This book is designed as a guide for management of advanced clinical scenarios encountered by the contemporary pelvic floor surgeon. It is organized by pelvic floor disorder (PFD) and covers the evaluation and treatment of urinary incontinence, fecal incontinence, and pelvic organ prolapse. Opening chapters in each section cover the fundamentals of proper and comprehensive assessment of patient PFDs, as well as the treatment options that are available for each disorder. The book then focuses on more complex and challenging situations that are becoming more frequently encountered as the number of patients being treated for PFD increases and the length of patient follow-up grows. Each chapter finally includes an expert commentary to address these new scenarios and offers a shifted approach from that required for treatment-naïve patients.
Female Pelvic Medicine: Challenging Cases with Expert Commentary teaches the reader how to approach the most difficult of clinical situations in a multidisciplinary fashion.
Basic Evaluation of the Patient with Pelvic Floor Dysfunction (General Review).- The Role of Urodynamics.- Anorectal Physiology Testing.- Quantitative and Qualitative Analysis of Fecal Incontinence.- Imaging in Pelvic Floor Medicine: Roles of Fluoroscopy, Ultrasound, CT, MRI.- The Importance of a Multidisciplinary Approach to Pelvic Floor Disorders.- Overview of treatment of urinary incontinence.- Mixed Urinary Incontinence: Strategic Approach.- Complex Cases of SUI.- Refractory Overactive Bladder.- Treatment for Fecal Incontinence: Non-Surgical Approaches.- Treatment for Fecal Incontinence: Sphincteroplasty and Postanal Repair.- Treatment for Fecal Incontinence: Muscle Transposition.- Treatment for Fecal Incontinence: Stimulation.- Approach to Pelvic Organ Prolapse.- Addressing Recurrent Pelvic Organ Prolapse: Unique Challenges of Recurrent Prolapse.- High Grade Prolapse.- Voiding Dysfunction or Urinary Retention Following Pelvic Floor Reconstruction.- Addressing Pelvic Floor Disorders in Patients with Neurogenic Bladder.- Mesh Complications in the Female Lower Urinary Tract.- Severe Urethral Stenosis/Complete Urethral Obliteration.
Kathleen C. KobashiHead, Section of Urology and Renal TransplantationVirginia Mason Medical Center1100 9th AvenueSeattle, WA 98101USA Steven D. WexnerDirector, Digestive Disease CenterChair, Department of Colorectal SurgeryCleveland Clinic Florida2950 Cleveland Clinic Blvd Weston, FL 33331USA
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