Main description:

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.

Contents:

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.