Continence and defecation are two essential functions of the human body. The normal anatomy of the anorectum is well documented in the literature. The data on the physiology of these processes are controversial and sketc...
A 65 years old women presented with grade 3 descensus, grade 4 cystocele, grade 2 rectocele. The patient had no complaints of urinary incontinence. She underwent vaginal hysterectomy, colporrhaphy anterior, colporrhaphy...
Objective: Chronic pelvic pain (CPP) and various pelvic dysfunctions are best assessed by consultants with knowledge and training in myofascial pain. The prevalence of myofascial pain is recognised but what is needed is...
Objective: In 2018, we reported 86% cure of day/night enuresis in a randomized controlled trial of 48 children applying three different squatting-based exercises. All children who were cured were by 4 weeks. A follow-up...
Research in chronic pain often fails to distinguish the pain source: central vs peripheral. In this review, I lay out a case for a greater consideration of a peripheral pain source, namely myofascial trigger points. Find...
Anatomy and physiology of anorectum: the hypothesis of fecal retention, and defecation
Continence and defecation are two essential functions of the human body. The normal anatomy of the anorectum is well documented in the literature. The data on the physiology of these processes are controversial and sketc...
Medical approach to urinary retention after vaginal hysterectomy
A 65 years old women presented with grade 3 descensus, grade 4 cystocele, grade 2 rectocele. The patient had no complaints of urinary incontinence. She underwent vaginal hysterectomy, colporrhaphy anterior, colporrhaphy...
Pain mapping: A mechanisms-oriented protocol for the assessment of chronic pelvic pain and urogenital pain syndromes
Objective: Chronic pelvic pain (CPP) and various pelvic dysfunctions are best assessed by consultants with knowledge and training in myofascial pain. The prevalence of myofascial pain is recognised but what is needed is...
A follow-up study confirms day/night enuresis cure in children by squatting-based exercises
Objective: In 2018, we reported 86% cure of day/night enuresis in a randomized controlled trial of 48 children applying three different squatting-based exercises. All children who were cured were by 4 weeks. A follow-up...
Distinguishing sources of pain: Central vs peripheral mediation
Research in chronic pain often fails to distinguish the pain source: central vs peripheral. In this review, I lay out a case for a greater consideration of a peripheral pain source, namely myofascial trigger points. Find...