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This 2nd revised edition covers management and treatment of bladder and bowel dysfunctions in men and women, pelvic organ prolapse, issues concerning the elderly, neurologically impaired patients and those with pelvic pain. New chapters cover quality of life, treatment of bladder and bowel dysfunction in children, the history of pelvic floor muscle exercise and manual therapy. The use of real-time ultrasound to evaluate pelvic floor muscle contractility is discussed, and a new section covers ethical issues in the management of incontinence. This is a useful reference and practical guide for health professionals dealing with incontinence and pelvic floor disorders.

Therapeutic Management of Incontinence and Pelvic Pain: Pelvic Organ Disorders

Urinary Incontinence in Adults and Children with Bladder and Bowel Disorders.- Prevalence of Urinary Incontinence.- Anatomy.- Epidemiology of Urinary Incontinence.- Physiotherapy for Children with Bladder and Bowel Disorders.- The Ageing Lower Urinary Tract.- Assessment and Treatment of Urinary Incontinence in Neurologically Impaired Patients.- Patient Assessment.- Quality of Life Assessment and Questionnaires.- Investigations for Lower Urinary Tract Dysfunction.- Urinalysis.- Treatment and Management of Urinary Incontinence.- Historical Perspective of Pelvic Floor Muscle Training.- Pelvic Floor Muscle Exercise in the Treatment of Urinary Incontinence.- Advanced Manual Therapy for the Pelvic Floor.- Pelvic Floor Stability and Trunk Muscle Coactivation.- Biofeedback.- Ultrasound.- The Use of Exercise Balls.- Therapeutic Electrical Stimulation.- Bladder Training and Behavioural Training.- Voiding Problems.- The Importance of Fluids.- Pregnancy, Childbirth and Urinary Incontinence.- Childbirth and Anal Incontinence.- Incontinence and the Menopause.- The Athletic Woman / Women and Exercise.- The Male Patient.- The Occupational Therapist's Approach to the Management of Incontinence.- Catheter Care.- Surgery for Urinary Incontinence.- Drugs Acting on the Lower Urinary Tract.- Colorectal Disorders.- An Anatomical Overview.- Faecal Incontinence.- Constipation.- Abdominal Massage for Constipation.- Laxatives.- Pelvic Pain.- Prevalence, Definitions, and Aetiology of Pelvic Pain.- Assessment and Treatment of Pelvic Pain.- Pelvic Organ Prolapse.- Background to Pelvic Organ Prolapse.- Evaluation of Prolapse.- Treatment and Prevention of Prolapse.- Professional Issues.- Ethical Principles in Pelvic Floor Physiotherapy.- Research Trials in Incontinence.- Infection Control Issues.- UK Government Guidelines.