Epidemiologia della disfunzione perineale vignoli

The Prevalence of Pelvic Floor Dysfunctions Descriptive and Analitical analysis in relation to obstetric event Giancarlo Vignoli ,MD Functional Urology Unit , Casa Madre Fortunata Toniolo , Bologna

Reference list of relevant articles ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Pelvic Floor Dysfunctions ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Prevalence of Hypo - Pelvic Floor Disorders ,[object Object],[object Object],[object Object]

Basic Methodological Considerations ,[object Object],[object Object]

FEMALE INCONTINENCE Validated diagnostic questions vs diagnosis after urodynamics ,[object Object],[object Object],[object Object],[object Object],[object Object]

POP in asymptomatic women ,[object Object]

Basic Methodological Considerations ,[object Object],[object Object],[object Object],[object Object]

PF D risk factors model by BUMP & NORTON ,1998

Graphic Integration of PDF by DeLancey et al , 2008

“ Poor Quality Pelvic Floor “ ,[object Object]

Badlani G, AUA Lecture at EAU Congress 2011

Allen-Brady K, Norton P et al Am J Hum Gen , 2009 ,[object Object]

Connective tissue is a living structure that undergoes remodeling in response to various factors. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

1° Birth Damage & Repair ,[object Object]

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PELVIC FLOOR STRUCTURES INVOLVED IN VAGINAL DELIVERY ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

TRANSLATION of BIOMECHANICS to UROGYNECOLOGY ,[object Object]

3D- COMPUTER RECONSTRUCTION ,[object Object],[object Object]

Partial avulsion of the pubo-coccygeal muscle off its insertion

3D COMPUTER SIMULATION OF VAGINAL PROLAPSE CHEN L et al , 2008 ,[object Object],[object Object]

Summary Points ,[object Object],[object Object],[object Object]

FECAL INCONTINENCE ( 26%) ,[object Object],[object Object],[object Object]

Anal Spincter Damage ( 5% ) ,[object Object],[object Object],[object Object]

Pudendal Nerve Damage ( 32%) ,[object Object],[object Object]

2° Birth Damage ,[object Object]

AGE-RELATED PELVIC FLOOR MODIFICATIONS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Accelerated deterioration may influence surgical repair

DNA microarrays analysis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

POP & DNA microarray analysis 12626 TOTAL GENES ( muscles , ECM, others) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Lifestyle Impact ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

CONCLUSIONS ,[object Object],[object Object],[object Object],[object Object]

Epidemiologia della disfunzione perineale vignoli

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Epidemiologia della disfunzione perineale vignoli