The Overactive Pelvic Floor, Softcover reprint of the original 1st ed. 2016

This textbook provides a comprehensive, state-of-the art review of the Overactive Pelvic Floor (OPF) that provides clinical tools for medical and mental health practitioners alike. Written by experts in the field, this text offers tools for recognition, assessment, treatment and interdisciplinary referral for patients with OPF and OPF related conditions. The text reviews the definition, etiology and pathophysiology of non-relaxing pelvic floor muscle tone as well as discusses sexual function and past sexual experience in relation to the pelvic floor. Specific pelvic floor dysfunctions associated with pelvic floor overactivity in both men and women are reviewed in detail.  Individual chapters are devoted to female genital pain and vulvodynia, female bladder pain and interstitial cystitis, male chronic pelvic and genital pain, sexual dysfunction related to pelvic pain in both men and women, musculoskeletal aspects of pelvic floor overactivity, LUTS and voiding dysfunction, and anorectal disorders. Assessment of the pelvic floor is addressed in distinct chapters describing subjective and objective assessment tools. State of the art testing measures including electromyographic and video-urodynamic analysis, ultrasound and magnetic resonance imaging are introduced. The final chapters are devoted to medical, psychosocial, and physical therapy treatment interventions with an emphasis on interdisciplinary management      

The Overactive Pelvic Floor serves physicians in the fields of urology, urogynecology and gastroenterology as well as psychotherapists, sex therapists and physical therapists.

The Overactive Pelvic Floor

Anna Padoa and Talli Rosenbaum

Table of Contents

Chapter 1

Definitions and Basic Etiology of the Overactive Pelvic Floor

Stéphanie Thibault-Gagnon BScPT

Chapter 2

Overactive Pelvic Floor: Female Sexual Functioning

Ellen Laan, PhD and Rik HW van Lunsen, MD, PhD

Chapter 3

The Pelvic Floor and Male Sexual Function

Deborah S. Cohen, PT, MS, CSCS, COMT, WCS, Joshua Gonzalez, MD and Irwin Goldstein, MD

Chapter 4

Female Genital Pain and Penetration Disorders

Ahinoam Lev-Sagie, MD.

Chapter 5

Bladder Pain Syndromes/Interstitial Cystitis and the Overactive Pelvic Floor

Mauro Cervigni, MD, Andrea Morciano, MD, and Giuseppe Campagna, MD

Chapter 6

Chronic Pelvic Pain Syndromes in Males

Kobi Stav, MD

Chapter 7

Musculoskeletal Conditions Related to Pelvic Floor Muscle Overactivity

Pamela Morrison, MS, PT, DPT, BCB-PMD, IMTC

Chapter 8

Female Voiding Dysfunction

Asnat Groutz, MD

Chapter 9

Overactive Pelvic Floor: Gastrointestinal Morbidities

Marc Beer-Gabel, MD

Chapter 10

Subjective Assessment

Lior Lowenstein MD, MS, Moti Gulersen MD, MSc, and Amy Lehrner, PhD

Chapter 11

Objective Assessment of the Overactive Pelvic Floor

Melanie Morin, PT, PhD

Chapter 12

Electromyography                                 

Evelyne Gentilcore-Saulnier, BSc Physical Therapy, MSc Rehabiliation Science, Cindy Auchincloss, BSc Kin,

Chapter 13

Female pelvic floor imaging with emphasis on the overactive pelvic floor

Vered H. Eisenberg, MD, MHA

Chapter 14

Urodynamic assessment

Sarit Barak, MD and Gil Levy, MD, FACOG

Chapter 15

Medical Therapies for the Treatment of Overactive Pelvic Floor 

Riva N. Preil, PT, DPT, BCB-PMD, CLT, Zoe R. Belkin, MS, Andrew T.  Goldstein,FACOG IF

Chapter 16

Treatment Only: A Classical Physical Therapy Approach to an Overactive Pelvic Floor

Chapter 17

An Alternative Physical Therapy Approach to the Overactive Pelvic Floor

Dee Hartmann, PT, DPT

Chapter 18

A Tale of Two Pain States- The Integrative Physical Therapy Approach to the Overactive Pelvic Floor

Carolyn Vandyken BHSc (PT) and Sandra Hilton, PT, DPT, MS

Chapter 19

Complementary and Alternative Therapies for the Overactive Pelvic Floor

Rebecca P. Anderson MSN, ANP-BC, Sarit O. Aschkenazi, MD, MS

Chapter 20

Psychosocial Management

Elke D. Reissing, PhD.and Heather VanZuylen, BA

Anna Padoa, MD

Assaf Harofe Medical Center

Department of Obstetrics and Gynecology

Beer Yaakov, Israel

Talli Rosenbaum, Msc

Certified Sex Therapist, Individual and couples therapist

Inner Stability Limited

Covers pelvic floor over activity in both men and women

All chapters are written by experts in their fields

The first of its kind dedicated to pelvic floor over activity