Urinary 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.

Friendly, accessible, and packed with valuable information, this guide is an essential resource for women who are troubled by urinary incontinence.

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.

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.

Addressing the most commonly asked questions about incontinence, this accessible reference discusses causes, types of incontinence, and how the condition is diagnosed. The wide range of treatment options is introduced, from pelvic floor therapy and bladder training to electrical stimulation, medications, and surgeries. Eleven million women in the U.S. are coping with urinary incontinence—half of whom are too embarrassed to discuss the matter with their doctors—and this guidebook provides encouragement, showing that in more than 80 percent of cases, treatment can improve or even cure the problem.

Management strategies are framed within a multidisciplinary team structure and as such a range of specialists ranging from psychologists, specialist nurses, gynaecologists and urologists author the chapters. There are some novel methods outlined by the authors with their clinical application and utility described in detail, along with exhaustive research on epidemiology, which is particularly relevant in planning for the future.