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.
Features step-by-step instructions for urodynamic testing.
Addresses all urogynecologic disorders, including genuine stress incontinence
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.
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
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
By Mark D. Walters, MD, Professor and Vice-Chair of Gynecology, Center of Urogynecology and Reconstructive Pelvic Department of Obstetrics and Gynecology, Cleveland Clinic, Cleveland, Ohio
and Mickey M. Karram, MD, Director of Fellowship Program, Female Pelvic Medicine & Reconstructive Surgery, The Christ Hospital, Professor of OB/GYN & Urology, University of Cincinnati, Cincinnati, Ohio