Current Guidelines for Colonoscopy
Setting Parameters Screening Absence of symptoms Defined risk categories (Table 10.2) Establishing the time for the first screening (Table 10.3) Quality assessment parameters for each test in general and in…
How to Achieve High Rates of Bowel Preparation Adequacy
Type Preparation Composition Volume Split dosing regimens Price Purgative Other liquid Isosmotic Polyethylene glycol electrolyte solution (PEG-ELS) Polyethylene glycol, sodium sulfate, sodium, bicarbonate, sodium chloride, potassium chloride 4 L None…
Patient Comfort During Colonoscopy
Authors Study design Total procedures (% sedated procedures) Difference in CIR Difference in cecal intubation time Difference in ADR Bannert et al. [5] Retrospective 52,506 (86%) Yes (1.2%) No Radaelli…
Female Pelvic Floor Imaging with Emphasis on the Overactive Pelvic Floor
Modality Probe Imaging Dynamic study Compartment Levator ani and perineal muscles assessment Transpe rineal—2D Convex 3–6 MHz Sagittal, coronal Yes All Yes Transperineal—3D Convex 4–8 MHz Axial, multiplanar, tomographic No…
Subjective Assessment of the Overactive Pelvic Floor
Fig. 10.1 The Bladder Control Self-Assessment Questionnaire (B-SAQ) Recently, a group of investigators [13] in the United States set their sights on validating a new screening tool aimed at identifying…
Urodynamic Assessment
Fig. 14.1 Schematic illustration of a normal uroflowmetry curve, with flow rates measured over time. With permission from Haylen BT, De Ridder D, Freeman RM, Swift SE, Berghmans B, Monga…
Psychosocial Management of the Overactive Pelvic Floor
Fig. 20.1 The Fear-Avoidance Model of Pain detailing how maladaptive thinking can perpetuate the cycle of pain and lead to avoidance of or hypervigilance for pain with sexual activity According…
Musculoskeletal Conditions Related to Pelvic Floor Muscle Overactivity
Abdominal wall pain Coccyx dysfunction Hip disorders Lumbar spine disorders Pelvic disorders Persistent genital arousal syndrome Piriformis pain/syndrome Postural dysfunction Psoas pain Pubic symphysis disorders Pudendal neuralgia Sacroiliac joint dysfunction…
Complementary and Alternative Therapies for the Overactive Pelvic Floor
Fig. 19.1 Ten most common complementary health approaches among United States Adults in 2007. Source: Barnes PM, Bloom B, Nahin R. CDC National Health Statistics Reports #12. Complementary and Alternative…
Objective Assessment of the Overactive Pelvic Floor
Grade Description 0 Muscle not palpable 1 Muscle palpable but very flaccid, wide hiatus, minimal resistance to distension 2 Hiatus wide but some resistance to distension 3 Hiatus fairly narrow,…
