- Preface
- Abbreviations
- Contributors
- Chapter 1 Nerve, muscle, and neuromuscular junction
- Chapter 2 The motor unit
- Chapter 3 Motor control: spinal and cortical mechanisms
- Chapter 4 Cortical activity: single cell, cell assemblages, and networks
- Chapter 5 Recording of neural signals, neural activation, and signal processing
- Chapter 6 Nerve conduction studies
- Chapter 7 Electromyography
- Chapter 8 Quantitative electromyography
- Chapter 9 Axonal excitability: molecular basis and assessment in the clinic
- Chapter 10 Reflex studies
- Chapter 11 Electroencephalography
- Chapter 12 Intracranial electroencephalographic recordings
- Chapter 13 Magnetoencephalography
- Chapter 14 Transcranial magnetic stimulation
- Chapter 15 Evoked potentials
- Chapter 16 Polysomnography and other investigations for sleep disorders
- Chapter 17 Clinical neurophysiology of the pelvic floor
- Chapter 18 The clinical approach to neurophysiology
- Chapter 19 Focal neuropathies
- Chapter 20 Generalized peripheral neuropathies
- Chapter 21 Disorders of single nerves, roots, and plexuses
- Chapter 22 Neurophysiology in amyotrophic lateral sclerosis and other motor degenerations
- Chapter 23 Clinical aspects of neuromuscular junction disorders
- Chapter 24 Primary muscle diseases
- Chapter 25 Paediatric conditions
- Chapter 26 EMG-guided botulinum toxin therapy
- Chapter 27 Genetic generalized epilepsy
- Chapter 28 Focal epilepsy
- Chapter 29 Syncope
- Chapter 30 Convulsive and non-convulsive status epilepticus
- Chapter 31 Presurgical evaluation for epilepsy surgery
- Chapter 32 Encephalopathy, central nervous system infections, and coma
- Chapter 33 Migraine, stroke, and cerebral ischaemia
- Chapter 34 Electroclinical features of paediatric conditions
- Chapter 35 Sleep disorders
- Chapter 36 Intraoperative monitoring
- Index
(p. 195) Clinical neurophysiology of the pelvic floor
- Chapter:
- (p. 195) Clinical neurophysiology of the pelvic floor
- Author(s):
Adrian J. Fowle
- DOI:
- 10.1093/med/9780199688395.003.0017
This chapter offers a personal view of a service providing pelvic floor studies. It first debunks the myths that put patients and doctors off. A practical approach is outlined to performing the most worthwhile studies from referral to report. Care of the patient and understanding of the anatomy and physiology are emphasized as necessary for the performance of the studies. The most useful studies, examination of the external anal sphincter, and either bulbocavernosus reflex or pudendal somatosensory evoked potentials, are highlighted. Finally, the conditions in which these studies may be useful are discussed, including cauda-equina syndrome, post-partum incontinence, and neurological conditions.
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- Preface
- Abbreviations
- Contributors
- Chapter 1 Nerve, muscle, and neuromuscular junction
- Chapter 2 The motor unit
- Chapter 3 Motor control: spinal and cortical mechanisms
- Chapter 4 Cortical activity: single cell, cell assemblages, and networks
- Chapter 5 Recording of neural signals, neural activation, and signal processing
- Chapter 6 Nerve conduction studies
- Chapter 7 Electromyography
- Chapter 8 Quantitative electromyography
- Chapter 9 Axonal excitability: molecular basis and assessment in the clinic
- Chapter 10 Reflex studies
- Chapter 11 Electroencephalography
- Chapter 12 Intracranial electroencephalographic recordings
- Chapter 13 Magnetoencephalography
- Chapter 14 Transcranial magnetic stimulation
- Chapter 15 Evoked potentials
- Chapter 16 Polysomnography and other investigations for sleep disorders
- Chapter 17 Clinical neurophysiology of the pelvic floor
- Chapter 18 The clinical approach to neurophysiology
- Chapter 19 Focal neuropathies
- Chapter 20 Generalized peripheral neuropathies
- Chapter 21 Disorders of single nerves, roots, and plexuses
- Chapter 22 Neurophysiology in amyotrophic lateral sclerosis and other motor degenerations
- Chapter 23 Clinical aspects of neuromuscular junction disorders
- Chapter 24 Primary muscle diseases
- Chapter 25 Paediatric conditions
- Chapter 26 EMG-guided botulinum toxin therapy
- Chapter 27 Genetic generalized epilepsy
- Chapter 28 Focal epilepsy
- Chapter 29 Syncope
- Chapter 30 Convulsive and non-convulsive status epilepticus
- Chapter 31 Presurgical evaluation for epilepsy surgery
- Chapter 32 Encephalopathy, central nervous system infections, and coma
- Chapter 33 Migraine, stroke, and cerebral ischaemia
- Chapter 34 Electroclinical features of paediatric conditions
- Chapter 35 Sleep disorders
- Chapter 36 Intraoperative monitoring
- Index