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The pathophysiology of external rectal prolapse is still uncertain, and its clinical and instrumental diagnostic assessment as well as the appropriate surgical or medical approach need to be clarified. The relative rarity of this pathology prevents randomised, controlled trials from being carried out in a single institution and the opinions of outstanding leaders in this field are therefore particularly important. With this collaborative, multiauthor work, the editors fulfil that requirement by drawing together the experience of highly recognised national and international professionals. The volume contains extensive and valuable information regarding preferred methods of evaluating patients with rectal prolapse: its underlying aetiology and pathophysiology, the different treatment methods (both surgical and nonsurgical), the expected functional results following surgery and the management of complex clinical presentations associated with this condition. The text is augmented with exceptional illustrations, including both high-quality, operative colour photographs and line drawings, which demonstrate clearly the relevant stages of the procedure being discussed. This volume is a unique publication that covers all aspects of the condition and will be a valuable resource for surgeons, gastroenterologists, radiologists and other practitioners involved in the management of this disorder.

The pathophysiology of external rectal prolapse is still uncertain, and its clinical and instrumental diagnostic assessment as well as the appropriate surgical or medical approach need to be clarified. The relative rarity of this pathology prevents randomised, controlled trials from being carried out in a single institution and the opinions of outstanding leaders in this field are therefore particularly important. With this collaborative, multiauthor work, the editors fulfil that requirement by drawing together the experience of highly recognised national and international professionals. The volume contains extensive and valuable information regarding preferred methods of evaluating patients with rectal prolapse: its underlying aetiology and pathophysiology, the different treatment methods (both surgical and nonsurgical), the expected functional results following surgery and the management of complex clinical presentations associated with this condition. The text is augmented with exceptional illustrations, including both high-quality, operative colour photographs and line drawings, which demonstrate clearly the relevant stages of the procedure being discussed. This volume is a unique publication that covers all aspects of the condition and will be a valuable resource for surgeons, gastroenterologists, radiologists and other practitioners involved in the management of this disorder.

Imagine the plight of a young woman, some time during the thousands of years before th the mid-18 century, who, soon after a dif? cult childbirth, ? nds she can no longer keep from leaking urine. She is standing in the chill winter wind, her urine-soaked clothes clinging wet against her thighs as she comforts her crying baby knowing that she faces a life of misery, shame and social ostracism. Or imagine the middle-aged wife of a tenant farmer on the remote central Illinois plain, straining with her husband to lift a heavy log that has fallen on their only milk cow only to feel a deep tearing sensation and discover a large mass protruding between her legs. Gripped by fear, she cannot know what has happened to her or how she will care for her family if she can no longer help with the dif? cult tasks needed to live. We must be grateful to the generations of physicians before us who have pioneered treatments and developed preventions for the pelvic ? oor disorders that have affected women throughout time. Each decade during the last 150 years has brought new insights, new operations, and new medicines to help women who suffer from these debilitating conditions. At ? rst, surgical treatments were so dangerous that they could only be s- gested for the most severe of cases, but advances in anesthetic and surgical safety now make them available to the majority of women.

Imagine the plight of a young woman, some time during the thousands of years before th the mid-18 century, who, soon after a dif? cult childbirth, ? nds she can no longer keep from leaking urine. She is standing in the chill winter wind, her urine-soaked clothes clinging wet against her thighs as she comforts her crying baby knowing that she faces a life of misery, shame and social ostracism. Or imagine the middle-aged wife of a tenant farmer on the remote central Illinois plain, straining with her husband to lift a heavy log that has fallen on their only milk cow only to feel a deep tearing sensation and discover a large mass protruding between her legs. Gripped by fear, she cannot know what has happened to her or how she will care for her family if she can no longer help with the dif? cult tasks needed to live. We must be grateful to the generations of physicians before us who have pioneered treatments and developed preventions for the pelvic ? oor disorders that have affected women throughout time. Each decade during the last 150 years has brought new insights, new operations, and new medicines to help women who suffer from these debilitating conditions. At ? rst, surgical treatments were so dangerous that they could only be s- gested for the most severe of cases, but advances in anesthetic and surgical safety now make them available to the majority of women.

Imagine the plight of a young woman, some time during the thousands of years before th the mid-18 century, who, soon after a dif? cult childbirth, ? nds she can no longer keep from leaking urine. She is standing in the chill winter wind, her urine-soaked clothes clinging wet against her thighs as she comforts her crying baby knowing that she faces a life of misery, shame and social ostracism. Or imagine the middle-aged wife of a tenant farmer on the remote central Illinois plain, straining with her husband to lift a heavy log that has fallen on their only milk cow only to feel a deep tearing sensation and discover a large mass protruding between her legs. Gripped by fear, she cannot know what has happened to her or how she will care for her family if she can no longer help with the dif? cult tasks needed to live. We must be grateful to the generations of physicians before us who have pioneered treatments and developed preventions for the pelvic ? oor disorders that have affected women throughout time. Each decade during the last 150 years has brought new insights, new operations, and new medicines to help women who suffer from these debilitating conditions. At ? rst, surgical treatments were so dangerous that they could only be s- gested for the most severe of cases, but advances in anesthetic and surgical safety now make them available to the majority of women.

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It has never been easy to introduce new concepts and therapeutic in-terventions into surgical practice. When attempting to do so, one is faced with the interagency of traditional dogma, which still in this era of evidence-based medicine tends to dominate the surgical thought pr- ess. This is particularly so in the area of coloproctology, where prejudice and personal opinion often influence objective analysis whenever tradition is challenged. A large body of literature on anorectal prolapse has accumulated over the years; although much is based on personal viewpoint rather than scientific evidence, it has nevertheless been passed down through the generations as ac-cepted wisdom and practice. As a consequence, it is a challenge to change the mindset of a generation of surgeons and to introduce new concepts and novel techniques which at first might appear to be a radical departure from conventional teaching. It is obviously not possible to present the basis for the develop-ment of transanal stapling techniques for anorectal prolapse in this Foreword; this is dealt with in detail elsewhere in this book. The in-terested reader will have the opportunity to share in the new and emerging concepts surrounding anorectal prolapse and to deepen their understanding of the pat- physiology and basis for surgical correction. Although hemorrhoidal disease and external rectal prolapse have been known about for centuries, the understanding of internal rectal prolapse (intussusception) and rectocele has only really advanced with the emergence of radiological imaging tech-niques, such as defecography.

It has never been easy to introduce new concepts and therapeutic in-terventions into surgical practice. When attempting to do so, one is faced with the interagency of traditional dogma, which still in this era of evidence-based medicine tends to dominate the surgical thought pr- ess. This is particularly so in the area of coloproctology, where prejudice and personal opinion often influence objective analysis whenever tradition is challenged. A large body of literature on anorectal prolapse has accumulated over the years; although much is based on personal viewpoint rather than scientific evidence, it has nevertheless been passed down through the generations as ac-cepted wisdom and practice. As a consequence, it is a challenge to change the mindset of a generation of surgeons and to introduce new concepts and novel techniques which at first might appear to be a radical departure from conventional teaching. It is obviously not possible to present the basis for the develop-ment of transanal stapling techniques for anorectal prolapse in this Foreword; this is dealt with in detail elsewhere in this book. The in-terested reader will have the opportunity to share in the new and emerging concepts surrounding anorectal prolapse and to deepen their understanding of the pat- physiology and basis for surgical correction. Although hemorrhoidal disease and external rectal prolapse have been known about for centuries, the understanding of internal rectal prolapse (intussusception) and rectocele has only really advanced with the emergence of radiological imaging tech-niques, such as defecography.

It has never been easy to introduce new concepts and therapeutic in-terventions into surgical practice. When attempting to do so, one is faced with the interagency of traditional dogma, which still in this era of evidence-based medicine tends to dominate the surgical thought pr- ess. This is particularly so in the area of coloproctology, where prejudice and personal opinion often influence objective analysis whenever tradition is challenged. A large body of literature on anorectal prolapse has accumulated over the years; although much is based on personal viewpoint rather than scientific evidence, it has nevertheless been passed down through the generations as ac-cepted wisdom and practice. As a consequence, it is a challenge to change the mindset of a generation of surgeons and to introduce new concepts and novel techniques which at first might appear to be a radical departure from conventional teaching. It is obviously not possible to present the basis for the develop-ment of transanal stapling techniques for anorectal prolapse in this Foreword; this is dealt with in detail elsewhere in this book. The in-terested reader will have the opportunity to share in the new and emerging concepts surrounding anorectal prolapse and to deepen their understanding of the pat- physiology and basis for surgical correction. Although hemorrhoidal disease and external rectal prolapse have been known about for centuries, the understanding of internal rectal prolapse (intussusception) and rectocele has only really advanced with the emergence of radiological imaging tech-niques, such as defecography.

This book provides a comprehensive and up-to-date overview of the surgical treatment of pelvic organ prolapse, focusing especially on issues that continue to arouse controversy. In the first section, leading experts present detailed information on the surgical anatomy, pathophysiology, and epidemiology of prolapse and also the impact of concomitant functional disorders. The second section focuses on diagnostic work-up and the third is dedicated to the various treatment options aimed at resolution of the condition. The closing chapters discuss outcome measures and analyze the effects of prolapse surgery on urinary, bowel, and sexual symptoms. In 1966 Richard TeLinde stated that, “Every honest surgeon of extensive and long experience will have to admit that he is not entirely and absolutely satisfied with his long-term results of all his operations for prolapse and allied conditions.” Although many uncertainties in the field have since been resolved, some major issues still require clarification. Often it can be difficult to find the right balance between treatment effectiveness in the long term and risk reduction, including with respect to complications. This book will help trainees and less experienced surgeons to make appropriate treatment choices and achieve optimal outcomes.

This book provides a comprehensive and up-to-date overview of the surgical treatment of pelvic organ prolapse, focusing especially on issues that continue to arouse controversy. In the first section, leading experts present detailed information on the surgical anatomy, pathophysiology, and epidemiology of prolapse and also the impact of concomitant functional disorders. The second section focuses on diagnostic work-up and the third is dedicated to the various treatment options aimed at resolution of the condition. The closing chapters discuss outcome measures and analyze the effects of prolapse surgery on urinary, bowel, and sexual symptoms. In 1966 Richard TeLinde stated that, “Every honest surgeon of extensive and long experience will have to admit that he is not entirely and absolutely satisfied with his long-term results of all his operations for prolapse and allied conditions.” Although many uncertainties in the field have since been resolved, some major issues still require clarification. Often it can be difficult to find the right balance between treatment effectiveness in the long term and risk reduction, including with respect to complications. This book will help trainees and less experienced surgeons to make appropriate treatment choices and achieve optimal outcomes.

This book provides a comprehensive and up-to-date overview of the surgical treatment of pelvic organ prolapse, focusing especially on issues that continue to arouse controversy. In the first section, leading experts present detailed information on the surgical anatomy, pathophysiology, and epidemiology of prolapse and also the impact of concomitant functional disorders. The second section focuses on diagnostic work-up and the third is dedicated to the various treatment options aimed at resolution of the condition. The closing chapters discuss outcome measures and analyze the effects of prolapse surgery on urinary, bowel, and sexual symptoms. In 1966 Richard TeLinde stated that, “Every honest surgeon of extensive and long experience will have to admit that he is not entirely and absolutely satisfied with his long-term results of all his operations for prolapse and allied conditions.” Although many uncertainties in the field have since been resolved, some major issues still require clarification. Often it can be difficult to find the right balance between treatment effectiveness in the long term and risk reduction, including with respect to complications. This book will help trainees and less experienced surgeons to make appropriate treatment choices and achieve optimal outcomes.

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Minimally Invasive Therapy for Urinary Incontinence and Pelvic Organ Prolapse provides a detailed insight into “when, why, what and how” of various minimally invasive surgical procedures for surgical management of SUI, OAB & POP. The volume provides detailed diagrammatic and pictorial step-by-step descriptions of the techniques and management of complications related to these procedures. This book also presents an up to date, one-stop reference for anything pertaining to MIT of these pelvic disorders. Written by experts in the field, Minimally Invasive Therapy for Urinary Incontinence and Pelvic Organ Prolapse is a comprehensive resource designed for both the urologist and urogynecologist treating patients with urinary disorders and pelvic organ prolapsed, as well as for residents in training.

This book demonstrates knowledge on tissue-based procedures for stress urinary incontinence and other pelvic floor related topics. As the field shifts away from using synthetic material for repair, this work presents a new perspective on native tissue repair from the opinions and research of the authors. Written by a panel of expert authors in the field, this text provides high quality, focused information that is complimented by illustrations and videos. With established track records the authors illustrate how to perform the procedure vaginally or through open surgery, and inclusion of live surgeries via online video, makes this an invaluable tool for busy surgeons and specialists interested in pelvic floor reconstruction.

Minimally Invasive Therapy for Urinary Incontinence and Pelvic Organ Prolapse provides a detailed insight into “when, why, what and how” of various minimally invasive surgical procedures for surgical management of SUI, OAB & POP. The volume provides detailed diagrammatic and pictorial step-by-step descriptions of the techniques and management of complications related to these procedures. This book also presents an up to date, one-stop reference for anything pertaining to MIT of these pelvic disorders. Written by experts in the field, Minimally Invasive Therapy for Urinary Incontinence and Pelvic Organ Prolapse is a comprehensive resource designed for both the urologist and urogynecologist treating patients with urinary disorders and pelvic organ prolapsed, as well as for residents in training.

Minimally Invasive Therapy for Urinary Incontinence and Pelvic Organ Prolapse provides a detailed insight into “when, why, what and how” of various minimally invasive surgical procedures for surgical management of SUI, OAB & POP. The volume provides detailed diagrammatic and pictorial step-by-step descriptions of the techniques and management of complications related to these procedures. This book also presents an up to date, one-stop reference for anything pertaining to MIT of these pelvic disorders. Written by experts in the field, Minimally Invasive Therapy for Urinary Incontinence and Pelvic Organ Prolapse is a comprehensive resource designed for both the urologist and urogynecologist treating patients with urinary disorders and pelvic organ prolapsed, as well as for residents in training.

This book demonstrates knowledge on tissue-based procedures for stress urinary incontinence and other pelvic floor related topics. As the field shifts away from using synthetic material for repair, this work presents a new perspective on native tissue repair from the opinions and research of the authors. Written by a panel of expert authors in the field, this text provides high quality, focused information that is complimented by illustrations and videos. With established track records the authors illustrate how to perform the procedure vaginally or through open surgery, and inclusion of live surgeries via online video, makes this an invaluable tool for busy surgeons and specialists interested in pelvic floor reconstruction.

This book demonstrates knowledge on tissue-based procedures for stress urinary incontinence and other pelvic floor related topics. As the field shifts away from using synthetic material for repair, this work presents a new perspective on native tissue repair from the opinions and research of the authors. Written by a panel of expert authors in the field, this text provides high quality, focused information that is complimented by illustrations and videos. With established track records the authors illustrate how to perform the procedure vaginally or through open surgery, and inclusion of live surgeries via online video, makes this an invaluable tool for busy surgeons and specialists interested in pelvic floor reconstruction.

There is currently no description available