Surgery for Urinary Incontinence E-Book

1. Etiology and Epidemiology of Urinary Incontinence 2. Preoperative Evaluation of Patients with Urinary Incontinence and Selection of Appropriate Surgical Procedures for Stress Incontinence 2-1 Discussion of Normal Lower Urinary Tract Function 2-2 Live Patient Interview 2-3 Case Study of a Patient with Mixed Urinary Incontinence 2-4 Examination of a Patient with Significant Anterior Vaginal Wall Prolapse 2-5 Case Study of a Patient with Symptomatic Prolapse and Incontinence 2-6 Demonstration of "Eyeball" Filling Study in a Patient with Incontinence and Prolapse 2-7 Q-Tip Test in a Patient with Minimal Urethral Mobility 2-8 Overview of Specific Urodynamics Studies 3. Surgical Anatomy of the Anterior Vaginal Wall, Retropubic Space, and Inner Groin 3-1 Anatomy of the Anterior Vaginal Wall 3-2 Anatomy of the Lower Urinary Tract 3-3 Anatomy of Retropubic Space (Cadaveric Dissection) 3-4 Anatomy of Retropubic Space (Live Surgical Demonstration) 3-5 Anatomy Relevant to Retropubic Midurethral Slings 3-6 Anatomy Relevant to Transobturator Midurethral Slings 4. Retropubic Operations for Stress Urinary Incontinence 4-1 Modified Burch Colposuspension 4-2 Laparoscopic Paravaginal Repair 5. Biologic Bladder Neck Pubovaginal Slings 5-1 Rectus Fascia Pubovaginal Sling Procedure 5-2 Urethral Reconstruction with Martius Fat Pad Transposition and Cadaveric Fascia Lata Pubovaginal Sling 6. Retropubic Synthetic Midurethral Slings 6-1 Traditional Tension-Free Vaginal Tape Procedure 6-2 Tension-Free Vaginal Tape EXACT Procedure 6-3 SPARC Procedure 7. Transobturator Synthetic Midurethral Slings 7-1 Transobturator Sling: Inside-Out Technique (Example 1) 7-2 Transobturator Sling: Inside-Out Technique (Example 2) 7-3 Transobturator Sling: Outside-In Technique (MONARC) 8. Single Incision Synthetic Midurethral Slings 8-1 TVT-Secur - Hammock Placement 8-2 TVT-Secur - "U" Placement 8-3 MiniArc Single-Incision Sling System 8-4 Solyx SIS System 8-5 AJUST Adjustable Single-Incision Sling 9. Surgical Management of Voiding Dysfunction and Retention Following Stress Incontinence Surgery 9-1 Loosening of Retropubic Synthetic Sling at 8 days Postoperatively 9-2 Excision of Suburethral Portion of Retropubic Synthetic Sling 9-3 Excision of Single Incision Synthetic Sling 9-4 Incision of Pubovaginal Sling 9-5 Retropubic Vesicourethrolysis 9-6 Vaginal Urethrolysis 10. Bulk Enhancing Agents for Stress Incontinence: Indications and Techniques 10-1 Cystoscopic Injection of Urethral Bulking Agent (Coaptite) 11. Sacral Neuromodulation 11-1 Percutaneous Nerve Evaluation 11-2 Stage I Implant 11-3 Stage II Implant 12. Botulinum Toxin Injection Therapy 12-1 Technique of Intravesical Injection of Botulinum Toxin 13. Bladder Augmentation 13-1 Technique for Bladder Augmentation (Example 1) 13-2 Technique for Bladder Augmentation (Example 2) 14. Managing Surgical Complications Related to Procedures for Incontinence 14-1 Recurrent Stress Incontinence After Two Previous Unsuccessful Synthetic Midurethral Sling Procedures 14-2 Bladder Perforation at the Time of Retropubic Synthetic Midurethral Sling Procedure 14-3 Excision of Subrutheral Portion of Synthetic Sling and Partial Cystectomy to Remove Eroded Sling with Stone Formation from Bladder 14-4 Excision of TVT-Secur Sling from Urethra with Urethral Reconstruction and Placement of Cadaveric Fascial Pubovaginal Sling 14-5 Complete Removal of Transobturator Tape (OB Tape) Secondary to Recurrent Granulation Tissue and Vaginal Bleeding 14-6 Recurrent Incontinence After Tension-Free Vaginal Tape Secondary to Complex Urethral Diverticulum 14-7 Excision of Eroded Tension-Free Vaginal Tape with Repair of Urethrovaginal Fistula and Placement of Cadaveric Fascia Pubovaginal Sling 14-8 Avoiding and Managing Bleeding During Placement of Retropubic Midurethral Sling 14-9 Avoiding And Managing Small Bowel Injury During Placement of Retropubic Midurethral Sling