth reviews on the latest updates in the field, providing actionable insights for clinical practice.
Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create these timely topic-based reviews.
- Cover image
- Title page
- Table of Contents
- Copyright
- Contributors
- Forthcoming Issues
- Foreword
- Preface
- Anorectal Anatomy and Function
- Key points
- Introduction
- Internal anal sphincter
- External anal sphincter
- Puborectalis and deep pelvic floor muscles (levator ani)
- Length-tension function of the external anal sphincter and puborectalis muscles
- Assessing the anatomy of anal closure mechanisms
- Summary
- Clinics care points
- The Digital Rectal Examination: Appropriate Techniques for the Evaluation of Constipation and Fecal Incontinence
- Key points
- Introduction
- Obstacles to performing DRE
- Performing a proper DRE
- Diagnostic performance of DRE
- Summary
- Diagnostic Strategy and Tools for Identifying Defecatory Disorders
- Key points
- Introduction
- Clinical assessment
- Rationale for anorectal tests
- Anorectal manometry
- Rectal balloon expulsion test
- Barium and magnetic resonance proctogram
- Assessment of rectal sensation and distensibility (compliance and capacity)
- Potential fallacies in diagnostic testing
- Anal surface electromyography
- Colonic transit
- Summary
- Dyssynergic Defecation and Other Evacuation Disorders
- Key points
- Introduction
- Anatomy
- Dyssynergic defecation
- Diagnostic testing
- Summary
- Clinics care points
- Author contributions
- Fecal Incontinence: Pathogenesis, Diagnosis, and Updated Treatment Strategies
- Key points
- Introduction
- Pathogenesis
- Risk factors
- Diagnosis
- Treatment of fecal incontinence
- Summary
- Clinics care points
- Neurogenic Bowel Dysfunction: The Impact of the Central Nervous System in Constipation and Fecal Incontinence
- Key points
- Introduction and epidemiology of neurogenic bowel dysfunction
- Neuroanatomy and neurophysiology
- Clinical presentation of NBD
- Diagnostic approach to patients with NBD
- Treatment of patients with NBD
- Summary
- Clinics care points
- Opioid-Related Constipation
- Key points
- Introduction: the spectrum of opioid-related constipation
- Pathophysiology of ORC
- Treatment of ORC
- OTC treatments
- Peripherally Acting μ-Opioid Receptors Antagonists
- Methylnaltrexone
- Naloxegol
- Naldemedine
- Secretagogues
- Comparisons of therapies and utility in the treatment of OIC versus OEC
- Summary
- Clinics care points
- Disclosure
- A Pain in the Butt: Hemorrhoids, Fissures, Fistulas, and Other Anorectal Syndromes
- Key points
- Introduction
- Hemorrhoids (piles)
- Anal fissure
- Anal abscesses and fistulas
- Squamous cell carcinoma of the anus
- Solitary rectal ulcer syndrome
- Proctalgia fugax
- Levator ani syndrome and unspecified functional anorectal pain
- Pruritus ani
- Sexually transmitted diseases inducing anal pain
- Foreign bodies
- Summary
- Clinical Pearls
- Disclosures
- Psychological and Nutritional Factors in Pelvic Floor Disorders
- Key points
- Psychological and nutritional factors in pelvic floor disorders
- Psychological interventions and their role in pelvic floor dysfunction
- Clinic care points
- Nutritional factors in pelvic floor disorders
- Clinics care points
- Summary
- Disclosure
- Evaluation and Treatment of Urinary Incontinence in Women
- Key points
- Introduction
- Normal physiology and pathogenesis
- Summary
- Clinics care points
- Disclosures
- Pelvic Organ Prolapse
- Key points
- Introduction
- Anatomic definitions and considerations
- Prevalence
- Risk factors
- Evaluation and classification of prolapse
- Nonsurgical management of POP
- Surgical techniques
- Imaging
- Summary
- Clinics care points
- Disclosure
- Endometriosis and Pelvic Pain for the Gastroenterologist
- Key points
- Introduction
- Endometriosis – the basics
- Symptoms
- Chronic pain and endometriosis
- Extrapelvic manifestations of endometriosis
- Examination for endometriosis
- Imaging
- Alternative imaging for endometriosis
- The role of a gastroenterologist – a gynecologist's perspective
- Overview of treatment
- Pharmacologic approaches
- Surgical interventions
- Considerations when there is a clear contribution from comorbid pelvic conditions
- Clinics care points
- Disclosure
- No. of pages: 240
- Language: English
- Edition: 1
- Volume: 51-1
- Published: February 11, 2022
- Imprint: Elsevier
- Hardback ISBN: 9780323813433
- eBook ISBN: 9780323813440
DB
Darren M. Brenner
Affiliations and expertise
Associate Professor
Feinberg School of Medicine
Northwestern Medicine
Chicago, IL