UROLOGY

Pelvic Floor Ultrasonography

Mar 18, 2017 by in UROLOGY Comments Off on Pelvic Floor Ultrasonography

Fig. 6.1 Two-dimensional transperineal ultrasonography. Midsagittal view of normal female pelvic floor, including the symphysis pubis, the urethra and bladder, the vagina and uterus, the rectum, and the anal canal….

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Imaging of Pelvic Floor Disorders

Mar 18, 2017 by in UROLOGY Comments Off on Imaging of Pelvic Floor Disorders

Fig. 4.1 Colpocystodefecography in the resting phase. The anorectal junction, the vaginal fornices, and the bladder neck lie over the pubococcygeal line (dashed line). The anorectal angle measures 93° During…

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Transperineal Rectocele Correction

Mar 18, 2017 by in UROLOGY Comments Off on Transperineal Rectocele Correction

Symptom Prevalence (%) Obstructed defecation 75–100 Manual assistance of defecation 20–75 Rectal pain 12–70 Rectal bleeding 20–60 Incontinence 10–30 Rectocele can be classified according to its position: low, middle, or…

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Delorme’s Procedure

Mar 18, 2017 by in UROLOGY Comments Off on Delorme’s Procedure

Fig. 15.1 Complete mucus membrane cylinder at the end of the dissection. (Reproduced from [9], with permission) Fig. 15.2 Rectal muscle plication and mucosal section. (Reproduced from [9], with permission)…

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Biofeedback Training and Physiokinetic Therapy

Mar 18, 2017 by in UROLOGY Comments Off on Biofeedback Training and Physiokinetic Therapy

Fig. 13.1 Algorithm of multimodal rehabilitation. CRST, conscious rectal sensitivity threshold; MVC, maximal voluntary contraction [4] Each rehabilitative technique is chosen according to a specific manometric sign, and the techniques…

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Biofeedback and Pelvic Floor Disorders

Mar 18, 2017 by in UROLOGY Comments Off on Biofeedback and Pelvic Floor Disorders

Fig. 12.1 Anatomy of anal sphincters and puborectalis muscle. Red puborectalis muscle, yellow external sphincter deep portion, pale yellow external sphincter superficial portion, orange internal sphincter Fig. 12.2 Anatomy of…

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Laparoscopic Ventral Rectocolpopexy for Rectal Prolapse Syndromes: Restoration of Anatomy and Improvement of Function

Mar 18, 2017 by in UROLOGY Comments Off on Laparoscopic Ventral Rectocolpopexy for Rectal Prolapse Syndromes: Restoration of Anatomy and Improvement of Function

Fig. 21.1 The ventral position of the mesh allows correction of rectorectal intussusception, reinforcement of the rectovaginal septum and performance of a colpopexy. Closure of the peritoneum above the mesh…

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Synthetic and Biological Meshes for Pelvic Floor Disorders

Mar 18, 2017 by in UROLOGY Comments Off on Synthetic and Biological Meshes for Pelvic Floor Disorders

Autologous grafts:      Fascia lata      Rectus fascia Allografts:      Human cadaveric dermis:         AlloDerm (LifeCell Corporation, Branchburg, New Jersey, USA)         FlexHD (Ethicon, Cornelia, Georgia, USA)      Cadaveric fascia lata:         Suspend Tutoplast (Mentor Corporation, Santa…

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