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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.
Table of Contents
Anatomy And Physiology Of The Pelvic Floor.- Perineal And Anal Sphincter Obstetric Injury.- A Computerized Model Of Pelvic Floor Muscles Physiology During Delivery.- Clinical Approach To The Evaluation Of Pelvic Floor Dysfunctions.- Echographic Diagnosis Of Pelvic Floor Injuries Childbirth Related.- Combined Three-Dimensional Transperineal Ultrasonography (3-D TPUS) and Magnetic Resonance Imaging (MRI) After Vaginal Delivery.- Pelvic Floor EMG: Principles, Technique And Applications.- Sexual Function After Delivery.- The controversial role of episiotomy.- Perineal Care During Pregnancy, Delivery And Post-Partum.- Genital Prolapse And Urinary Incontinence After Childbirth.- Faecal Incontinence After Childbirth: Diagnostic And Clinical Aspects.- Principles And Methods Of Physiotherapy After Delivery.- Surgery For Urinary Incontinence And Prolapse Shortly After Childbirth.- A Practical Approach To Pelvic Floor Dysfunctions After Childbirth: Diagnostic And Therapeutic Flow-Charts.- Clinical Cases.
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