Pelvic Floor Disorders Imaging and Multidisciplinary Approach to Man

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. Obstetric events leading to fecal and urinary incontinence

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G.A. Santoro • A.P. Wieczorek • C.I. Bartram Editors

Pelvic Floor Disorders Imaging and Multidisciplinary Approach to Management

Forewords by Jim Fleshman András Palkó Peter K. Sand

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Giulio Aniello Santoro Head, Pelvic Floor Unit and Colorectal Service 1st Department of General Surgery Regional Hospital Treviso, Italy Andrzej Paweł Wieczorek, Department of Pediatric Radiology Children’s Teaching Hospital Skubiszewski Medical University of Lublin Lublin, Poland Clive I. Bartram Diagnostic Imaging Princess Grace Hospital London, UK

ISBN 978-88-470-1541-8

e-ISBN 978-88-470-1542-5

DOI 10.1007/978-88-470-1542-5 Springer Dordrecht Heidelberg London Milan New York Library of Congress Control Number: 2010926927 © Springer Verlag Italia 2010 This work is subject to copyright. All rights are reserved, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, re-use of illustrations, recitation, broadcasting, reproduction on microfilms or in other ways, and storage in data banks. Duplication of this publication or parts thereof is only permitted under the provisions of the Italian Copyright Law in its current version, and permission for use must always be obtained from Springer. Violations are liable for prosecution under the Italian Copyright Law. The use of general descriptive names, registered names, trademarks, etc., in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. Product liability: The publisher cannot guarantee the accuracy of any information about dosage and application contained in this book. In every individual case the user must check such information by consulting the relevant literature. Cover design: Simona Colombo, Milan, Italy Typesetting: Ikona S.r.l., Milano Printing and binding: Printer Trento S.r.l., Trento Printed in Italy Springer-Verlag Italia S.r.l., Via Decembrio 28, 20137 Milan Springer is a part of Springer Science+Business Media (www.springer.com)

The glory of medicine is that it is constantly moving forward, that there is always more to learn. William J. Mayo (1861-1939)

To the most important people in my life – my wife Anna and my children Giuseppe, Paolo, and Marco for their love and support To my mother and my father, to whom I will be eternally grateful To the memory of my friend Bjorn Fortling G.A. Santoro

To my family C.I. Bartram

To my family A.P. Wieczorek

Foreword

Drs. Santoro, Wieczorek, and Bartram have honored me by asking me to write the foreword for this comprehensive text about pelvic floor disorders. The editors have raised the bar for the rest of us with this new publication. In the past, rectal and anal issues with pelvic disorders have been evaluated separately, away from urologic and gynecologic issues. Other books have addressed these issues in more isolated format. In this comprehensive text, the anterior and posterior pelvis are evaluated and managed as a unit, wi