Pelvic Dysfunction in Men

Following on from the first book entitled 'Conservative
treatment of Male Urinary Incontinence and Erectile
Dysfunction' this book has been expanded to include seven new
chapters and existing chapters have been extensively updated. It is
written primarily for those specialist continence physiotherapists
who are unsure of the treatment for male patients with lower
urinary tract symptoms.

The classification of male urinary incontinence has been
restructured in line with the International Continence Society
standardisation of terminology. The subjective and objective
physiotherapy assessment is covered chronologically, to enable the
clinician to conduct a meaningful investigation and arrive at a
logical diagnosis.

Auteur
Professor Grace Dorey Phd FCSP, UK. Professor of Physiotherapy (Urology), University of the West of England, Bristol, UK .

Texte du rabat
Pelvic Dysfunction in Men Diagnosis and Treatment of Male Incontinence and Erectile Dysfunction Professor Grace Dorey Pelvic Dysfunction in Men Diagnosis and Treatment of Male Incontinence and Erectile Dysfunction is the follow up textbook to Conservative Treatment of Male Urinary Incontinence and Erectile Dysfunction (2001). This new comprehensive textbook has been extensively updated and has seven new chapters. This practical text will provide greater knowledge of conservative treatment in this speciality. Key features include:

• History of the male pelvic floor
• Anatomy and physiology of the lower urinary tract
• Prostate conditions
• Urinary incontinence
• Pelvic pain in men
• Patient assessment
• Conservative treatment
• Faecal incontinence
• Male sexual dysfunction
• Male continence assessment form
• Glossary
  Pelvic Dysfunction in Men Diagnosis and Treatment of Male Incontinence and Erectile Dysfunction is a useful reference tool for urologists, urology nurses, continence nurses, physiotherapists and GPs. The avid reader and questioning research student will find the references provide further fascinating reading.

Résumé
Following on from the first book entitled 'Conservative treatment of Male Urinary Incontinence and Erectile Dysfunction' this book has been expanded to include seven new chapters and existing chapters have been extensively updated. It is written primarily for those specialist continence physiotherapists who are unsure of the treatment for male patients with lower urinary tract symptoms. The classification of male urinary incontinence has been restructured in line with the International Continence Society standardisation of terminology. The subjective and objective physiotherapy assessment is covered chronologically, to enable the clinician to conduct a meaningful investigation and arrive at a logical diagnosis.

Contenu

List of Figures xiii

List of Tables xvii

Preface xix

Acknowledgements xxi

1 History of the Male Pelvic Floor 1

Introduction 1

Physiotherapy development 1

Assessment of the male pelvic floor 2

Pelvic floor exercises 3

Posture 3

Detrusor underactivity 3

Detrusor overactivity 4

Nocturnal enuresis 5

Post-prostatectomy incontinence 5

Post-micturition dribble 6

Constipation 6

Faecal incontinence 7

Erectile dysfunction 7

Conclusion 8

2 Lower Urinary Tract Symptoms 9

Male lower urinary tract symptoms 9

Male questionnaires 10

Prevalence of lower urinary tract symptoms 12

Summary 13

3 Anatomy and Physiology of the Lower Urinary Tract 15

Male lower urinary tract 15

Prostate gland 17

Pelvic floor muscles 18

Penis 22

Nerve supply to the urinary system 22

Congenital abnormalities 24

Summary 27

4 Nervous Control of Lower Urinary Tract Function 29

Introduction 29

Urinary continence 29

Micturition cycle 29

Neurological control of the bladder 31

Integral bladder storage and voiding reflexes 33

Summary 35

5 Prostate Conditions and their Treatment 37

Investigations for prostate conditions 37

Benign prostatic hyperplasia 38

Prostate cancer 40

Prostatitis 41

Summary 41

6 Urinary Incontinence 43

Definition of urinary incontinence 43

Prevalence of urinary incontinence in men 43

Incidence of urinary incontinence following transurethral resection of the prostate 44

Incidence of urinary incontinence following radical prostatectomy 44

Classification of lower urinary tract symptoms 45

Storage symptoms 45

Voiding symptoms 47

Post-micturition symptoms 47

Signs suggestive of lower urinary tract dysfunction 47

Urodynamic terminology 50

Summary 51

7 Pelvic Pain in Men 53

Introduction 53

Definitions of pelvic pain 53

Acute pelvic pain 54

Chronic pelvic pain syndromes 54

Penile pain 54

Prostatitis 55

Sexual pain 55

Incidence of pelvic pain 55

Aetiology of acute pelvic pain 56

Aetiology of chronic pelvic pain 57

Assessment of pelvic pain 58

Treatment of acute pelvic pain 58

Treatment of chronic pelvic pain 58

Summary 61

8 Patient Assessment 63

Introduction 63

Subjective assessment 63

Bowel activity 65

Objective assessment 69

Urodynamics 70

Summary 74

9 Conservative Treatment 75

Conservative treatment for men with lower urinary tract symptoms 75

Stress urinary incontinence 77

Urge urinary incontinence 87

Post-prostatectomy incontinence 90

Post-micturition dribble 91

Chronic retention of urine 91

Extra-urethral urinary incontinence 93

Functional incontinence 94

Follow-up treatment 94

Treatment outcomes 94

Prevention of urinary incontinence 94

Pads 94

Appliances 96

Skin care 96

Research opportunities 97

Case studies: Questions and answers 98

Summary 100

10 Literature Review of Treatment before and after Prostatectomy 101

Introduction 101 <p&g...