This book offers a critical review of the pelvic sciences-past, present
and future-from an anatomical and physiological perspective and is
intended for researchers, medical practitioners and paramedical
therapists in the fields of urology, gynecology and obstetrics,
proctology, physiotherapy, as well as for patients.
The book starts with a "construction plan" of the pelvis and shows its
structural consequences. The historical background of pelvic studies
proceeds from medieval and early Italian models to the definitive
understanding of the pelvic anatomy in the Seventeenth century. During
these eras of pelvic research, concepts and approaches developed that
are illustrated with examples from comparative anatomy and from
mutations, also with regard to the biomechanics of pelvic structures.
Perceptions of the pelvis as an important element in sexual arousal and
mating conduct are discussed, as well as attitudes to circumcision,
castration and other mutilations, in its anthropological, social
context.
The anatomy and physiology of the pelvic wall and its organs as well as
the development of these pelvic organs are covered as a prerequisite to
understanding, for example, the spread of pelvic carcinoma and male and
female bladder muscle function. Connective pelvic tissue is examined in
its reinforcing capacity for pelvic structures, but also as a "hiding
place" for infections. Innervations and reflexes relayed through the
pelvic nerves are discussed in order to explain incontinence, sphincter
function and the control of smooth and striated muscles in the pelvis.
Catheters and drugs acting on pelvic function are described, and a
critical review of alternative clinical methods for treating pelvic
dysfunctions is provided.
