Vaginal Surgery for Incontinence and Prolapse

This book provides the most up-to-date and comprehensive information
on vaginal anatomy and physiology. It offers practical guidelines for
office evaluation of incontinence and prolapse, and a series of
detailed chapters on reconstructive procedures for urinary
incontinence, fecal incontinence and prolapse. There are 120
illustrations to enhance the text. This book is for urological and
gynecological surgeons involved in training or currently delivering
surgical care to women with pelvic floor dysfunction. It succeeds in
bringing together established and new practices in this fast emerging
field.


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목차

I. Anatomy/epidemiology: Vaginal anatomy.
Epidemiology of incontinence and prolapse.

II. Evaluation: Urinary incontinence.
Prolapse.-
Fecal incontinence.
Neurophysiologic testing.
Outcome measures for assessing efficacy of incontinence procedures.

III. Surgery for urinary incontinence: Transvaginal surgery for
stress urinary incontinence due to urethral hypermobility.
Stress urinary incontinence secondary to intrinsic sphincteric
deficiency.
The mid urethral tapes.

IV. Surgery for prolapse: Anterior compartment.
Uterine and vaginal vault prolapse.
Enterocele and rectocele/perineorrhaphy.

V. Surgery for fecal incontinence.

VI. Vaginal approach to abdominal or vaginal surgery failures: After
failed previous surgery for incontinence. Post-surgical bladder
outlet obstruction.
Pelvic prolapse.
Intraoperative complications.

VII. Other reconstructive vaginal procedures: Vesicovaginal and
urethrovaginal fistulae.
Urethral diverticula and other periurethral masses. Bladder neck
closure.