Urogynecology in Primary Care - download pdf or read online

By Patrick J. Culligan, Roger P. Goldberg

ISBN-10: 1846281660

ISBN-13: 9781846281662

Urogynecology in basic Care offers a transparent and concise source for fundamental care services drawn to the main speedily starting to be sector of women’s healthcare: urogynecology and feminine pelvic well-being. It deals an approachable, but in-depth reference at the center themes - lady incontinence, pelvic prolapse, pelvic discomfort and sexual disorder - particularly adapted to clinicians with no formal surgical or forte education. those complicated matters are distilled right into a clinically important consultant, delivering basic care services with the entire instruments essential to start coping with those stipulations in an economical and time-efficient way.
Each point of analysis and therapy is gifted in a transparent and straightforward sort, introducing streamlined thoughts that may be applied in any fundamental care surroundings. unique illustrations, key issues on the finish of every bankruptcy, and ‘clinical pearls’ from specialists within the box all support to make Urogynecology in basic Care the main useful and common advisor to be had.

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G. exercise, cough, laugh, or sneeze), the pressure will also rise in the bladder. If the urethra is correctly positioned under the pubic bone and the urethra and bladder neck are supported by a strong underlying “floor” of anterior vaginal support, then urethral pressure will also increase and there will be no loss of urine. Recent studies also suggest that there may be an active contraction of the external urethral sphincter and increase in its pressure before an increase in intra-abdominal pressure.

The second stage of labor and stress urinary incontinence. Am J Obstet Gynecol. 2001;184:1571–1575. 76. Arya LA, Jackson ND, Myers DL, Verma A. Risk of new-onset urinary incontinence after forceps and vacuum delivery in primiparous women. Am J Obstet Gynecol. 2001;185:1318–1323. 77. Meyer S, Hohlfeld P, Achtari C, Russolo A, De Grandi P. Birth trauma: short and long term effects of forceps delivery compared with spontaneous delivery on various pelvic floor parameters. Br J Obstet Gynaecol. 2000;107:1360–1365.

Scand J Gastroenterol. 1999;34:315–318. DeLancey JO, Toglia MR, Perucchini D. Internal and external anal sphincter anatomy as it relates to midline obstetric lacerations. Obstet Gynecol. 1997;90:924–927. Sultan AH, Kamm MA, Hudson CN, Thomas JM, Bartram CI. Anal sphincter disruption during vaginal delivery. N Engl J Med. 1993;329:1905– 1911. Sato T, Konishi F, Minakami H et al. Pelvic floor disturbance after childbirth: vaginal delivery damages the upper levels of sphincter innervation. Dis Colon Rectum.

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Urogynecology in Primary Care by Patrick J. Culligan, Roger P. Goldberg


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