Female Pelvic Medicine and Reconstructive Pelvic Surgery (Soft Cover)

"Female Pelvic Medicine and Reconstructive Pelvic Surgery" is a high level text covering recent advances in the field.
It includes anatomy, normal and abnormal physiology, investigation techniques, inflammatory conditions and treatment
options.
The international panel of contributors is at the leading edge of research in the field and the editors have brought
together these contributors and topics which span the entire range of pelvic floor disorders in women. Emphasis is
placed on evidence-based medicine and this book serves to encourage all physicians and health care providers for women
with pelvic floor problems to work collaboratively and collegially. The resulting comprehensive overview will prove
indispensable for urology and gynecology specialists worldwide.

Topics covered include: Anatomy, Physiology, Neurophysiology; Investigation of Pelvic Floor Dysfunction; Inflammatory
Conditions, Painful Bladder and Pelvic Syndromes, Common Bowel Problems; Conservative Treatments for Pelvic Floor
Disorders; Surgical Approaches to Urinary and Faecal Incontinence; Surgery for Disorders of Pelvic Support; Fistulae,
Operative Trauma, Postoperative Problems.

Contents
Foreword
A. Ingelman-Sundberg, Shlomo Raz and Jack R. Robertson . . . . . . . . . . . . . . . . vii
Preface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xi
Contributors. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xvii
Section 1: Introduction
1. Urogynecology and Reconstructive Pelvic Surgery: Past, Present and
Future
Harold P. Drutz and J. Edwin Morgan. . . . . . . . . . . . . . . . . . . . . . . . . . 1
2. Prevalence of Urinary Incontinence, Pelvic Organ Prolapse and Anal
Incontinence in Women
Donna M. Fedorkow. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
Section 2: Anatomy, Physiology and Neurophysiology
3. Anatomy of the Pelvic Floor
Richard J. Scotti, George Lazarou and Wilma Markus Greston . . . . . . . . . . . 25
4. Neurophysiologic Control of the Lower Urinary Tract and Anorectum
Marie-Claude Lemieux and St?hane Ouellet . . . . . . . . . . . . . . . . . . . . 37
5. Clinical Aspects of Urinary, Genital and Lower Bowel Anomalies and
Ambiguous Genitalia
Gi lian D.Oliver . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43
6. Classification of Disorders of Female Pelvic Support and the Role of
Collagen
Jane A. Schulz and Harold P. Drutz . . . . . . . . . . . . . . . . . . . . . . . . . . 61
7. The Effect of Pregnancy and Childbirth on the Lower Urinary Tract
and Pelvic Floor
Kevi n M. Smith and Harold P.Drutz. . . . . . . . . . . . . . . . . . . . . . . . . . 69
Section 3: Investigation of Pelvic Floor Dysfunction
8. Clinical Evaluation of the Pelvis
Scott A. Farrell . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 81
9. Urodynamics of the Female Lower Urinary Tract, Resting and Stress
Urethral Pressure Profiles and Leak Point Pressures
Sidney B. Radomski . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 91
10. Videourodynamics
Sender Herschorn and Gary Peers . . . . . . . . . . . . . . . . . . . . . . . . . . 107
xiii
11. Role of Ultrasound in the Investigation of Urinary and Fecal
Incontinence
Heinz Koelbl . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 121
12. Anorectal Testing: Defecography and Anorectal Manometry
N.E. Diamant . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 133
13. MRI Studies in the Evaluation of Pelvic Floor Disorders
Marie-Andr? Harvey and Eboo Versi . . . . . . . . . . . . . . . . . . . . . . . . 145
14. Pelvic Floor Neurophysiologic Testing
Dana Soroka and Harold P.Drutz . . . . . . . . . . . . . . . . . . . . . . . . . . 159
15. Cystoscopy,Urethroscopy and Dynamic Cystourethroscopy
Patrick J. Culligan and Peter K. Sand . . . . . . . . . . . . . . . . . . . . . . . . . 169
Section 4: Inflammatory Conditions, Painful Bladder and Pelvic
Syndromes, Common Bowel Problems
16. Urinary Tract Infections in the Non-pregnant Woman
Abheha Satkunaratnam and Harold P. Drutz . . . . . . . . . . . . . . . . . . . . 181
17. Urethral Syndrome
Sender Herschorn and Marti ne Jolivet-Tremblay . . . . . . . . . . . . . . . . . . 193
18. Interstitial Cystitis: New Concepts in Pathogenesis,Diagnosis, and
Management
C. Lowell Parsons. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 199
19. Vulvodynia and Vestibulitis
Alan H.Gerulath. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 213
20. Urogenital Atrophy
Gloria A. Bachmann and Lisa Aptaker-Stirling . . . . . . . . . . . . . . . . . . . 223
21. Common Anal Problems in Women
Marcus J.Burnstei n . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 229
22. Chronic Pelvic Pain
Brenda B. Toner and Taryn N. Tang . . . . . . . . . . . . . . . . . . . . . . . . . 235
Section 5: Conservative Treatment for Pelvic Floor Disorders
23. Pharmacologic Approach to Urinary Incontinence and Voiding
Disorders
K.-E. Andersson . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 245
24. Behavioral Strategies for the Treatment of Urinary Incontinence in
Women
K. N.Moore and A. Saltmarche . . . . . . . . . . . . . . . . . . . . . . . . . . . . 269
25. Biofeedback and Functional Electrical Stimulation
Magali Robert and Thomas C.Mainprize . . . . . . . . . . . . . . . . . . . . . . 281
26. Supportive Devices
Cathy Flood and Lesley-Ann Hanson. . . . . . . . . . . . . . . . . . . . . . . . . 289
27. Sacral Nerves Neurostimulation
Magdy M. Hassouna . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 299
28. Biofeedback for Anorectal Disorders
Kenneth R. Jones, Steven Heymen and William E.Whitehead . . . . . . . . . . . 313
xiv Contents
Section 6: Surgical Approaches to Urinary and Fecal Incontinence
29. Anterior Colporrhaphy
Shawna L. Johnston and James A. Low . . . . . . . . . . . . . . . . . . . . . . . . 329
30. Buttress Procedures and Tension-free Slings for the Treatment of
Prolapse and Stress Incontinence
Corri ne F.I. Jabs,Harold P.Drutz and Ian Currie . . . . . . . . . . . . . . . . . . 339
31. Endoscopic Suspensions
Sender Herschorn and Lesley K. Carr . . . . . . . . . . . . . . . . . . . . . . . . 345
32. Retropubic Urethropexies
David H.L.Wilkie . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 355
33. Slings
Jane A. Schulz and J. Edwin Morgan . . . . . . . . . . . . . . . . . . . . . . . . . 361
34. Artificial Sphincters
Sender Herschorn and Marti ne Jolivet-Tremblay . . . . . . . . . . . . . . . . . . 369
35. Minimal Access Surgery in the Management of Genuine Stress
Incontinence
Kevin M. Smith and Rose C. Kung . . . . . . . . . . . . . . . . . . . . . . . . . . 379
36. Bulking Agents
Sender Herschorn and Patri ci a Lee. . . . . . . . . . . . . . . . . . . . . . . . . . 389
37. Fecal Incontinence; Rectal Prolapse
Marti n Friedli ch and Marcus J.Burnstei n. . . . . . . . . . . . . . . . . . . . . . 399
38. Paravaginal Repairs
Scott A. Farrell and Constance Ling . . . . . . . . . . . . . . . . . . . . . . . . . 413
Section 7: Surgery for Disorders of Pelvic Support
39. Sacrospinous Vault Suspension and Abdominal Colposacropexy
Bunan Alnaif, Harold P. Drutz and Mohamed H. Baghdadi . . . . . . . . . . . . 427
40. Repair of Posterior Vaginal Wall Prolapse
Margi e A.Kahn and Abdul H. Sultan. . . . . . . . . . . . . . . . . . . . . . . . . 441
Section 8: Fistulas,Operative Trauma, Postoperative Problems
41. Urethral Fistulas and Diverticula
Raymond A. Lee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 455
42. Ureterovaginal Fistula
Kathleen C.Kobashi and Gary E. Leach . . . . . . . . . . . . . . . . . . . . . . . 465
43. Vesicovaginal Fistula
Harold P.Drutz and Kevi n R.Baker . . . . . . . . . . . . . . . . . . . . . . . . . 471
44. Rectovaginal Fistulas and Intraoperative Bowel Injury
Theodore M. Ross and Frederick D. Brenneman . . . . . . . . . . . . . . . . . . . 481
45. Intraoperative Management of Injury to the Lower Urinary Tract
Sai d A.Awad and Phi li p Scott Bagnell . . . . . . . . . . . . . . . . . . . . . . . . 493
46. Postoperative Voiding Dysfunction
J.Barry MacMi lan and Harold P.Drutz . . . . . . . . . . . . . . . . . . . . . . . 497
Section 9: Training Guidelines
47. Guidelines for Training in Urogynecology and Reconstructive
Pelvic Surgery (URPS)
International Urogynecological Association. . . . . . . . . . . . . . . . . . . . . 515
Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 527
Contents xv
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