This text addresses the urinary sphincter and its key role in both normal and abnormal function of the lower urinary tract. Corcos (McGill U. and Jewish General Hospital) and Schick (U. of Montreal and Maisonneuve-Rosemont Hospital) present 47 contributions by medical experts that discuss the anatomy and function of the male and female sphincteric mechanisms as well as its interconnections with the pelvic floor; the epidemiology of the dysfunctional sphincter, followed by a detailed analysis of the pathophysiology of three possible functional abnormalities (incompetency, hypertony, and dyssynergia), and the sphincter when associated with genital prolapse in females; clinical urodynamic, electrophysiological and imaging techniques; treatment options; a synthesis of treatment options; and reports published so far on the standardization of terminology, methodology, and outcome measures set forth by the International Continence Society. Contains many b&w images and graphs. Annotation c. Book News, Inc., Portland, OR (booknews.com)
This up-to-the-minute reference provides comprehensive coverage of the male and female sphincteric mechanisms and their connection to the pelvic floor as well as upper and lower urinary tract function-emphasizing modern approaches to the epidemiology, diagnosis, and treatment of abnormalities including incontinence, hypertonicity, retention, dyssynergia, and the overactive sphincter.
Highlights state-of-the-art clinical, urodynamic, electrophysiological, and imaging techniques such as ultrasonographic explorations of the female urethra!
Detailing lifestyle interventions, physiotherapy, disposable devices, and pharmacological therapeutics, The Urinary Sphincter covers
observations in embryology and infancy that contribute to pathological phenomena in adults
genital prolapse in females
recent developments in the engineering and the mechanisms of action of artificial sphincters, stents, and slings, as well as surgery, injectible techniques, and various sling procedures
neuromodulation and neurostimulation of urethrovesical function
contemporary surgical approaches for coordinated bladder function
reports from the International Continence Society on the methodology, standardization of terminology, and complications related to urethrovesical function and dysfunction
and more!
Furnishing practical algorithms and nearly 3000 useful references, tables, equations, photographs, and drawings, The Urinary Sphincter is an invaluable and authoritative source for urologists, gynecologists, neurologists, physiatrists, physiologists, pharmacologists, physiotherapists, and medical students in these disciplines.
