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Despite the wide prevalence of urogynaecological problems, in clinical practice, there is a paucity of specialists that are skilled in the management of these conditions. The recognition of the need for a specialist to deal with these specific problems has led to the recent evolution of urogynaecology as a subspecialty. This book, Principles and Practice of Urogynaecology aims to equip the practicing professionals - Gynaecologists, Urogynaecologists and Urologists, with up-to-date information on the principles that guide the evaluation and management of pelvic organ prolapse and other common urogynaecological problems. With an emphasis on evidence based medicine, the book aims to deliver guidance on management of common urogynaecological problems and provides information on the latest cutting-edge surgical techniques. Written by global experts in the field of urogynaecology, the book focuses initially on pelvic floor anatomy and function, moving seamlessly to the evaluation and management of clinically relevant pelvic floor problems. A detailed discussion on management of mesh related complications is a highlight.
"According to the International Association for Ambulatory Surgery (IAAS), ambulatory surgery should be defined as: 'an operation/procedure, excluding an office or outpatient operation/procedure, where the patient is discharged on the same working day'. The origins of ambulatory surgery can be traced back to the pioneering work of James Nicholl at the Glasgow Royal Hospital who reported 8988 paediatric day case procedures between 1899-1908. Despite initial scepticism from the surgical profession, there has been a rapid expansion in the complexity and amount of ambulatory surgery in recent years: between 1989-2003 the percentage of elective surgery undertaken as day case in the UK increased from 15% to 70%. Many health services have set targets for the percentage of elective surgeries to be done as day-case procedures and in the UK this target is set at 75%"--
With rising prevalence of urinary incontinence and prolapse in aging population in the Western world there is an increasing need for knowledge about this subject. This handy pocketbook summarizes the practical patient management, based upon the available evidence and author’s own clinical experience, and indicates controversial areas where we have insufficient evidence. All about urinary incontinence, prolapse and fecal incontinence - the only small book that does all three. Aimed at general practitioners and junior gynecology trainees, it will also be useful for consultant gynecologists with no previous formal urogynecological training.
Presents almost 100 common and uncommon gynecologic problems encountered in urgent and emergency settings with an emphasis on practical management.
Now totally revised and rewritten for today’s female pelvic medicine and reconstructive surgery practice, Ostergard’s Textbook of Urogynecology: Female Pelvic Medicine & Reconstructive Surgery, 7th Edition, offers comprehensive guidance on all aspects of this complex field. Drs. Ali Azadi, Jeffrey L. Cornella, Peter L. Dwyer, and Felicia L. Lane bring you up to date with current diagnosis and treatment of all female pelvic floor dysfunctions, including urinary incontinence and other lower urinary tract conditions, disorders of the anus and rectum, and disorders of pelvic support. Thorough updates include revised and rewritten content throughout, new full-color illustrations, new surgical videos, new chapters on current clinical topics, and much more.
Pelvic Floor Re-education encompasses a variety of techniques for increasing the strength of, and control over, the pelvic floor muscles. These techniques are now emerging as an effective and viable alternative to surgery in the treatment of urinary incontinence and related conditions. This volume presents a reasoned, scientific approach to the use of pelvic floor re-education. Starting with the latest theories on anatomy, pathophysiology and possible causes of pelvic floor damage, the text then describes the importance of pelvic floor evaluation in determining the type of treatment required. A number of re-education techniques are assessed including isolated muscle exercise, vaginal cones, biofeedback control and electrical stimulation. Recent research work is also reviewed which allows the reader to evaluate the different modalities advocated in the management of pelvic floor dysfunction.
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 · 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. 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.
UROGYNECOLOGY AND RECONSTRUCTIVE PELVIC SURGERY offers practical, clinically oriented information covering all areas of urogynecology: urinary incontinence, urodynamic testing, management of genuine stress incontinence, pelvic organ prolapse, fecal disorders, and other specific related conditions. Organized to follow the logical flow of the physician's decision-making process, it includes numerous algorithms, tables, and boxes to highlight important material. These features point out guidelines for treatment, questions to ask in evaluating the patient, costs of certain treatments, and organizations of interest to patients who are trying to cope with chronic problems. The book concludes with appendices of the standardization of terminology of lower urinary tract function. * Includes comprehensive appendix with all terminology related to lower urinary tract function. * Features extensive use of algorithms, or decision trees, which promote systematic thinking and logical decisions, enhancing clinical efficiency. * Features numerous tables, boxes and illustrations to facilitate understanding of the material. * Provides the most current options for laparoscopic treatment. * Presents step-by-step instruction for urodynamic testing.
Presenting the basis for gynecological studies in South Africa, this comprehensive examination, compiled by 32 leaders in the field, describes the history and basics of gynecology—including genetics, embryology, anatomy, physiology, and cytology bioethics. Incorporating information on the latest diagnostic and therapeutic procedures, HIV/AIDS, abuse and violence against women, and access to gynecological data via electronic media, this third edition includes eight new chapters, a DVD that shows live techniques and procedures, and a quick-reference guide summarizing the salient points of each chapter. An invaluable resource for undergraduates, postgraduate students, and practicing physicians, the topics covered in this authoritative handbook apply not only to sub-Saharan Africa but to any developing community.
Ultrasound has replaced X-ray as the main imaging modality for the diagnosis of pelvic floor disorders in women. It now enables a cost-effective and non-invasive demonstration of bladder neck and pelvic organ mobility, vaginal, urethral and levator ani function and anatomy, and anorectal anatomy. Atlas of Pelvic Floor Ultrasound provides an introduction to pelvic floor imaging as well as a resource to be used during initial and more advanced practice.