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 Victoria L. Handa Pelvic organ prolapse is a prevalent condition, especially among older women. Despite our efforts to understand the genesis of…
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 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 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 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 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 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 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 Matthew D. Barber Surgery for stress urinary incontinence (SUI) represents one of the most common indications for surgery in women. Approximately 4% of women…
