Pelvic Dysfunction in Men: Diagnosis and Treatment of Male Incontinence and Erectile Dysfunction (Wiley Series in Nursing)

Cover......Page 2
Contents......Page 10
List of Figures......Page 16
List of Tables......Page 20
Preface......Page 22
Acknowledgements......Page 24
Physiotherapy development......Page 26
Assessment of the male pelvic floor......Page 27
Detrusor underactivity......Page 28
Detrusor overactivity......Page 29
Post-prostatectomy incontinence......Page 30
Constipation......Page 31
Erectile dysfunction......Page 32
Conclusion......Page 33
Male lower urinary tract symptoms......Page 34
Male questionnaires......Page 35
Prevalence of lower urinary tract symptoms......Page 37
Summary......Page 38
Male lower urinary tract......Page 40
Prostate gland......Page 42
Pelvic floor muscles......Page 43
Nerve supply to the urinary system......Page 47
Congenital abnormalities......Page 49
Summary......Page 52
Micturition cycle......Page 54
Neurological control of the bladder......Page 56
Integral bladder storage and voiding reflexes......Page 58
Summary......Page 60
Investigations for prostate conditions......Page 62
Benign prostatic hyperplasia......Page 63
Prostate cancer......Page 65
Summary......Page 66
Prevalence of urinary incontinence in men......Page 68
Incidence of urinary incontinence following radical prostatectomy......Page 69
Storage symptoms......Page 70
Signs suggestive of lower urinary tract dysfunction......Page 72
Urodynamic terminology......Page 75
Summary......Page 76
Definitions of pelvic pain......Page 78
Penile pain......Page 79
Incidence of pelvic pain......Page 80
Aetiology of acute pelvic pain......Page 81
Aetiology of chronic pelvic pain......Page 82
Treatment of chronic pelvic pain......Page 83
Summary......Page 86
Subjective assessment......Page 88
Bowel activity......Page 90
Objective assessment......Page 94
Urodynamics......Page 95
Summary......Page 99
Conservative treatment for men with lower urinary tract symptoms......Page 100
Stress urinary incontinence......Page 102
Urge urinary incontinence......Page 112
Post-prostatectomy incontinence......Page 115
Chronic retention of urine......Page 116
Extra-urethral urinary incontinence......Page 118
Pads......Page 119
Skin care......Page 121
Research opportunities......Page 122
Case studies: Questions and answers......Page 123
Summary......Page 125
Introduction......Page 126
Literature search......Page 127
Results......Page 128
Conclusions......Page 136
Assessment......Page 138
Treatment......Page 139
Post-prostatectomy complications......Page 142
Post-prostatectomy erectile dysfunction......Page 144
Frequently asked questions......Page 145
Introduction......Page 148
Pharmacotherapy for detrusor overactivity......Page 149
Pharmacotherapy for stress urinary incontinence......Page 151
Medication for nocturia......Page 152
Medication which may have an adverse effect on lower urinary tract function......Page 153
Medication for prostate cancer......Page 155
Summary......Page 156
Digestive system......Page 158
Pelvic floor muscles......Page 159
Causes of faecal leakage......Page 162
Treatment for faecal leakage......Page 163
Summary......Page 169
Low libido......Page 170
Erectile dysfunction......Page 171
Orgasmic and ejaculatory disorders......Page 178
Anejaculation......Page 179
Retrograde ejaculation......Page 180
Retarded ejaculation......Page 181
Premature ejaculation......Page 182
Haemospermia......Page 183
Anhedonia......Page 184
Summary......Page 185
Low libido......Page 186
Erectile dysfunction......Page 187
Literature review of physical therapy for erectile dysfunction......Page 188
Premature ejaculation......Page 199
Conclusions......Page 201
Integrated continence services......Page 202
Director of continence services......Page 204
Contacts for specialist groups......Page 207
Helplines for men in the UK......Page 208
Books and videos for professionals......Page 210
Books for patients......Page 211
Summary......Page 212
Appendix: Male Continence Assessment Form......Page 214
Glossary......Page 222
References......Page 226
Index......Page 242