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Following on from the first book entitled 'Conservative treatment of Male Urinary Incontinence and Erectile Dysfunction' this book has been expanded to include seven new chapters and existing chapters have been extensively updated. It is written primarily for those specialist continence physiotherapists who are unsure of the treatment for male patients with lower urinary tract symptoms. The classification of male urinary incontinence has been restructured in line with the International Continence Society standardisation of terminology. The subjective and objective physiotherapy assessment is covered chronologically, to enable the clinician to conduct a meaningful investigation and arrive at a logical diagnosis.
This text reaches beyond the boundaries of mainstream physiotherapy into a novel area for physiotherapists and nurses. It provides information on the prevalence and risk factors for erectile dysfunction, the anatomy and physiology of normal erectile function and the role played by the pelvic floor muscles in men. A successful randomised controlled trial exploring pelvic floor muscle exercises and manometric biofeedback for both erectile dysfunction and post-micturition dribble is clearly reported. This is the first time that erectile dysfunction has been associated with post-micturition dribble due to poor pelvic floor musculature. The discussion covering each aspect of the trial adds knowledge to a poorly researched subject. This book provides professionals with first-line treatment guidance based on evidence for the well-being of men with erectile dysfunction and their partners. It should be of interest to all professionals working in the area of urology.
This work covers the anatomy, physiology and the continence mechanism of the male lower urinary tract. The different prostatic conditions are discussed in detail, together with the range of medical and surgical investigations and treatments. The various types of incontinence are explained, and a comprehensive classification of male urinary incontinence tabulated. The subjective and objective physiotherapy assessment is covered chronologically to enable the clinician to conduct a meaningful investigation and arrive at a logical diagnosis. Recommended conservative treatment options are provided for each type of incontinence, with a range of patient advice added for completeness. There are two chapters on the aetiology and conservative treatment of erectile dysfunction which are based on an extensive literature research. The text is primarily for those specialist continence physiotherapists who treat female continence problems but who are unsure of the treatment for male patients with lower urinary tract symptoms.
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