Anal Incontinence
Anal Incontinence Mikio A. Nihira Okechukwu A. Ibeanu INTRODUCTION Defecation is normally a private function, which is performed at socially acceptable times chosen by the individual. Bowel control is learned…
Evaluation of Colorectal Dysfunction
Evaluation of Colorectal Dysfunction Marc R. Toglia INTRODUCTION Colorectal disorders occur commonly among adult women and are associated with diverse symptoms, including abdominal pain and bloating, constipation, incomplete defecation, and…
Physiology, Pathophysiology
Physiology, Pathophysiology Robert E. Gutman INTRODUCTION Disorders of the anus and rectum are numerous and transcend any individual specialty. Anorectal dysfunction is a nonspecific term referring to any condition that…
Preoperative and Postoperative Complications and Management
Preoperative and Postoperative Complications and Management Matthew Fagan GENERAL CONSIDERATIONS All surgical procedures involve some risk of intraoperative or postoperative complications, anesthetic risk, and the possibility of long-term morbidity, loss…
Fistula and Urethral Diverticulum
Fistula and Urethral Diverticulum Ralph R. Chesson Jr., Okechukwu A. Ibeanu INTRODUCTION Vesicovaginal fistulas are a most distressing condition for women. Their constant drainage of urine creates emotional and physical…
Voiding Dysfunction
Voiding Dysfunction Jennifer Miles-Thomas James E. Wright Normal voiding function relies on complex interactions between the autonomic and somatic nervous systems. Precise coordination allows the lower urinary tract to accomplish…
Mixed Urinary Incontinence
Mixed Urinary Incontinence Patrick J. Woodman DEFINITION Mixed urinary incontinence (MUI) is the complaint of involuntary leakage associated with urgency and also with exertion, effort, sneezing, or coughing (1). Thus,…
Surgical Treatment of Stress Urinary Incontinence
Surgical Treatment of Stress Urinary Incontinence Matthew D. Barber Surgery for stress urinary incontinence (SUI) represents one of the most common indications for surgery in women. Approximately 4% of women…
Periurethral Bulking
Periurethral Bulking Alfred E. Bent The injection treatment of stress incontinence using sodium morrhuate was reported in 1938 (1). Injectable polytetrafluoroethylene (PTFE) was developed in the 1970s (2). The major…
Conservative Therapy for Stress Incontinence
Conservative Therapy for Stress Incontinence Laura Scheufele Karen Abraham INTRODUCTION Stress urinary incontinence (SUI) is “the complaint of involuntary leakage on effort or exertion, or on sneezing or coughing,” as…
