Urogynecology and Reconstructive Pelvic Surgery

Edited and authored by some of the most respected figures in the field, this newly revised book is your comprehensive guide to all areas of urogynecology, including urinary and fecal incontinence, urodynamic testing, management of genuine stress incontinence, pelvic organ prolapse, overactive bladder, and much more. Uniquely organized to reflect a physician’s decision-making process, this practical, clinically oriented text moves from basic concepts through to clinical and urodynamic evaluation, management, and treatment. Inside, you’ll find evidence-based assessments of appropriate therapies, along with algorithmic approaches to common complaints, and clear surgical illustrations. Exclusive to the third edition is a section addressing painful and irritative voiding disorders, including overactive bladder, as well as 20 new case presentations that offer opinions from the leading experts in urogynecology and urology.

Key Features

Features step-by-step instructions for urodynamic testing.
Addresses all urogynecologic disorders, including genuine stress incontinence
pelvic organ prolapse
defecation disorders
painful and irritative voiding disorders
and specific conditions such as urinary tract infection.
Presents vital information on urethral injections, covering the newest treatment options available.
Examines the use of autologous materials and mesh in reconstructive pelvic surgery.
Uses over 300 crisp illustrations to illuminate every detail.

New to this Edition

Contains a new section on painful and irritative voiding disorders, including a discussion of overactive bladder and the latest treatment options available.
Discusses urodynamics and the most up-to-date testing available for urethral sphincteric function.
Features 20 all new case presentations with expert commentary.

Table of Contents
PART I BASIC SCIENCE

1 Anatomy of the Lower Urinary Tract, Rectum, and Pelvic Floor
2 Neurophysiology of the Lower Urinary Tract
3 Epidemiology and Social Impact of Urinary and Fecal Incontinence
4 Description and Classification of Lower Urinary Tract Dysfunction and Pelvic Organ Prolapse

PART II EVALUATION

5 Evaluation of Urinary Incontinence: History, Physical Examination, and Office Tests
6 Urodynamics: Cystometry
7 Urodynamics: Voiding Studies
8 Urodynamics: Tests for Urethral Sphincteric Function
9 Endoscopic Evaluation of the Lower Urinary Tract
10 Radiologic Studies of the Lower Urinary Tract
11 Evaluation of Defecation Disorders

PART III MANAGEMENT OF GENUINE STRESS INCONTINENCE AND PELVIC ORGAN PROLAPSE

12 Pathophysiology and Obstetric Issues of Genuine Stress Incontinence and Pelvic Floor Dysfunction
13 Genuine Stress Incontinence and Pelvic Organ Prolapse: Non-surgical Management
14 Retropubic Operations for Genuine Stress Incontinence
15 Laparoscopic Surgery for Genuine Stress Incontinence and Prolapse
16 Surgery for Genuine Stress Incontinence: Vaginal Operations
17 Urethral Injection of Bulking Agents for Intrinsic Sphincter Deficiency
18 Surgical Treatment of Anterior Vaginal Wall Prolapse
19 Enterocele and Rectocele
20 Surgical Treatment of Vaginal Vault Prolapse
21 The Use of a Autologous Materials and Mesh in Reconstructive Pelvic Surgery

PART IV FECAL INCONTINENCE AND DEFECATION DISORDERS

22 Fecal Incontinence
23 Constipation
24 Rectovaginal Fistula
25 Rectal Prolapse

PART V PAINFUL AND IRRITATIVE VOIDING DISORDERS

26 Overactive Bladder
27 Hypersensitivity Disorders of the Lower Urinary Tract
28 Voiding Dysfunction and Retention
29 Neuromodulation Therapy

PART VI SPECIFIC CONDITIONS

30 Urinary Tract Infection
31 Lower Urinary Tract Fistulas
32 Suburethral Diverticula
33 Gynecologic Injury to the Ureters, Bladder and Urethra: Prevention, Recognition and Management
34 The Effects of Gynecologic Cancer and Its Treatment on the Lower Urinary Tract
35 The Urinary Tract in Pregnancy
36 Bladder Drainage and Urinary Protective Methods

PART VII CASE PRESENTATIONS WITH EXPERT DISCUSSIONS

37 Case Presentations With Expert Discussions
Cases 1 – 20

PART VIII RESEARCH METHODS

38 Basic Research and Epidemiologic Methods

APPENDIXES



Author Information
By Mark D. Walters, MD, Vice-Chairman and Head, Section of General Gynecology and Urogynecology/Reconstructive Pelvic Surgery, Department of Gynecology and Obstetrics, The Cleveland Clinic Foundation, Cleveland, OH, USA; and Mickey M. Karram, MD, Director of Urogynecology & Reconstructive Pelvic Surgery, Director and Founder of the Fellowship Training Program in Female Pelvic Medicine and Reconstructive Surgery, Professor, Department of Obstetrics and Gynecology, University of Cincinnati, Cincinnati, OH