Sensation in the Pelvic Region

ISBN-13: 9783031169663 / Angielski / Miękka / 2023

Jean Jacques Wyndaele

Opis

This book covers sensation in all major components of the pelvic region. The small pelvis is containing many different structures and viscera, and sensations elicited there are important for regulating a normal daily life and for warning that something is going wrong. The sensory system is driving in many aspects the motor activity, and precedes and guides the efferent functions. It is surprising that in the last 60 years the ratio between research and publications about sensory versus motor has gradually become less. There has been undoubtedly a rise in the number of publications written on pelvic sensation but in the same time the number of manuscripts on motor function have increased more.It is the hope that this compilation of most data available on sensation will be of interest for the reader, will incite to perform more research so that an important part of pelvic functional diagnosis and treatment modalities will use the whole of the mechanisms available.
The book is intended for all interested in pelvic functions and the interactions between the different structures, specialists in urology, gastroenterology, sexuality, pain, pelvic floor function and dysfunction, paediatricians and geriatricians, neurologists, students and those in training . The reader will find interesting and challenging information, and suggestions for further research.

Spis treści

General principles of sensation in  viscera.

Neurological data : sensation as part of afferent potentials

Sensation in different parts of the urinary tract

Kidneys

                        Innervation

                        Pathophysiology

                        Clinical sensations and their diagnosis

Bladder

                        Innervation

                        Normal sensation during filling and voiding

Interaction with bowel sensation

Pathophysiology

Ways to investigate

                        History

Voiding diary

                        Urodynamic testing

                        Specific tests: temperature, electrosensation, electrodiagnostic tests

Sensory outcome in different diseases

            Coma, after CVA, Parkinson,  Spinal cord pathology, Peripheral neuropathy, Bladder Pain Syndrome/IC, Overactive bladder, Diabetes

            Treatment of sensation disorders

                        Popular way to make sensory problems understandable

Bladder retraining

Diet

Drugs

Neuromodulation

Injections

Surgery

Urethra

                        Innervation

                        Normal sensation during voiding

                        Pathophysiology

                        Ways to investigate

                        Sensation with manipulation including catheterization and endoscopy

                        Specific diseases as prostatitis, urethritis

                        Interaction with bladder and pelvic floor

                        Treatment

            Pelvic floor

                        Innervation

                        Sensory disorders

                        Pelvic floor examination

                        Specific tests as ultrasonography, XRays, MRI

Treatment

Psychological aspects of urinary tract sensation . Effects on quality of life. Sexual function.

Toilet training for infants

Chronic pain.

 

Conclusion with flow chart.

O autorze

Jean Jacques Wyndaele graduated as Bachelor Medical Sciences, Doctor in Medical Sciences-Surgery and Obstetrics, Specialist in Urology, PhD in Biomedical Science, Specialist in Rehabilitation, Second PhD in Urology Higher Education. Till his retirement in 2014, he worked as Full time Ordinary Professor and Chairman of Urology at University Antwerp (UA) and Antwerp University Hospital (UZA). He was the chair of the Animal and Clinical Research Lab of the Urological Department UA and UZA, and the founder coordinator of the Interuniversity Specialist course for Pelvic Re-education. He promoted 16 PhD Thesis’s and these doctors are working in different continents around the world and several hold academic senior positions. He continues scientific work in the field of SCI, pelvic sensation and functional urology. He got a Certificate Higher Education in History at the University of Oxford in 2021.

He is Fellow of the International Spinal Cord Society, Fellow European Board of urology and member of many major international scientific groups. He is the actual treasurer/secretary of ESSIC, the International organisation for study of bladder pain syndrome. He is a past president of the International Spinal Cord Society, of ESSIC, and a previous editor in chief of Spinal Cord and Spinal Cord Series & Cases for 11 years. He was treasurer of the International Continence Society for 10 years.

He is author of 374 publications in peer reviewed international and national journals, 94 editorials, 34 chapters in books and editor-author of 4 books.

He has been awarded several national and international prices, and is Grand Officer in the Order of the Crown of Belgium. He is Lieutenant-Colonel (retired) in the Medical Services of the Belgian Armed Forces.