Pelvic Floor Dysfunction and its Reconstructive Surgery: Novel Concepts - Couverture souple

El Hemaly FRCS, Prof Abdel Karim M.; Mousa MD, Prof Laila A. S.; Kandil MD, Prof Ibrahim M.; Al-Adwani MD, Dr. Abdul Kareem A.

 
9781500104115: Pelvic Floor Dysfunction and its Reconstructive Surgery: Novel Concepts
Couverture souple
ISBN 10 : 1500104116 ISBN 13 : 9781500104115
Editeur : CreateSpace Independent Publishing Platform, 2014

Synopsis

Urinary continence depends on a closed and empty urethra with high urethral pressure. Two main factors are responsible for that, an intact internal urethral sphincter (IUS) which is a collagen-muscle tissue cylinder that extends from the bladder neck to the perineal membrane in men and women. The second factor is the presence of high alpha-sympathetic tone at the IUS gained by learning in early childhood. Defects in either of these two factors will lead to urinary incontinence. Childbirth trauma causes invisible lacerations of the collagen chassis of the vagina leading to vaginal prolapse; of the IUS resulting in stress urinary incontinence (SUI); of the IAS causing fecal incontinence (FI). The dysfunction can be a sporadic lesion or more common concomitant multiple lesions. Medical imaging using MRI and 3DUS can demonstrate the damage and show an open urethra with torn IUS and an open anal canal with torn IAS. In addition, we introduced a novel simple vaginal reconstructive operation in which we expose the torn collagen chassis of the IUS and IAS, mend the torn edges, and then perform overlapping of the redundant lax vaginal flaps. This is to strengthen the vagina and to add extra support to the closely related IUS and IAS. We do not remove any vaginal tissue and thus save the body’s own collagen. We do not use any synthetic mesh or tapes with its complications. It corrects the anatomy of the pelvic organs in order to restore their normal physiology. Abdel Karim M. El Hemaly.

Les informations fournies dans la section « Synopsis » peuvent faire référence à une autre édition de ce titre.

Présentation de l'éditeur

Urinary continence depends on a closed and empty urethra with high urethral pressure. Two main factors are responsible for that, an intact internal urethral sphincter (IUS) which is a collagen-muscle tissue cylinder that extends from the bladder neck to the perineal membrane in men and women. The second factor is the presence of high alpha-sympathetic tone at the IUS gained by learning in early childhood. Defects in either of these two factors will lead to urinary incontinence. Childbirth trauma causes invisible lacerations of the collagen chassis of the vagina leading to vaginal prolapse; of the IUS resulting in stress urinary incontinence (SUI); of the IAS causing fecal incontinence (FI). The dysfunction can be a sporadic lesion or more common concomitant multiple lesions. Medical imaging using MRI and 3DUS can demonstrate the damage and show an open urethra with torn IUS and an open anal canal with torn IAS. In addition, we introduced a novel simple vaginal reconstructive operation in which we expose the torn collagen chassis of the IUS and IAS, mend the torn edges, and then perform overlapping of the redundant lax vaginal flaps. This is to strengthen the vagina and to add extra support to the closely related IUS and IAS. We do not remove any vaginal tissue and thus save the body’s own collagen. We do not use any synthetic mesh or tapes with its complications. It corrects the anatomy of the pelvic organs in order to restore their normal physiology. Abdel Karim M. El Hemaly.

Les informations fournies dans la section « A propos du livre » peuvent faire référence à une autre édition de ce titre.

Éditeur
CreateSpace Independent Publishing Platform
Date d'édition
2014
Langue
anglais
ISBN 10 
1500104116
ISBN 13 
9781500104115
Reliure
Broché
Numéro d'édition
1
Nombre de pages
90
Coordonnées du fabricant
non disponible
Personne responsable
non disponible