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This book offers an up-to-date overview of childbirth-related pelvic floor dysfunction covering prevention, diagnosis, and management. It encompasses all relevant conditions, with particular focus on genital prolapse, urinary incontinence, and fecal incontinence. Risk factors for pelvic floor damage related to childbirth are identified, and a 3D simulation of delivery is presented. The role of various diagnostic tools, including pelvic floor ultrasonography and magnetic resonance imaging and anal sphincter electromyography, is clearly described. The importance of physiotherapy in preventing future alterations is explained, and the indications for surgery, which is reserved for more severe situations, are discussed. The book highlights the need for a multidisciplinary approach involving obstetricians, gynecologists, urologists, midwives, radiologists, physiotherapists, muscle laboratory engineers, and computer technicians.
Dramatic improvement in imaging techniques (3D ultrasonography, dynamic magnetic resonance) allows greater insight into the complex anatomy of the pelvic floor and its pathological modifications.Obstetrical events leading to fecal and urinary incontinence in women, the development of pelvic organ prolapse, and mechanism of voiding dysfunction and obstructed defecation can now be accurately assessed, which is fundamental for appropriate treatment decision making. This book is written for gynecologists, colorectal surgeons, urologists, radiologists, and gastroenterologists with a special interest in this field of medicine. It is also relevant to everyone who aspires to improve their understanding of the fundamental principles of pelvic floor disorders.
Nowadays, there is tremendous interest in an integrated imaging approach to urogenital diseases. This interest is tightly linked to the recent technological advances in ultrasound, computed tomography, magnetic resonance imaging, and nuclear medicine. Significant improvements in image quality have brought numerous clinical and diagnostic benefits to every medical specialty. This book is organized in nine parts and twenty-seven chapters. The first six chapters review the normal macroscopic and radiological anatomy of the urogenital system. In subsequent chapters, urogenital malformations, lithiasis, as well as infectious and neoplastic disorders of the kidneys, bladder, urinary collecting sys...
Lo sviluppo tecnologico dell'imaging integrato dell’apparato urogenitale ha portato al miglioramento della qualità delle immagini e dei risultati diagnostici e clinici. Questo testo tratta l'argomento in modo completo partendo dall’anatomia normale macroscopica e radiologica, per considerare poi le singole patologie di tipo malformativo, litiasico, infiammatorio e neoplastico, negli aspetti anatomopatologici, clinici e di diagnosi. In particolare, in ambito oncologico è trattata la problematica del tumore primitivo e della recidiva. Una sezione è dedicata alla statica e dinamica del pavimento pelvico. Conclude la trattazione una parte rivolta alla radiologia interventistica. Il volume risalta per la ricchissima iconografia, oltre 1000 tra disegni anatomici e immagini con dettagliate didascalie e si propone come testo di aggiornamento ed approfondimento indirizzato principalmente a radiologi, urologi, ginecologi e oncologi ma rappresenta un prezioso strumento anche per i medici di medicina generale.
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The book is published on the occasion of Mimmo Rotella's centenary, concurring with the largest ever exhibition dedicated to the artist.0Rich in critical contributions and a vast iconographic apparatus, the book traces every stage of the artist's career: from the first abstract works to the informal experiences of the 50s, from the relationship with Pierre Restany's Nouveau Réalisme to the tangencies with Pop Art and his relationship with America.0Extensive detail is dedicated to his most famous research, the one revolving around the décollages and the back of posters, but also to Rotella's relationship with cities such as New York, Rome, Paris and Milan, with the critics and his contemporaries.00Exhibition: Galleria Nazionale, Rome, Italy (30.10.2018-10.02.2019).