This textbook provides a comprehensive, state-of-the art review of the Overactive Pelvic Floor (OPF) that provides clinical tools for medical and mental health practitioners alike. Written by experts in the field, this text offers tools for recognition, assessment, treatment and interdisciplinary referral for patients with OPF and OPF related conditions. The text reviews the definition, etiology and pathophysiology of non-relaxing pelvic floor muscle tone as well as discusses sexual function and past sexual experience in relation to the pelvic floor. Specific pelvic floor dysfunctions associated with pelvic floor overactivity in both men and women are reviewed in detail. Individual chapters are devoted to female genital pain and vulvodynia, female bladder pain and interstitial cystitis, male chronic pelvic and genital pain, sexual dysfunction related to pelvic pain in both men and women, musculoskeletal aspects of pelvic floor overactivity, LUTS and voiding dysfunction, and anorectal disorders. Assessment of the pelvic floor is addressed in distinct chapters describing subjective and objective assessment tools.
State of the art testing measures including electromyographic and video-urodynamic analysis, ultrasound and magnetic resonance imaging are introduced. The final chapters are devoted to medical, psychosocial, and physical therapy treatment interventions with an emphasis on interdisciplinary management The Overactive Pelvic Floor serves physicians in the fields of urology, urogynecology and gastroenterology as well as psychotherapists, sex therapists and physical therapists.
The Overactive Pelvic Floor Anna Padoa and Talli Rosenbaum Table of Contents Chapter 1 Definitions and Basic Etiology of the Overactive Pelvic Floor Stephanie Thibault-Gagnon BScPT Chapter 2 Overactive Pelvic Floor: Female Sexual Functioning Ellen Laan, PhD and Rik HW van Lunsen, MD, PhD Chapter 3 The Pelvic Floor and Male Sexual Function Deborah S. Cohen, PT, MS, CSCS, COMT, WCS, Joshua Gonzalez, MD and Irwin Goldstein, MD Chapter 4 Female Genital Pain and Penetration Disorders Ahinoam Lev-Sagie, MD. Chapter 5 Bladder Pain Syndromes/Interstitial Cystitis and the Overactive Pelvic Floor Mauro Cervigni, MD, Andrea Morciano, MD, and Giuseppe Campagna, MD Chapter 6 Chronic Pelvic Pain Syndromes in Males Kobi Stav, MD Chapter 7 Musculoskeletal Conditions Related to Pelvic Floor Muscle Overactivity Pamela Morrison, MS, PT, DPT, BCB-PMD, IMTC Chapter 8 Female Voiding Dysfunction Asnat Groutz, MD Chapter 9 Overactive Pelvic Floor: Gastrointestinal Morbidities Marc Beer-Gabel, MD Chapter 10 Subjective Assessment Lior Lowenstein MD, MS, Moti Gulersen MD, MSc, and Amy Lehrner, PhD Chapter 11 Objective Assessment of the Overactive Pelvic Floor Melanie Morin, PT, PhD Chapter 12 Electromyography Evelyne Gentilcore-Saulnier, BSc Physical Therapy, MSc Rehabiliation Science, Cindy Auchincloss, BSc Kin, BSc PT, MSc RHBS, PhD(c), and Linda McLean,PhD Chapter 13 Female pelvic floor imaging with emphasis on the overactive pelvic floor Vered H. Eisenberg, MD, MHA Chapter 14 Urodynamic assessment Sarit Barak, MD and Gil Levy, MD, FACOG Chapter 15 Medical Therapies for the Treatment of Overactive Pelvic Floor Riva N. Preil, PT, DPT, BCB-PMD, CLT, Zoe R. Belkin, MS, Andrew T. Goldstein, FACOG IF Chapter 16 Treatment Only: A Classical Physical Therapy Approach to an Overactive Pelvic Floor Amy Stein, MPT, DPT, BCB-PMD and Mary Hughes, PT, DPT Chapter 17 An Alternative Physical Therapy Approach to the Overactive Pelvic Floor Dee Hartmann, PT, DPT Chapter 18 A Tale of Two Pain States- The Integrative Physical Therapy Approach to the Overactive Pelvic Floor Carolyn Vandyken BHSc (PT) and Sandra Hilton, PT, DPT, MS Chapter 19 Complementary and Alternative Therapies for the Overactive Pelvic Floor Rebecca P. Anderson MSN, ANP-BC, Sarit O. Aschkenazi, MD, MS Chapter 20 Psychosocial Management Elke D. Reissing, PhD. and Heather VanZuylen, BA