Incontinence

Urinary incontinence causes discomfort and distress for millions of women, particularly those who have borne children, are postmenopausal, or have passed the age of forty. This condition can have a severe negative impact on one's quality of life, and successful treatment, while possible, is complex. Cowritten by a gynecologist and a urologist who have helped thousands of frustrated women, this new guide gives patients the information they need to understand their condition and make the right treatment decisions. Dr. Rene Genadry and Dr. Jacek L. Mostwin explain how nerves, muscles, and other anatomical factors work in concert to control the bladder and how they can be affected by pregnancy, menopause, and aging. The authors discuss the common and uncommon causes of urinary incontinence, how the condition is evaluated and diagnosed, and how it can be treated. Drs. Genadry and Mostwin walk through the various treatment options—including biofeedback and behavioral conditioning, pelvic floor exercises, medications, and surgery, as well as new and emerging therapies. They also discuss what to do if a particular treatment fails. The knowledge provided here gives the woman with urinary incontinence the power to choose treatments that meet her specific needs and preferences. Friendly, accessible, and packed with valuable information, this guide is an essential resource for women who are troubled by urinary incontinence.

Pediatric incontinence: evaluation and clinical management offers urologists practical, 'how-to' clinical guidance to what is a very common problem affecting up to 15% of children aged 6 years old. Introductory chapters cover the neurophysiology, psychological and genetic aspects, as well as the urodynamics of incontinence, before it moves on to its core focus, namely the evaluation and management of the problem. All types of management methods will be covered, including behavioural, psychological, medical and surgical, thus providing the reader with a solution to every patient's specific problem. The outstanding editor team led by Professor Israel Franco, one of the world’s leading gurus of pediatric urology, have recruited a truly stellar team of contributors each of whom have provided first-rate, high-quality contributions on their specific areas of expertise. Clear management algorithms for each form of treatment support the text, topics of controversy are covered openly, and the latest guidelines from the ICCS, AUA and EAU are included throughout. Perfect to refer to prior to seeing patients on the wards and in the clinics, this is the ideal guide to the topic and an essential purchase for all urologists, pediatric urologists and paediatricians managing children suffering from incontinence.

For those living with incontinence, an overactive bladder can make day-to-day life unmanageable. Mayo Clinic on Incontinence is a modern-day guide to the new medications, therapies, treatment plans, and surgical options available to those living with incontinence. If you’re suffering from unwanted symptoms of incontinence—like an uncontrollable bladder and bowel problems—you’re not alone. Millions of Americans struggle daily with issues related to urinary or fecal incontinence, and the effects can be invasive and debilitating. And while many believe incontinence is an age-related issue, the condition prevents patients of all ages from enjoying an active and carefree lifestyle. What most Americans don’t know is that incontinence can be improved and, in some cases, even cured. Simple changes to everyday behaviors can ease symptoms of incontinence, while medications and minimally invasive procedures, like injections, can bring long-lasting relief to patients. And in more serious cases, surgical procedures can assist in relieving and often curing problems related to the condition. Penned by two of Mayo Clinic’s leading urogynecologists, Mayo Clinic on Incontinence outlines the common causes of incontinence and provides tailored treatment advice for patients of all demographics. Readers will also find tools for enhanced living with incontinence, including tips to reduce the risk of developing incontinence, minimize issues while out in public, and boost overall sexual health and wellness. With more than 10,000 patients treated for incontinence by the Mayo Clinic each year, this book provides a source of hope from the experts who are leading the efforts to treat and cure incontinence.

As medical knowledge advances we tend to compartmentalise our specialties into smaller units; but, hand in hand with this, there is a growing understanding between the different disciplines within the caring professions. Thus we are able to share our special skills to the benefit of patients. This book is an excellent example of the advantage of interdisciplinary communication and demonstrates a refreshing holistic approach to the problems of incontinence and pelvic pain. Written with physiotherapists in mind, the editors have invited contributions from many distinguished experts in their own field. These have been compiled into a comprehensive book, which will appeal to many healthcare professionals. I have had great pleasure in reading this book. During the time that I have been involved with 'pelvic dysfunction' there have been many exciting advances. These are all included in a most readable sequence, some presented with a refreshing new twist. In particular, I would like to bring to your attention the section on 'pelvic pain'. Because of our lack of understanding it has been a problem that is too often ignored and here at last are some practical ideas for therapeutic management. There is still much progress to be made in the field of incontinence and pelvic pain and as yet, no editors can be expected to produce a definitive work. However, I would like to recommend this book most strongly. It has a new approach to this topic, which is still a major problem for many people.

The book surveys the prevalence, the pathophysiology, the diagnosis, the current therapy, both conservative and operative, and the long-term outcome of treatment of urinary and fecal incontinence. It is targeted at general and colorectal surgeons, urologists, gynecologists and gastroenterologists who treat incontinent patients, and also gives general practitioners and geriatric physicians an overview of the diagnostic methods and treatment options that can be offered to incontinent patients.

This book demonstrates knowledge on tissue-based procedures for stress urinary incontinence and other pelvic floor related topics. As the field shifts away from using synthetic material for repair, this work presents a new perspective on native tissue repair from the opinions and research of the authors. Written by a panel of expert authors in the field, this text provides high quality, focused information that is complimented by illustrations and videos. With established track records the authors illustrate how to perform the procedure vaginally or through open surgery, and inclusion of live surgeries via online video, makes this an invaluable tool for busy surgeons and specialists interested in pelvic floor reconstruction.

Internationally known experts offer multidisciplinary guidance on the diagnosis and management of the full spectrum of pelvic floor disorders. It covers the diagnosis and clinical assessment of continence mechanisms and sexual dysfunction, as well as conservative management of the lower urinary tract, disorders of anorectal functions and sexual functions, exploring techniques such as electrical stimulation, anti-incontinence devices, and biofeedback. This valuable text also provides information on the management and treatment of a full range of disorders, from childbirth damage and post-prostatectomy incontinence, to neuropathic voiding dysfunction. Reviews normal anatomy and physiology as well as pathophysiology, providing an in-depth understanding of how and why various pelvic floor disorders occur. Covers the complete spectrum of pelvic floor disorders, including childbirth damage · lower urinary tract dysfunction in the female and male · urinary incontinence in the elderly · pelvic organ prolapse · post-prostatectomy incontinence · neurogenic voiding dysfunction · fecal incontinence · defecatory disorders · pediatric urology · male and female sexual dysfunction. Discusses all types of diagnostic approaches, including urodynamics · imaging · MRI · endoscopy · and electrodiagnosis. Conservative treatment is based on different techniques: pelvic floor muscles training · behavioral therapy · biofeedback · electrical stimulation and anti-continence devices. Represents a practical approach to surgery and conservative treatment for the physician and health care professionals and provides practical suggestions on these techniques. Features contributions from urologists, gynecologists, coloproctologists, continence specialists, specialist physical therapists, and nurses, for exceptionally multidisciplinary, well-rounded coverage of every aspect of the field.