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This book describes Disorders of Pelvic Floor Organs, Diagnosis and Treatment and Related Diseases
A pelvic floor disorder (PFD) happens when the muscles and connective tissue (holdimg everything in the pelvis in position) of the pelvis become weaken or are injured.
Types of Pelvic Floor Disorders:
A. Bladder Control Disorders
These can also be termed urinary incontinence and involve any leaking of urine.
This is produced by the bladder falling from its proper position in the pelvis.
1. Stress Incontinence
This is a bladder control disorder that induces a leaking of urine
…mehr

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Produktbeschreibung
This book describes Disorders of Pelvic Floor Organs, Diagnosis and Treatment and Related Diseases

A pelvic floor disorder (PFD) happens when the muscles and connective tissue (holdimg everything in the pelvis in position) of the pelvis become weaken or are injured.

Types of Pelvic Floor Disorders:

A. Bladder Control Disorders

These can also be termed urinary incontinence and involve any leaking of urine.

This is produced by the bladder falling from its proper position in the pelvis.

1. Stress Incontinence

This is a bladder control disorder that induces a leaking of urine during activities that "stress" the bladder (laughing, coughing, sneezing, heaving lifting, etc.)

2. Urge Incontinence

This is a bladder control disorder that produces loss of urine after a sudden, strong urge to urinate.

This is also termed overactive bladder

B. Bowel Control Disorders

These can also be termed encopresis or fecal incontinence.

Leaking of stool, either liquid or solid, is indicated a bowel control disorder.

This can be produced by the rectum (bottom portion of the intestine) moving from its proper position in the pelvis or damage to the group of muscles that help to close the anus.

C. Pelvic Organ Prolapse

This happens when one or more of the pelvic organs fall out of its proper position in the pelvis and move downward into the vagina.

This results from the muscles and ligaments holding these organs in position weakening over time.

Prolapse simply indicates the slipping down or forward of an organ or body part.

A pelvic organ prolapse can happen to any organ in the pelvic floor.

The doctor may employ different names for different types of prolapse.
1. Cystocele: the bladder dropping into the vagina

Cystocele prolapse, also termed dropped bladder, is the protrusion of the bladder into the vagina

It happens caused by the weakening of the pubo-cervical fascia between the bladder and vaginal wall permitting the bladder to move downwards and backwards against the anterior wall of the vagina.

A pouch may also develop in the bladder causing the retention of residual urine.

Symptoms are:
a. Urinary frequency,
b. Incomplete emptying of the bladder,
c. Recurrent UTI's and
d. Stress incontinence.

2. Urethrocele: the urethra, the tube that connects the bladder to the outside of the body for urinating, bulges into the vagina

Urethrocele prolapse is the protrusion of the female urethra into the vagina.

Due to the urethra being directly connected to the anterior wall of the vagina it can fall backwards and downwards when there is insufficient support from the vagina or surrounding fascia.

This is the least frequent type of prolapse and is most frequent in post-menopausal women and pre-pubertal girls.

Cystourethrocele is a combination of a cystocele and urethrocele and it is the most frequent type of prolapse

3. Enterocele: the small intestine drops and pushes the back of the vagina

Enterocele is when the small bowel presses down from the abdomen onto the posterior wall of the vagina through the rectovaginal septum and produces a herniation (protrusion in the space between rectum and vagina).

An enterocele normally accompanies a uterine prolapse.

4. Rectocele: the rectum, or the last portion of the small intestine which ends at the anus, bulging into the vagina

Rectocele prolapse happens when the bowel and rectum

Causes are:
1. Age
2. Direct injury to levator ani
3. Pregnancy and Childbirth
4. Genetics
5. Hysterectomy
6. Increased abdominal pressure
7. Constipation
8, Prolonged physical exertion
9, Obesity
10. Prostate surgery

TABLE OF CONTENT
Introduction
Chapter...


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Autorenporträt
Dr. Kenneth Kee is a well-known medical doctor from Singapore who has been practicing medicine since 1972.
He graduated from the University of Singapore and furthered his studies with a Master of Science in Health Management in 1991, followed by a Ph.D. in Healthcare Administration in 1993.
Dr. Kee established Kee Clinic in 1974, located in the Holland Drive area of Singapore. The clinic has been a prominent feature of the community, offering general medical services for 5 decades.
Dr Kee also served his country Singapore as a national service police Inspector at night from 1975 to 1985 while working at his clinic during the day.
He had served as a police guard to the Woodland Petroleum Tanks at night during the Indonesian Confrontation period, took part in police rounds at night in the Beach Road area and taught First aid and emergency resuscitation to Police recruits.
He received the Singapore Police Bicentennial 2020 Medallion on 1st March 2024 as recognition for his work in the Singapore Police.
Even as he grew older, Dr. Kee continued to work actively in his clinic, although he eventually reduced his consultation hours.
Beyond his medical career, Dr. Kee is also an author.
He started writing about medical conditions in 2007, using blogs and other online platforms to share his knowledge with a broader audience.
Over time, he published various books, many of which provide simple and accessible guides to different health conditions.
His works include "A Family Doctor's Tale," "My Personal Singapore History," and numerous medical guides, available through platforms like Amazon.
His books often combine his personal experiences as a family doctor with insights into Singapore's healthcare system and history.
Dr. Kee has written extensively on health topics, contributing to both medical literature and general knowledge resources.

Dr. Kenneth Kee has written numerous books, primarily focused on health education and personal experiences as a family doctor. Some of his notable titles include:
"A Family Doctor's Tale"
This book is a blend of Dr. Kee's personal experiences and his reflections on being a family doctor in Singapore. It's a great choice if you're looking for a narrative that combines both medical knowledge and human stories.
"Specialized Medical Conditions"
Books like **"Congestive Heart Failure: Diagnosis and Treatment"** focus on specific conditions, offering in-dept...