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Aimed at consultant colorectal surgeons and those in training who wish to expand their practice into pelvic floor pathology- a complex and developing area of surgery- Pelvic Floor Disorders for the Colorectal Surgeon provides a modern, thought-provoking approach to pelvic floor disorders written by emerging young leaders in the field. These conditions are of high importance and interest to colorectal surgeons, but also gynaecologists, gastroenterologists and general gastrointestinal surgeons. The layout of the text book is in 3 sections. The first provides an organizational and diagnostic approach to pelvic floor problems that is conceptual in scope, the second details the patho-anatomical and physiological entities that this diagnostic approach will bring to light and describes their management, while the third is more technical, covering key new diagnostic and therapeutic procedures and their results. The textbook aims to encourage the reader to critically analyze some of their own cherished views, and those more widely established, on colorectal pelvic floor practice. Written by the Southern Pelvic Floor Group, a multidisciplinary group with a major interest in pelvic floor disorders Reflects rapid advances being made in the field and emerging new data Each chapter is problem based, highly practical and fully illustrated, with images and algorithms showing management of these problems Ian Lindsey , Consultant Colorectal Surgeon, John Radcliffe Hospital, Oxford, UK, Karen Nugent , Senior Lecturer, Honorary Consultant Surgeon, Southampton General Hospital, UK, and Tony Dixon , Consultant Surgeon, North Bristol NHS Trust, UK Contributors: Oleh Babyak, Section of Radiology, St. Elisabeth Hospital, Vienna, Austria Andrew Baranowski, NHNN, University College London Hospitals Foundation Trust, UK Brigitta Boller, Section of Radiology, St. Elisabeth Hospital, Vienna, Austria Steven Brown, Sheffield Teaching Hospitals, UK Will Chambers, Frenchay Hospital, Bristol, UK Rowan Collinson, Auckland City Hospital, New Zealand Christopher Cunningham, Oxford Radcliffe Hospitals, UK Volodymyr Denysenko, Section of Radiology, St. Elisabeth Hospital, Vienna, Austria Anthony Dixon, Frenchay Hospital, Bristol, UK Martijn Gosselink, Department of Surgery, Maastad Hospital, Rotterdam, The Netherlands Christopher Harmston, Oxford Radcliffe Hospitals NHS Trust. UK Roel Hompes, U.Z. Gasthuisberg, Leuven, Belgium Michael Jarrett, Kingston-upon-Thames, UK David Jayne, St James Hospital, Leeds, UK Oliver M. Jones, John Radcliffe and Churchill Hospitals, Oxford, UK Henry Kwok, Auckland City Hospital, New Zealand Ian Lindsey, John Radcliffe Hospital, Oxford, UK Mark Mercer-Jones, Newcastle NHS Trust, UK Karen Nugent, Southampton General Hospital, UK Sophie Pilkington, Southampton University Hospitals NHS Trust, UK M. Starck, Department of Surgery, Malm ö University Hospital, Sweden. Niels Wijffels, Zuwe Hofpoort Ziekenhuis, Woerden, The Netherlands CONTENTS Approach 1: Establishing and developing a pelvic floor service: The MDT and approach to patient assessment 2: Radiological workup 3: Anorectal physiology Syndromes 4: A pathophysiological approach to faecal incontinence 5: Pathophysiological approach to obstructed defecation 6: Pathophysiological approach to chronic anorectal pain 7: Conservative treatment of pelvic floor disorders 8: Three compartments- working with a multidisciplinary team 9: Internal rectal prolapse 10: Anismus 11: Rectocele 12: Solitary Rectal Ulcer Syndrome (SRUS) 13: Slow transit constipation 14: Perineoproctology (fissures, haemorrhoids) 15: Pudendal pain syndrome 16: Obstetric sphincter injury 17: Rectal sensory dysfunction Techniques 18: Laparoscopic ventral rectopexy (with posterior colporraphy and vaginal sacrocolpopexy) 19: STARR and Transtar 20: Complete pelvic floor ultrasound 21: Sacral neuromodulation 22: Anal bulking 23: Anterior sphincter repair 24: Neo-sphincters and artificial sphincters for treating faecal incontinence