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The ASCRS Textbook of Colon and Rectal Surgery pp 323–335Cite as

Pelvic Floor Disorders

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Abstract

Pelvic floor disorders are mostly a continuum of a disease process resulting from the loss of pelvic floor support. Although these diseases are commonly believed to afflict primarily women, the ease in examination of the pelvic floor in women makes the identification of pelvic floor disorders easier in women than in men. Anatomical differences in the size of the genital hiatus between the sexes also make women more prone to pelvic floor prolapse. Epidemiologic studies on pelvic floor prolapse suggest that it is a disease that will become more prevalent as the population ages. Olsen et al.1 reported the findings of pelvic organ prolapse on 149,554 women aged 20 years or older at Kaiser Permanente; their study showed that 11.1% of these women will have a lifetime risk of undergoing an operation related to pelvic prolapse or incontinence by the age of 80. Surgical repair related to the rectum or posterior compartment constituted 45% of the operations. Reoperation for prolapse was 29.9%, and the time interval between repeat procedures decreased with each successive repair.1 According to the government census, the population in the USA is projected to reach 440 million by 2050, and the population of 75 years old or older is projected to increase from 6% to 11%.2 These findings and trends help highlight the importance of pelvic floor disorders and the role of the colorectal specialist in the management of pelvic floor disorders.

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Acknowledgment.

This chapter was written by Frank ­Harford and Linda Brubaker in the first edition of this textbook.

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Authors and Affiliations

  1. Surgical Speciality/The Colon and Rectal Clinic, Oregon Health Sciences University, Portland, OR, USA

    Patrick Y. H. Lee MD

  2. Chirurgie Digestive et Endocrine, Institut des Maladies de l’appareil Digestif, Centre Hospitalo-Universitaire, Nantes, France

    Guillaum Meurette MD

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  1. Patrick Y. H. Lee MD
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Editors and Affiliations

  1. Department of Colon and Rectal Surgery, Louisiana State University Health Sciences Center, New Orleans, Louisiana, USA

    David E. Beck MD, FACS, FASCRS

  2. Department of Colorectal Surgery, Lahey Clinic, Tufts University School of Medicine, Burlington, Massachusetts, USA

    Patricia L. Roberts MD, FACS, FASCRS

  3. Section of Colon and Rectal Surgery, Rush Medical Center, Chicago, Illinois, USA

    Theodore J. Saclarides MD, FACS, FASCRS

  4. Department of Surgery, Spectrum Health, Grand Rapids, Michigan, USA

    Anthony J. Senagore MD, FACS, FASCRS

  5. Department of Surgery, UCI Medical Center, Orange, California, USA

    Michael J. Stamos MD, FACS, FASCRS

  6. Department of Colorectal Surgery, Cleveland Clinic Florida, Weston, Florida, USA

    Steven D. Wexner MD, FACS, FASCRS, FRCS, FRCS(Ed)

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© 2011 ASCRS (American Society of Colon and Rectal Surgeons)

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Lee, P.Y.H., Meurette, G. (2011). Pelvic Floor Disorders. In: Beck, D.E., Roberts, P.L., Saclarides, T.J., Senagore, A.J., Stamos, M.J., Wexner, S.D. (eds) The ASCRS Textbook of Colon and Rectal Surgery. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-1584-9_19

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