Practical Pelvic Floor Ultrasonography

This new edition provides the most up to date, state-of-the art review of current literature which provides an introduction to pelvic floor imaging, as well as a resource to be used during initial and more advanced practice. The book features new chapters on Vaginal mesh imaging, ultrasound of implanted material, pelvic floor trauma, and ultrasound in pelvic floor therapy. The reader will gain competence in performing transperineal, endovaginal and endoanal 3D/4D ultrasound evaluation of the pelvic floor including anal sphincter and levator ani complex. The text provides a basic understanding of how to perform a transperineal, an endovaginal and endoanal pelvic floor ultrasound and use the desktop 3D/4D softwares to obtain basic measurements. Concise textual information from acknowledged experts is complemented by high-quality diagrams and images to provide a thorough update of this rapidly evolving field. Introductory chapters fully elucidate the anatomical basis underlying disorders of the pelvic floor, followed by 1) 3D/4D transperineal imaging, 2) 3D endovaginal imaging of the urethra and the bladder, Levator ani muscles, the anorectal area, and 3) 3D endoanal imaging. Measurement protocols and case reviews are demonstrated at the conclusion. Written entirely by experts in their fields, the second edition of Practical Pelvic Floor Ultrasonography: A Multicompartmental Approach to 2D/3D/4D Ultrasonography of the Pelvic Floor is a comprehensive resource that will be of great value to urogynecologists, colorectal surgeons, obstetrician and gynecologists, female urologists, ultrasonographers, radiologists, physiotherapists, as well as fellows in urogynecology and colorectal surgery. /div

Practical Pelvic Floor Ultrasonography: A Multicompartmental Approach to 2D/3D/4D Ultrasonography of Pelvic Floor provides an introduction to pelvic floor imaging, as well as a resource to be used during initial and more advanced practice. The book helps readers gain competence in performing 2D/3D/4D transperineal, and 2D/3D endovaginal / endoanal ultrasound evaluation of the pelvic floor, including anal sphincter and levator ani complex. The text also shows interested clinicians how to obtain optimal images of pelvic floor muscles and organs, how to obtain useful images of the anal canal, levator ani complex, urethra, and how to interpret clinical implications of alterations of the anatomy. In addition, emerging techniques of “dynamic” pelvic floor ultrasound and 3D/4D ultrasound are introduced through step by step protocols that are aimed at optimizing sonographic images. Written entirely by experts in their fields, Practical Pelvic Floor Ultrasonography: A Multicompartmental Approach to 2D/3D/4D Ultrasonography of Pelvic Floor is a comprehensive resource that will be of great value to urogynecologists, colorectal surgeons, obstetrician and gynecologists, female urologists, ultrasonographers, radiologists, physiotherapists, as well as fellows in urogynecology and colorectal surgery.

Ultrasound has replaced X-ray as the main imaging modality for the diagnosis of pelvic floor disorders in women. It now enables a cost-effective and non-invasive demonstration of bladder neck and pelvic organ mobility, vaginal, urethral and levator ani function and anatomy, and anorectal anatomy. Atlas of Pelvic Floor Ultrasound provides an introduction to pelvic floor imaging as well as a resource to be used during initial and more advanced practice.

There is increasing interest in using ultrasound for assessment of pelvic floor disorders such as voiding dysfunction , pelvic organ prolapse and faecal incontinence. Ultrasound can also be a useful imaging modality for urodynamics and pelvic floor physiotherapy. Whilst ultrasound equipment is widely available around the world many clinicians may not have access to structured training in the technique of pelvic floor imaging and interpretation of images in the context of pelvic floor dysfunction. This book aims to provide the reader with the knowledge and skills to start utilising ultrasound imaging in assessment of pelvic floor disorders. The authors comprise the three surgical disciplines (urology, colorectal surgery and gynaecology) who commonly manage pelvic floor problems and have subspecialty expertise in pelvic floor imaging. They have conducted workshops in Australia, Asia, UK and USA and are advocates for clinican-performed ultrasound.

Ultrasonography is a cornerstone in the evaluation of gynecologic disease. This authoritative new book looks at the techniques of ultrasonography in both office and hospital settings, offering guidance on the optimal use of equipment and covering the full range of benign and malignant gynecologic disease as well as infertility. Ultrasonography in Gynecology offers extensive coverage of the diagnostic potential of ultrasound in gynecologic disease, from the moment the patient walks into the physician's office. All the different approaches in the ultrasonographic evaluation of disease – including 3D ultrasonography, 3D sonohysterography, Doppler imaging and pelvic floor imaging – are extensively covered, with color images throughout. Written and edited by leaders in the field of ultrasonography who have actively participated in national and international teaching courses, Ultrasonography in Gynecology is a must for all gynecologists dealing with infertility, endometriosis, uterine fibroids, gynecologic cancers, and many more gynecologic conditions.

Recent evolution brought ultrasound imaging widely adopted by pelvic floor specialists. For gynecologists, this step has been a natural evolution. In fact, pelvic floor medicine is the last field of gynecology in which ultrasound has reached a pivotal role in the diagnostic process. But when we consider the pelvic floor as a transversal field of medicine we must consider that ultrasound is the linking bridge between different specialties. In fact, ultrasound is a cohesive tool shared by gynecologists, urologists, colorectal surgeons, and radiologists. Most of them are confident with this technique and are familiar with the technology even though with different applications. Most of the time ultrasound can be performed by the same specialist that collected the medical history and has performed the physical evaluation. This aspect allows ultrasound to express the best of itself since the clinician perfectly knows what he/she requires to obtain by the imaging. In this sense, ultrasound fills a gap in the steps of the diagnostic workup, melting physical examination, and imaging all in one, making them much more than complementary. In the same manner, ideally, the same clinician who fulfilled the diagnostic path may be the main character involved in the surgical process which aims to solve the specific pelvic floor dysfunction. Nevertheless, pelvic floor ultrasound partially departs from the applications clinicians are used to for their specialty. As gynecologists in fact we recognize differences between ultrasound pelvic studies for uterine or adnexal masses and pelvic floor studies. The same is for other specialties. For this reason, clinicians involved in pelvic floor units need education in pelvic floor ultrasound in order to be skilled for specific applications. With this vision we tried our best to offer pelvic floor specialists a handbook with the basic ultrasound knowledge they need to own in order to complete a pelvic floor diagnostic step in current clinical practice, providing a rich iconography of normal and pathological imaging. The cut of the work is intentionally concise but complete with practical tips for a correct ultrasound evaluation of the pelvic floor. The handbook is suitable both as a first approach to pelvic floor ultrasound and also for expert practitioners who wish to improve their skills.

Pelvic Floor Re-education encompasses a variety of techniques for increasing the strength of, and control over, the pelvic floor muscles. These techniques are now emerging as an effective and viable alternative to surgery in the treatment of urinary incontinence and related conditions. This volume presents a reasoned, scientific approach to the use of pelvic floor re-education. Starting with the latest theories on anatomy, pathophysiology and possible causes of pelvic floor damage, the text then describes the importance of pelvic floor evaluation in determining the type of treatment required. A number of re-education techniques are assessed including isolated muscle exercise, vaginal cones, biofeedback control and electrical stimulation. Recent research work is also reviewed which allows the reader to evaluate the different modalities advocated in the management of pelvic floor dysfunction.

Biomechanical Mapping of the Female Pelvic Floor explores new technological advances in women’s healthcare intended to improve pelvic floor characterization, diagnosis and prediction of treatment outcomes. The book describes biomechanical approaches and clinical examples to demonstrate how one can evaluate the changes in the pelvic floor to gain a better understanding of an individual patient’s pelvic floor dysfunctions, such as prolapse, incontinence, chronic pelvic pain, and even conditions leading to spontaneous preterm delivery and predicting maternal birth trauma. This book is a valuable resource for researchers focused on gynecology, urogynecology or obstetrics, clinicians, graduate students and biomedical scientists and bioengineers who need to better understand the technological advances in biomechanical characterization and how they can be used not only for diagnosis but also for monitoring several OBGYN-related conditions. Discusses the most recent advances in the field of biomechanical characterization of soft tissues, pelvic support and function, including different applications of tactile imaging, ultrasound and magnetic resonance elastography Explores new diagnostic devices and techniques, mathematical models and simulations to address preoperative assessment and prediction of pelvic surgery outcomes and delivery Presents reviews of the results of multiple clinical studies with the biomechanical mapping of human tissues and organs to provide comprehensive information on the subject and determine future directions in the field