Urogynecologic Surgery

Part 1 Urogynecology - A Historical Perspective: Endoscopy in urogynecology / Urodynamics and pharmaceutical treatment / Behavioural therapy / Surgery to correct female incontinence. Part 2 Embryologic Development of the Female Genital Tract: Development of the embryo Development of the urogenital ridge Formation of the lower urinary tract Development of the vaginal plate / Effects of diethylstilbestrol / Development of external genitalia Clinical implications. Part 3 Anatomy of Genital Support: General principles of support / Support of the pelvic organs / Failure of the support system / Anatomy of support Lower urinary tract and pelvic floor Evaluation of Urinary Incontinence Need for evaluation / Tests and evaluative procedures / Sequence of tests for genuine stress incontinence / Diagnostic criteria for specific conditions. Part 5 Stress Urinary Incontinence - Corrective Approaches: Anterior Colporrhaphy Evolution of the procedure / Anterior colporrhaphy with and without the presence of genuine stress incontinence Mechanisms in the surgical correction of genuine stress incontinence / Procedure of anterior colporrhaphy: A modified technique / Complications and results Transvaginal Needle Suspension Evolution of the procedure / Surgical anatomy and terms / Indications Techniques / Combined needle suspension-sling procedures / Results / Complications Paravaginal Repair Evolution of the procedure / Anatomy / Diagnosis of vaginal support defects Technique Retropubic Urethropexy or Colposuspension Indicabons / Evolution of the procedure Physiologic alterations / Complications Therapeutic Results Pubovaginal Slings Background / Patient selection / Preoperative preparation / Operative technique Postoperative care and complications Detrusor Instability Incontinence Definition / Causes / Diagnosis / Nonsurgical treatment of detrusor instability / Surgical treatment of detrusor instability. Part 6 Total Incontinence - Corrective Approaches: Management of Genitourinary Fistulas Urethrovaginal fistula / Vesicovaginal fistula / Ureterovaginal fistula Periurethral Injections Historical review / Patient selection Preoperative preparation / Recommended procedure / Postoperative management / Efficacy and safety of injectables in female incontinence Implantation of Artificial Urinary Sphincters Historical review / Patient selection Preoperative preparation / Recommended technique / Postoperative care Therapeutic results. Part 8 Urethral Abnormalities: Urethral diverticulum / Urethral prolapse / Urethral caruncle. Part 9 Urinary Tract Injuries: Ureteral injury / Bladder injury Injuries related to cancer therapy. Part 10 Urinary Drainage Devices: Ureteral catheters / Bladder Drainage Vaginal urinary drainage. Part 11 Urinary Diversions: Historical perspectives / Indications and choice of procedure / Complications and other considerations after urinary diversion / Recommended approaches.