Urinary Incontinence

Auteur
Professor Marcus Drake is Physiological Urology at Bristol University, UK Chris Fry is the Chair in Applied Physiology and Professor of Physiology at Bristol University. He has a scientific background with extensive collaboration in clinical grants. He is a member of the Research Ethics Committee for the Ministry of Defence and on the Court of Examiners for The Royal College of Surgeons of England. He is the longstanding chair of the International Consultation on Incontinence basic science committee. He is an active member of the Physiological Society, American Physiological Society, International Continence Society and British Society for Cardiovascular Research. He is an external reviewer for the Developmental Sciences and Neurosciences programmes at Cambridge University; and external reviewer for the (MB BS, BSc Biomedical Sciences) at St George's, University of London.

Texte du rabat
Urinary Incontinence: Integrating Science and Clinical Practice provides a succinct elaboration of the current understanding of the system function of lower urinary tract physiology. Through the combination of scientific knowledge by world-leading contributors and clinical relevance provided by the editorial team, comprehensive coverage of the key influences on mechanisms and therapies within urinary incontinence are presented for proper understanding of the scientific basis of incontinence and its clinical treatment. The book is presented in two parts; the first is dedicated to System Physiology: Function and Adaptation. In this section an anatomical sequence will be followed for presenting the chapters, moving from the lower urinary tract organs upwards through the spinal centers to the brain, revealing what is known and what is not known. The second is dedicated to Incontinence: Mechanism and Therapy. In this clinical application section, the chapters will be derived from the clinical classification of incontinence, incorporating some of the major unanswered questions, such as; what urodynamics can tell us about the passive physical and contractile properties of the bladder; how neuromodulation works; the sensations arising from the LUT; how the physical properties of the outflow tract are obtained from urethral pressure profiles; how PET and fMRI images are interpreted and what principles of drug design and outcome measures are validated as repeatable. The integrative systems approach to both science and clinical perspectives to further the study of urological pathophysiology makes this the perfect reference for both clinicians who would like to know more about the scientific basis of their clinical subjects and laboratory scientists wanting to know what the current clinical challenges of urinary incontinence are.

Contenu

Part 1. System Physiology: Function and adaptation 1. Bladder integrative physiology 2. Sensory information from the lower urinary tract 3. Conscious sensation 4. Cerebral control of storage/voiding cycle 5. Synergy of lower urinary tract function 6. Inflammation, fibrosis and collateral influences Part 2. Incontinence: Mechanism and therapy 7. Urgency urinary incontinence 8. Stress urinary incontinence 9. Situational incontinence. 10. Enuresis, voiding dysregulation and disinhibited voiding