Micturition

The RCOG Study Group reports on areas of current controversy regarding the dysfunction of the lower urinary tract; the contributions stem from the Proceedings of the Twenty-first Study Group of the Royal College of Obstetricians and Gynaecologists. Gynaecology, Urology

Inhalt
Section I: Basic Science.- 1 Anatomy of the Urethral Sphincters and Supports.- 2 Innervation of the Bladder, Urethra and Pelvic Floor.- 3 Neurotransmitters and Receptor Functions in the Human Lower Urinary Tract.- 4 Continence Mechanism.- Section II: Investigation.- 5 Application of Animal and Physical Models to Human Cystometry.- 6 Relevance of Urethral Pressure Profilometry to Date.- 7 Urethral Electric Conductance.- 8 Vaginal Ultrasound and Urinary Stress Incontinence.- 9 Role of Electrophysiological Studies.- Section III: Voiding Difficulties.- 10 Pathophysiology of Voiding Disorders.- 11 Medical and Surgical Management of Female Voiding Difficulty.- Section IV: Genuine Stress Incontinence.- 12 Pathophysiology of Genuine Stress Incontinence.- 13 Conservative Treatment.- 14 Which Operation and for Which Patient?.- 15 Why Operations Fail.- Section V: Detrusor Instability.- 16 The Aetiology of Detrusor Instability.- 17 Medical and Surgical Treatment.- 18 The Management of the Neuropathic Bladder.- 19 The Management of Sensory Urgency.- Section VI: Prolapse and Alimentary Tract.- 20 Aetiology of Pelvic Floor Prolapse and Its Relevance to Urinary and Faecal Control.- 21 Lower Alimentary Tract Disorder.