Title Urogynecology : evidence-based clinical practice / Kate H. Moore

Published London : Springer, 2006

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Description 1 online resource (xii, 176 pages) : illustrations Contents Cover -- Contents -- Foreword -- Preface -- 1. Taking the History -- History Taking for Incontinent Women -- The Frequency Volume Chart -- How Bad Is the Problem? -- History Taking for Voiding Difficulty -- History Taking for Prolapse -- History Taking for Fecal Incontinence -- Symptoms of Obstructive Defecation -- Assessing Surgical History -- History Taking for Dyspareunia -- History Taking for Recurrent Bacterial Cystitis -- History Taking for Painful Bladder Syndrome/Interstitial Cystitis -- History of Drug Therapy That May Facilitate Urinary Incontinence -- General Assessment of the Patient in Relation to Urogynecology -- 2. Physical Examination -- Examine the Abdomen -- Inspect the Vulva -- Elicit a "Stress Leak" -- Speculum Examination -- POPQ Scoring System of Prolapse -- Assess Pelvic Floor Muscle Contraction Strength-Oxford Score -- Do All Urogynecology Patients Need a Rectal Examination? -- Screening Neurological Examination -- 3. How to Manage the Patient After History and Examination -- A Few Words about Explaining the Situation to the Patient -- 4. How to Conduct Urodynamic Studies: Essentials of a Good Urodynamic Report -- Who Needs Urodynamic Testing? -- Different Forms of Urodynamic studies -- Practical Advice about How to Perform Urodynamic Studies -- Uroflowmetry -- Twin Channel Cystometry -- Urodynamic Diagnoses Available from the Filling Phase -- Videourodynamics -- "Occult" Stress Incontinence -- Ultrasound -- Voiding Cystometry -- Special Urodynamic Tests -- Example of Report -- Conclusions -- 5. Outcome Measures Used to Assess Response -- Introduction -- Tests That Measure Patient's Symptoms -- Tests That Quantify Patient's Symptoms -- Bladder Chart -- The Pad Test -- Quality of Life -- Socioeconomic Evaluation -- Conclusions -- 6. Conservative Therapy of Urodynamic Stress Incontinence -- Managing Chronic Cough and Obesity -- Treatment of Constipation -- Treatment of Post-Menopausal Urogenital Atrophy -- Starting a Home-Based Pelvic Floor Muscle Training Program -- The Role of the Nurse Continence Advisor -- Who Should Be Referred for Physiotherapy? -- What Does the Physiotherapist Do That Increases Efficacy? -- The Efficacy of Physiotherapy Techniques -- What to Do If Conservative Therapy Fails but Patient Does Not Want Surgery -- Conclusions -- 7. Step-by-Step Guide to Treatment of Overactive Bladder/Detrusor Overactivity -- Explain the Condition -- Step-by-Step Guide to Bladder Training -- How Do Anticholinergic Drugs Work and How Do We Use Them? -- Are Anticholinergic Drugs Effective? -- Role of Topical Estrogens -- Alternative Therapies for Detrusor Overactivity -- Conclusions -- 8. Anal Incontinence and Disorders of Obstructive Defecation -- Basic Physiology of Anal Continence and Defecation for the Gynecologist -- Overview of Anal Incontinence -- Treatment of Anal Incontinence -- Overview of the Disorders of Obstructive Defecation -- Overview of Treatment of Disorders of Defecation -- Conclusions -- 9. Surgery for Urodynamic Stress Incontinence -- Introduction -- Bladder Neck Buttress -- Colposuspension -- The Abdomino-vaginal Sling -- Historical Note: Stamey Needle Suspension Raz/Peyreyra/G Summary Talks about urinary incontinence, prolapse and fecal incontinence, giving the practical elements. This book summarizes the practical patient management based upon the available evidence and author's own clinical experience, indicating controversial areas where there is insufficient evidence Bibliography Includes bibliographical references and index Notes Master and use copy. Digital master created according to Benchmark for Faithful Digital Reproductions of Monographs and Serials, Version 1. Digital Library Federation, December 2002. http://purl.oclc.org/DLF/benchrepro0212 MiAaHDL Print version record digitized 2010 HathiTrust Digital Library committed to preserve pda MiAaHDL In Springer e-books Subject Urogynecology. Urodynamics. Urinary incontinence. Urinary incontinence -- Treatment Women -- Diseases -- Treatment. Genitourinary organs -- Diseases. Women -- Health and hygiene. Female Urogenital Diseases Urinary Incontinence Urinary Incontinence -- therapy Urodynamics Women's Health HEALTH & FITNESS -- Diseases -- Genitourinary & STDs. MEDICAL -- Urology. Urodynamics. Urinary incontinence. Urinary incontinence -- Treatment. Women -- Diseases -- Treatment. Female Urogenital Diseases. Urinary Incontinence -- therapy. Women's Health. Urogynecology. Women -- Health and hygiene Genitourinary organs -- Diseases Urinary incontinence Urinary incontinence -- Treatment Urodynamics Urogynecology Women -- Diseases -- Treatment Form Electronic book ISBN 9781846281655 1846281652 1846281644 9781846281648 661072699X 9786610726998

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