Pelvic Floor Anatomy
Fig. 3.1 The human bony pelvis seen from the front (top) and from below (bottom), showing the bones and main ligament structures of the pelvis supporting the pelvic floor The…
The Express Procedure for Internal Rectal Prolapse
Fig. 17.1 Express procedure for intussusception. a A purpose-designed tunneller is inserted via the perineal wound (lateral to the vagina) upwards behind the pubic bone to emerge through the suprapubic…
STARR and TRANSTARR Procedures
Fig 14.1 STARR technique. a Rectal prolapse evaluated by exposing it through the circular anal dilator with a mounted gauze swab. b Three separate one-half (180°) purse-string sutures are made…
Management of Concomitant Middle Compartment Disorders
Fig. 25.1 Defecating proctogram at rest (left) and on evacuation (right). There is a normal anorectal angle at rest, with a reasonable pelvic lift and good anal canal length (left)….
Management of Concomitant Pelvic Disorders: The Urologic Perspective
Drug Dose Frequency Tolterodine 1–2 mg TID Tolderodine LA 2–4 mg Once daily Oxybutynin 2.5–5 mg BID or TID Oxybutynin XL 5–15 mg Once daily Oxybutynin transdermal patch 3.9 mg/dL…
Pelvic Organ Prolapse Suspension
Fig. 22.1 Front (a) and lateral (b) view of the pelvic organ prolapse suspension procedure. A V-shaped mesh is fixed to the anterior and lateral vaginal fornix (a, b). The…
Rectopexy without Mesh
Achille Lucio Gaspari and Pierpaolo Sileri (eds.)Updates in SurgeryPelvic Floor Disorders: Surgical Approach10.1007/978-88-470-5441-7_20 © Springer-Verlag Italia 2014 20. Rectopexy without Mesh Steven D. Wexner1 and Julie Ann M. Van Koughnett (1) Department of Colorectal Surgery, Cleveland Clinic Florida, Weston, Florida, USA …
Mesh Rectopexy (Ripstein, Orr-Loygue, Wells, and Frykman-Goldberg)
Achille Lucio Gaspari and Pierpaolo Sileri (eds.)Updates in SurgeryPelvic Floor Disorders: Surgical Approach10.1007/978-88-470-5441-7_19 © Springer-Verlag Italia 2014 19. Mesh Rectopexy (Ripstein, Orr-Loygue, Wells, and Frykman-Goldberg) Aldo Infantino1 and Andrea Lauretta1 (1) Department of General Surgery, Santa Maria dei…
The Altemeier’s Procedure for External Rectal Prolapse
Achille Lucio Gaspari and Pierpaolo Sileri (eds.)Updates in SurgeryPelvic Floor Disorders: Surgical Approach10.1007/978-88-470-5441-7_16 © Springer-Verlag Italia 2014 16. The Altemeier’s Procedure for External Rectal Prolapse Simona Giuratrabocchetta1, Ivana Giannini1, Maria Di Lena1 and Donato F. Altomare1 (1) Department of Emergency and Organ…
Functional Assessment of Anorectal Function
Fig. 7.1 Solid sphere expulsion test device 7.7 Anorectal Manometry and Sensory Tests Anorectal manometry consists of the measurement of pressure in the anal canal and the rectal ampulla, and…
