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Pediatric Incontinence Evaluation and Clinical Management 1st Edition by Israel Franco, Paul Austin, Stuart Bauer, Alexander von Gontard, Yves Homsy ISBN 1118814797 9781118814796

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Pediatric Incontinence Evaluation and Clinical Management 1st Edition Israel Franco Digital Instant Download

Author(s): Israel Franco, Paul Austin, Stuart Bauer, Alexander von Gontard, Yves Homsy
ISBN(s): 9781118814796, 1118814797
Edition: 1
File Details: PDF, 12.51 MB
Year: 2015
Language: english
SKU: EB-5435272 Category: Tags: , , , ,

Pediatric Incontinence Evaluation and Clinical Management 1st Edition by Israel Franco, Paul Austin, Stuart Bauer, Alexander von Gontard, Yves Homsy – Ebook PDF Instant Download/Delivery:1118814797, 9781118814796
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Product details: 

ISBN 10: 1118814797 

ISBN 13: 9781118814796

Author: Israel Franco, Paul Austin,Stuart Bauer, Alexander von Gontard, Yves Homsy

Pediatric incontinence: evaluation and clinical management offers urologists practical, ‘how-to’ clinical guidance to what is a very common problem affecting up to 15% of children aged 6 years old. Introductory chapters cover the neurophysiology, psychological and genetic aspects, as well as the urodynamics of incontinence, before it moves on to its core focus, namely the evaluation and management of the problem.  All types of management methods will be covered, including behavioural, psychological, medical and surgical, thus providing the reader with a solution to every patient’s specific problem. The outstanding editor team led by Professor Israel Franco, one of the world’s leading gurus of pediatric urology, have recruited a truly stellar team of contributors each of whom have provided first-rate, high-quality contributions on their specific areas of expertise.  Clear management algorithms for each form of treatment support the text, topics of controversy are covered openly, and the latest guidelines from the ICCS, AUA and EAU are included throughout.  Perfect to refer to prior to seeing patients on the wards and in the clinics, this is the ideal guide to the topic and an essential purchase for all urologists, pediatric urologists and paediatricians managing children suffering from incontinence.

Table of contents: 

SECTION 1: Pathophysiology of bowel and bladder dysfunction
CHAPTER 1: Neurophysiology of voiding
Anatomy of the lower urinary tract
Afferent mechanisms
Spinal cord and brainstem
Cortex
Efferent mechanisms, peripheral
Efferent mechanisms, central
Development of urinary continence
Conclusion
References
CHAPTER 2: Neurophysiology of defecation
Normal defecation patterns
Functional anatomy of colon, rectum, and anus
Colorectal motility and defecation
References
CHAPTER 3: Functional brain imaging in bowel and bladder control
Introduction
Background
Anterior cingulate cortex
Prefrontal cortex
PAG and PMC
Conclusion
Acknowledgments
References
SECTION 2: Epidemiological aspects of bowel and bladder dysfunction
CHAPTER 4: The epidemiology of childhood incontinence
Introduction
Nocturnal enuresis
Daytime urinary incontinence
Fecal incontinence
Conclusion
References
CHAPTER 5: Quality of life factors in bladder and bowel dysfunction
Quality of life factors in BBD
Neurogenic BBD
References
CHAPTER 6: Psychological aspects in bladder and bowel dysfunction
Introduction
Subclinical symptoms
Clinical comorbid disorders
Differences in types of incontinence
Conclusions and recommendations
Appendix Short screening instrument for psychological problems in enuresis (SSIPPE)
Short screening instrument for psychological problems in enuresis (SSIPPE)
Strengths and Difficulties Questionnaire (SDQ)
References
CHAPTER 7: Neuropsychiatric disorders and genetic aspects of bowel or bladder dysfunction
Introduction
Cortical thinning and neuropsychiatric disorders
Right frontal lobe and incontinence
ADHD
Lateral prefrontal cortex
White matter abnormalities
How does this correlate to children?
Conclusion
References
SECTION 3: Evaluation of bowel and bladder dysfunction
CHAPTER 8: Urodynamics in the pediatric patient
Introduction
Evaluation of children prior to UDS
Preparation of the child for UDS
Invasive urodynamics
Catheter and electrode placement
Cystometry
Uroflowmetry
Timing of UDS
Conclusion
References
CHAPTER 9: Uroflowmetry and postvoid residual urine tests in incontinent children
Introduction
Interpretation
Conclusion
References
CHAPTER 10: Evaluation of the child with voiding dysfunction
Introduction
History and physical examination
Questionnaires and their validity
Classification and major features of voiding dysfunction disorders
The bowel issue
References
CHAPTER 11: Evaluation of constipation and fecal incontinence
Definitions
Normal defecation pattern
Epidemiology
Medical history
Physical examination
Laboratory investigations
Abdominal radiograph
Colonic transit time measurement
Transabdominal rectal ultrasonography
Contrast enema
Defecography
Magnetic resonance imaging
Anorectal manometry
Colonic manometry
Conclusion
References
SECTION 4: Treatments of functional bowel and bladder dysfunction
CHAPTER 12: Implementation of urotherapy
Implementation of urotherapy
Specific interventions
Bowel therapy
References
CHAPTER 13: The concept of physiotherapy for childhood BBD
The concept of physiotherapy for childhood bladder and bowel dysfunction
Conclusion
References
CHAPTER 14: Biofeedback for the treatment of functional voiding problems
Introduction
The dietary log and voiding chart
Toilet posture
Relaxation biofeedback training
Biofeedback efficacy
Conclusion
References
CHAPTER 15: Pharmacotherapy of the child with functional incontinence and retention
Lower urinary tract symptom management
Overactive bladder
Urinary retention/incomplete bladder emptying
Antidepressants
Other drugs
Conclusion
References
CHAPTER 16: Treatment of functional constipation and fecal incontinence
Treatment of functional constipation in infants and toddlers
Treatment of functional constipation with and without fecal incontinence in children and adolescents
Treatment of nonretentive fecal incontinence
References
CHAPTER 17: Peripheral tibial nerve stimulation therapy for the treatment of functional voiding problems
Introduction
Technique
Mechanism of action of PTNS
PTNS in pediatric lower urinary tract dysfunction
Conclusions
References
CHAPTER 18: Sacral nerve stimulation therapy for the treatment of functional voiding problems
Introduction
Mechanism of action of SSN
Patient selection for SSN
Implantation technique
Outcomes of SSN
Conclusions
References
CHAPTER 19: Superficial stimulation therapy for the treatment of functional voiding problems
Introduction
Clinical results
Comparative studies with other methods
Tens for constipation
Enuresis
Conclusion
References
CHAPTER 20: Botulinum toxin in the treatment of the functional bladder
Use of botulinum toxin in children: Introduction
Biochemical
Use of Botox in pediatric urology
Technique of injection
Dose, patient safety, and antibodies
Conclusion
References
CHAPTER 21: Psychological management of BBD
Introduction
Psychological aspects in evaluation of BBD
Psychological management of BBD
Conclusion
References
SECTION 5: Nocturnal enuresis
CHAPTER 22: Pathophysiology of nocturnal enuresis
Introduction
Nocturnal polyuria
Underlying pathogenic mechanisms
Reduced nocturnal bladder reservoir function
Disturbed sleep/arousal function
Genetic factors
References
CHAPTER 23: Evaluation of the enuretic child
Tools
Evaluation strategy
References
CHAPTER 24: Management of monosymptomatic nocturnal enuresis (enuresis)
Introduction
Who should start the treatment?
When to start the treatment?
Treatment
Desmopressin therapy [15, 54–57]Conclusion
References
CHAPTER 25: Psychological aspects in evaluation and management of nocturnal enuresis (NE)
Introduction
Different types of nocturnal enuresis and different types of psychological problems
Children with special needs
Psychological aspects in evaluation
Psychological aspects of treatment
Conclusions
Appendix 25.A Short screening instrument for psychological problems in enuresis (SSIPPE)
Short screening instrument for psychological problems in enuresis (SSIPPE)
Strengths and difficulties questionnaire (SDQ)
Other questionnaires
Child behavior checklist
Behavior assessment system for children: Second edition (BASC-2)
References
SECTION 6: Neurogenic bladder and bowel dysfunction
CHAPTER 26: Diagnostic evaluation in children with neurogenic bladder
Introduction
Diagnostic modalities
Evaluation of the neonate suspected for neuropathic bladder dysfunction
Toddler and school age
Puberty and adolescence
The wet child with paralytic sphincter
UDS: Specific pitfalls
Ultrasound, DMSA scan, and spinal MRI
References
CHAPTER 27: Medical management of the neurogenic bladder
Lower Urinary Tract Physiology
Medical management of the overactive bladder
References
CHAPTER 28: Treatment of constipation and fecal incontinence
Medical management
Surgical options
Surgical technique: In situ appendicocecostomy
MACE options when the appendix is absent
Minimally invasive MACE procedures
Left colon MACE procedure
Minimally invasive percutaneous cecostomy tube
Enema protocols for MACE
Outcomes and complications of the MACE procedure
References
CHAPTER 29: Neuromodulation for neurogenic bladder in pediatric spinal dysraphism
IVES (Intravesical Electrical Stimulation)
TENS
PTNS
Sacral nerve stimulation
Summary
References
CHAPTER 30: Botulinum toxin in the treatment of neuropathic lower urinary tract dysfunction
Pharmacology
Clinical application
BTX injection technique
Conclusion
References
CHAPTER 31: The surgical management of the neurogenic bladder
Introduction
Evaluation of the patient with NGB
Surgical reconstruction: General principles
Summary
References
CHAPTER 32: Surgery for bowel dysfunction
Introduction
Antegrade continence enemas
Cecostomy
Diversion
Colonic resection
Conclusion
References
CHAPTER 33: Neurological surgery for neurogenic bladder dysfunction
Introduction
Tethered spinal cord
Brain anomalies
Other spinal cord lesions and vertebral anomalies
Conclusions

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Israel Franco,Paul Austin,Stuart Bauer,Alexander von Gontard,Yves Homsy,Pediatric