This book offers a critical review of the pelvic sciences past,
present and future from an anatomical and physiological perspective
and is intended for researchers, medical practitioners and
paramedical therapists in the fields of urology, gynecology and
obstetrics, proctology, physiotherapy, as well as for patients.
The book starts with a construction plan of the pelvis and shows
its structural consequences. The historical background of pelvic
studies proceeds from medieval and early Italian models to the
definitive understanding of the pelvic anatomy in the Seventeenth
century. During these eras of pelvic research, concepts and
approaches developed that are illustrated with examples from
comparative anatomy and from mutations, also with regard to the
biomechanics of pelvic structures. Perceptions of the pelvis as an
important element in sexual arousal and mating conduct are
discussed, as well as attitudes to circumcision, castration and
other mutilations, in its anthropological, social context.
The anatomy and physiology of the pelvic wall and its organs as
well as the development of these pelvic organs are covered as a
prerequisite to understanding, for example, the spread of pelvic
carcinoma and male and female bladder muscle function. Connective
pelvic tissue is examined in its reinforcing capacity for pelvic
structures, but also as a hiding place for infections. Innervations
and reflexes relayed through the pelvic nerves are discussed in
order to explain incontinence, sphincter function and the control
of smooth and striated muscles in the pelvis.
Catheters and drugs acting on pelvic function are described, and
a critical review of alternative clinical methods for treating
pelvic dysfunctions is provided."
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