Mousa laila (15 resultados)

Condición: New. In English.

Paperback. Condición: New.

Condición: As New. Unread book in perfect condition.

Condición: New.

Condición: New.

Condición: As New. Unread book in perfect condition.

Condición: New.

PAP. Condición: New. New Book. Delivered from our UK warehouse in 4 to 14 business days. THIS BOOK IS PRINTED ON DEMAND. Established seller since 2000.

Condición: New. Print on Demand.

Taschenbuch. Condición: Neu. nach der Bestellung gedruckt Neuware - Printed after ordering - Continence is self-control on temperance, sex acts, and bodily excreta. It is how you can manage your autonomic nervous system, (the non-conscious part of the central nervous system), which has two subtypes, the cranio-sacral para-sympathetic, and the thoraco-lumbar sympathetic system. The para-sympathetic system is responsible for the basic vegetative processes in the body. The sympathetic system is responsible for the reactions and response actions. It is the system of holding back, fight or flight . Urinary and fecal continence depends on inherent factors and on acquired behavior. The inherent factors are normal anatomy with intact sphincters. The acquired factor is keeping high alpha-sympathetic tone at the IUS, and the IAS. Failure to gain high alpha-sympathetic tone at the IUS causes nocturnal enuresis. Childbirth trauma lacerates the collagen chassis of the vagina, the IUS, and the IAS. This leads to vaginal prolapse, stress urinary incontinence (SUI), and fecal incontinence (FI). We introduced a simple vaginal operation to expose and mend the torn chassis of the vagina, the IUS, and the IAS to control the troubles. …

Condición: New. Print on Demand.

Condición: New. PRINT ON DEMAND.

Condición: New. Dieser Artikel ist ein Print on Demand Artikel und wird nach Ihrer Bestellung fuer Sie gedruckt. Autor/Autorin: El Hemaly Abdel KarimAbdel Karim M. El Hemaly is a professor in Ob/Gyn and Uro-gynecology at faculty of medicine, Al Azhar University, Cairo, Egypt. He holds MB, BCh , DGO, DS, MRCOG (London) & FRCS (Glasgo) certificates. Through his. …

Paperback / softback. Condición: New. This item is printed on demand. New copy - Usually dispatched within 5-9 working days.

Paperback. Condición: new. Paperback. Urinary continence depends on a closed and empty urethra with high urethral pressure. Two main factors are responsible for that, an intact internal urethral sphincter (IUS) which is a collagen-muscle tissue cylinder that extends from the bladder neck to the perineal membrane in men and women. The second factor is the presence of high alpha-sympathetic tone at the IUS gained by learning in early childhood. Defects in either of these two factors will lead to urinary incontinence. Childbirth trauma causes invisible lacerations of the collagen chassis of the vagina leading to vaginal prolapse; of the IUS resulting in stress urinary incontinence (SUI); of the IAS causing fecal incontinence (FI). The dysfunction can be a sporadic lesion or more common concomitant multiple lesions. Medical imaging using MRI and 3DUS can demonstrate the damage and show an open urethra with torn IUS and an open anal canal with torn IAS. In addition, we introduced a novel simple vaginal reconstructive operation in which we expose the torn collagen chassis of the IUS and IAS, mend the torn edges, and then perform overlapping of the redundant lax vaginal flaps. This is to strengthen the vagina and to add extra support to the closely related IUS and IAS. We do not remove any vaginal tissue and thus save the body's own collagen. We do not use any synthetic mesh or tapes with its complications. It corrects the anatomy of the pelvic organs in order to restore their normal physiology. Abdel Karim M. El Hemaly. This item is printed on demand. Shipping may be from our UK warehouse or from our Australian or US warehouses, depending on stock availability.…