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2009 Complete Issue 
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The Complete Pelviperineology March 2009 Issue in PDF format. [PDF]
Pdf
[2.3 Mb] The Complete Pelviperineology March 2009 Issue in PDF format. [PDF]
Pdf Editorial Editorial
March
2009 marks an important step in the development of this journal. We are pleased
to announce a significant expansion of our editorial board with new contributors
from the various specialties, reflecting our multidisciplinary nature. With our
new editorial board the journal will have the resources to have regular contributions
in the fields of Imaging, Anatomy, the Integral Theory as well as existing features
of the European Perineology Group and the Pelvic Floor Digest. [More]
Full Text Pdf
March
2009 marks an important step in the development of this journal. We are pleased
to announce a significant expansion of our editorial board with new contributors
from the various specialties, reflecting our multidisciplinary nature. With our
new editorial board the journal will have the resources to have regular contributions
in the fields of Imaging, Anatomy, the Integral Theory as well as existing features
of the European Perineology Group and the Pelvic Floor Digest. [More] Full Text Pdf Editorial Can
pelvic floor ultrasonography “imagine” the future?
Pelvic
floor disorders (PFD) include urinary and fecal incontinence, overactive bladder,
constipation, pelvic pain and pelvic organ prolapse. These conditions are often
assumed to be attributable to the effects of pregnancy and childbirth. It is
still questionable whether pregnancy itself is a risk factor for PFD in later
life or if it is the vaginal delivery that is the main risk factor. Pelvic floor
laxity as a consequence of childbirth may result from weakening and stretching
of the muscles and connective tissue during delivery or it may occur as result
of spontaneous lacerations and episiotomies during delivery. Both can lead to
impairment of the position and support of the pelvic organs. [More]
Full Text Pdf
Pelvic
floor disorders (PFD) include urinary and fecal incontinence, overactive bladder,
constipation, pelvic pain and pelvic organ prolapse. These conditions are often
assumed to be attributable to the effects of pregnancy and childbirth. It is
still questionable whether pregnancy itself is a risk factor for PFD in later
life or if it is the vaginal delivery that is the main risk factor. Pelvic floor
laxity as a consequence of childbirth may result from weakening and stretching
of the muscles and connective tissue during delivery or it may occur as result
of spontaneous lacerations and episiotomies during delivery. Both can lead to
impairment of the position and support of the pelvic organs. [More] Full Text Pdf Classification
System Complications
of vaginal supportive implants for prolapse surgery. New complications,
new symptomatology, prevention and treatment
by Michel Cosson et al.
Vaginal
placement of synthetic meshes has become more and more popular for the treatment
of genital prolapse. Recently many companies have commercialized some specific
devices for this particular route. The term of meshes is probably inadequate
as many devices are actually biological or both synthetic and biological. We
will use here the term of vaginal supportive implants to address these material
in their specific use for prolapse and incontinence surgery by thee vaginal route.
These meshes have been originally designed to be used in hernia abdominal surgery,
and recently the success and good tolerance of sub urethral slings have encouraged
their use by the vaginal route. [More]
Full Text Pdf
Vaginal
placement of synthetic meshes has become more and more popular for the treatment
of genital prolapse. Recently many companies have commercialized some specific
devices for this particular route. The term of meshes is probably inadequate
as many devices are actually biological or both synthetic and biological. We
will use here the term of vaginal supportive implants to address these material
in their specific use for prolapse and incontinence surgery by thee vaginal route.
These meshes have been originally designed to be used in hernia abdominal surgery,
and recently the success and good tolerance of sub urethral slings have encouraged
their use by the vaginal route. [More] Full Text Pdf Case ReportIntestinal
and pelvic endometriosis: psychological and surgical considerations
by V. Podzemny et al.
Endometriosis occurs in women of reproductive age and is most commonly
found on the peritoneal surface of the reproductive organs. The prevalence
of the disease in the general population ranges between 1 and 8% according
to different series.1 The intestine is affected in less than 20% of patients
suffering from gynaecological endometriosis. In the rectosigmoid colon,
endometriosis may mimic either a neoplasm or inflammatory bowel disease
and may even cause intestinal obstruction. Nearly half of the patients with
endometriosis suffer from infertility due to hormonal defects. The hormonal
treatment of the disease prevents pregnancy. This problem, together with
symptoms, such as severe pelvic pain, may affect the patient’s quality
of life and cause mental illness. [More]
Full Text Pdf
Endometriosis occurs in women of reproductive age and is most commonly
found on the peritoneal surface of the reproductive organs. The prevalence
of the disease in the general population ranges between 1 and 8% according
to different series.1 The intestine is affected in less than 20% of patients
suffering from gynaecological endometriosis. In the rectosigmoid colon,
endometriosis may mimic either a neoplasm or inflammatory bowel disease
and may even cause intestinal obstruction. Nearly half of the patients with
endometriosis suffer from infertility due to hormonal defects. The hormonal
treatment of the disease prevents pregnancy. This problem, together with
symptoms, such as severe pelvic pain, may affect the patient’s quality
of life and cause mental illness. [More] Full Text Pdf Original
Article The
use of flow equation in functional coloproctology: a new theory in anorectal
physiology
by A. Farag
The anorectum is a physiologically highly integrated segment of
the bowel. The mechanical factors modified by sensory and reflex
components are integrated instantaneously in order to initiate normal defecation
within a few seconds and to maintain continence within a fraction of a second.
This highly integrated nature may be responsible for the lack of
answers to the enigmatic question of how the anal sphincter works. This
enigma exists despite the availability of an enormous pool of research data
where many different factors have been considered in an unintegrated approach.
[More]
Full Text Pdf
The anorectum is a physiologically highly integrated segment of
the bowel. The mechanical factors modified by sensory and reflex
components are integrated instantaneously in order to initiate normal defecation
within a few seconds and to maintain continence within a fraction of a second.
This highly integrated nature may be responsible for the lack of
answers to the enigmatic question of how the anal sphincter works. This
enigma exists despite the availability of an enormous pool of research data
where many different factors have been considered in an unintegrated approach.
[More] Full Text Pdf Original
Article Differential
staged sacral reflexes allow a localization of pudendal neuralgia
by J.P. Spinosa et al.
Compressive pudendal neuropathy is a frequent condition that is
often ignored. Its incidence is approximately 1% in the general
population and the condition probably affects women more often than men.
Because healthcare professionals lack an adequate method to diagnose accurately
pudendal neuropathy, the affected individuals often embark on an endless
quest for effective relief with serious physical and psychological consequences.
There are several possibilities of a treatment to diminish pain. The first
line is conservatory followed by infiltrations and, ultimately by surgical
procedures. It is therefore important to identify precisely the site where
the nerve is compressed. [More]
Full Text Pdf
Compressive pudendal neuropathy is a frequent condition that is
often ignored. Its incidence is approximately 1% in the general
population and the condition probably affects women more often than men.
Because healthcare professionals lack an adequate method to diagnose accurately
pudendal neuropathy, the affected individuals often embark on an endless
quest for effective relief with serious physical and psychological consequences.
There are several possibilities of a treatment to diminish pain. The first
line is conservatory followed by infiltrations and, ultimately by surgical
procedures. It is therefore important to identify precisely the site where
the nerve is compressed. [More] Full Text Pdf Author's
Reply A
new theory of anorectal function (D. Chatoor, A. Emmanuel) - Issue
4, 2008
by P. Petros, M. Swash .
We have been interested to study Drs Chatoor and Emanuel’s analysis
and comments on our work. We note that they do not comment overall on the
musculo-elastic theory itself, or on the concepts underlying our series
of publications. As we explained in the preamble we sought to test the musculo-elastic
theory of pelvic function and continence by challenging its predictions,
a method proposed as the basis of the scientific method by the late Sir
Karl Popper, and regarded as the most rigorous test procedure. Thus the
studies we reported were designed to test the musculo-elastic theory by
seeking direct tests that would refute the theory. [More]
Full Text Pdf
We have been interested to study Drs Chatoor and Emanuel’s analysis
and comments on our work. We note that they do not comment overall on the
musculo-elastic theory itself, or on the concepts underlying our series
of publications. As we explained in the preamble we sought to test the musculo-elastic
theory of pelvic function and continence by challenging its predictions,
a method proposed as the basis of the scientific method by the late Sir
Karl Popper, and regarded as the most rigorous test procedure. Thus the
studies we reported were designed to test the musculo-elastic theory by
seeking direct tests that would refute the theory. [More] Full Text Pdf Pelvic
Floor Digest March
2009 Issue Pelvic Floor Digest [262 kb]
This
section presents a small sample of the Pelvic Floor Digest (December 2008),
an online publication (www.pelvicfloordigest.org) that
reproduces titles and abstracts from over 200 journals. The goal is to increase
interest in all the compartments of the pelvic floor and to develop an interdisciplinary
culture in the reader. [PDF]
Pdf
[262 kb]This
section presents a small sample of the Pelvic Floor Digest (December 2008),
an online publication (www.pelvicfloordigest.org) that
reproduces titles and abstracts from over 200 journals. The goal is to increase
interest in all the compartments of the pelvic floor and to develop an interdisciplinary
culture in the reader. [PDF] Pdf