Anterior Wall Support Defects
Anterior Wall Support Defects Stephen B. Young Scott M. Kambiss ANATOMY For many years gynecologists have debated the composition and nature of vaginal tissues in relation to the urinary bladder….
Diagnostic Testing of Disorders of Pelvic Support
Diagnostic Testing of Disorders of Pelvic Support Olugbenga A. Adekanmi Robert M. Freeman The complex interaction between the integrated pelvic support structures making up the bony pelvis, muscles, and fascia…
Overview of Treatment
Overview of Treatment Joseph Schaffer David D. Rahn, Cecilia K. Wieslander INTRODUCTION Disorders of pelvic support affect quality of life but are generally not life-threatening. Most patients with pelvic organ…
The Clinical Evaluation of Pelvic Organ Prolapse
The Clinical Evaluation of Pelvic Organ Prolapse Geoffrey W. Cundiff INTRODUCTION There are several key principles that inform the clinical evaluation of pelvic organ prolapse (POP). Firstly, vaginal support defects…
Defecatory Dysfunction
Defecatory Dysfunction Mark R. Ellerkmann CONSTIPATION Various subjective and objective definitions exist for constipation. Commonly they address frequency of bowel movements, stool consistency, and degree of difficulty with evacuation. Typically,…
Physiology and Pathophysiology of Disorders of Pelvic Support
Physiology and Pathophysiology of Disorders of Pelvic Support Victoria L. Handa Pelvic organ prolapse is a prevalent condition, especially among older women. Despite our efforts to understand the genesis of…
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…
