The ? eld of urogynecology and reconstructive pelvic surgery encompasses not only urinary incontinence and pelvic organ prolapse, but disorders such as chronic urinary tract infections, sexual dysfunction, defecation dysfunction, and pelvic pain as well. This textbook is designed as a clinical guide for treating women suffering from this wide variety of pelvic ? oor disorders. Written with busy practitioners in mind, this textbook will be useful as a quick reference guide for anyone with an interest in female pelvic ? oor disorders. Patrick J. Culligan vii Contents 1 Incontinence and Pelvic Floor Dysfunction in Primary Care: Epidemiology and Risk Factors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 Sujatha S. Rajan and Neeraj Kohli 2 Pelvic Floor Anatomy: Made Clear and Simple . . . . . . . . . . . . . . . . . . . . . . . . . 11 Robert M. Rogers, Jr. 3 Effects of Pregnancy and Childbirth on the Pelvic Floor . . . . . . . . . . . . . . . . . 21 Roger P. Goldberg 4 Pathophysiology of Incontinence and Pelvic Floor Dysfunction . . . . . . . . . . 34 Paul Tulikangas 5 Diagnosing Incontinence and Pelvic Floor Problems: An Ef? cient, Cost-Effective Approach for Primary Care Providers . . . . . . . . . . . . . . . . . . . 40 Peter L. Rosenblatt and Eman Elkadry 6 Kegel Exercises, Dietary and Behavioral Modi? cations: Simple Strategies for Getting Started . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 60 Jay-James R. Miller and Peter K. Sand 7 An Overview of Medication for Lower Urinary Tract Dysfunction . . . . . . . . 67 Patrick J. Culligan 8 Biofeedback and Pelvic Floor Physiotherapy: Introducing Non-Surgical Treatments to Your Of? ce . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 73Charles R. Rardin 9 Pessary Devices: A Stepwise Approach to Fitting, Teaching and Managing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 89 Patrick J. Culligan 10 Surgery for Incontinence and Pelvic Dysfunction: Overview for the PCP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .