Coloproctology and the Pelvic Floor: Pathophysiology and Management

M. Margaret Kemeny, MD
JAMA. 1986;256(3):410. doi:10.1001/jama.1986.03380030112046.
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This British team of surgeon and neurologist has produced an exhaustive study of the pathophysiology and disorders of the pelvic floor and anus. A good deal of the text is written by these two authors, while the rest is written by various contributors. The text is divided into three parts: anatomy and physiology, investigation of the pelvic floor, and disorders of the pelvic floor and their management.

Part I, which describes the anatomy, is the most complete anatomic and physiologic description that I have seen concerning the subject of the pelvic floor and anus. The text, in general, is dry and factual, and, considering the extreme attention to detail, this often can be very tiresome. Whole sections are devoted to areas such as "the measurement of latency times to evoked pelvic floor muscle contraction using transcutaneous cervicolumbar spinal stimulation." This depth is excessive for the average surgeon, who may deal


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