Advances in Female Pelvic Medicine and Reconstructive Surgery, An Issue of Obstetrics and Gynecology Clinics

1st Edition, Volume 48-3 - August 21, 2021
Author: Rebecca G. Rogers
Language: English
Hardback ISBN:
9 7 8 - 0 - 3 2 3 - 7 9 7 0 9 - 2
eBook ISBN:
9 7 8 - 0 - 3 2 3 - 7 9 7 1 0 - 8

In this issue of Obstetrics and Gynecology Clinics, guest editor Rebecca G. Rogers brings her considerable expertise to the topic of Advances in Urogynecology.… Read more

Advances in Female Pelvic Medicine and Reconstructive Surgery, An Issue of Obstetrics and Gynecology Clinics

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In this issue of Obstetrics and Gynecology Clinics, guest editor Rebecca G. Rogers brings her considerable expertise to the topic of Advances in Urogynecology.

Cover image
Title page
Table of Contents
Copyright
Contributors
Forthcoming Issues
Foreword
Preface
Pelvic Organ Prolapse: Controversies in Surgical Treatment
Key points
Introduction
Preoperative counseling, decision-making, and patient preparedness
Preoperative urodynamics and concomitant anti-incontinence surgery
Uterine preservation at the time of prolapse repair
Type of hysterectomy to perform at the time of mesh sacrocolpopexy
Length of stay
In-person versus virtual postoperative care
Summary
Clinics care points
Stress Urinary Incontinence: Slings, Single-Incision Slings, and Nonmesh Approaches
Key points
Synthetic midurethral slings
Background
Retropubic sling
Transobturator sling
Retropubic versus transobturator sling
Single incision sling
Clinics care points
Clinical case
Nonmesh approaches
Autologous sling
Retropubic colposuspension
Urethral bulking
Summary
Clinics care points
Case study: Ms L
Disclosure
Accidental Bowel Leakage/Fecal Incontinence: Evidence-Based Management
Key points
Introduction
Management
Summary
Clinics care points
Telemedicine in Urogynecology
Key points
Introduction
Definitions
Regulatory, reimbursement, and ethical concerns
Prior experience with telemedicine
Experience with the coronavirus disease 2019 pandemic and telemedicine
Telemedicine in urogynecology
Summary
Clinics care points
Recurrent Urinary Tract Infections: Diagnosis, Treatment, and Prevention
Key points
Introduction
Epidemiology and risk factors
Pathophysiology
Diagnosis
Treatment
Treatment in diabetics
Prevention
Possibilities for future research
Summary
Clinics care points
Disclosure
Update in Transvaginal Grafts: The Role of Lightweight Meshes, Biologics, and Hybrid Grafts in Pelvic Organ Prolapse Surgery
Key points
Introduction and background
Lightweight polypropylene mesh
Synthetic Absorbable Mesh
Biological Mesh
Composite Mesh
Collagen-coated mesh
Tissue engineering
Factors affecting surgical outcomes
Summary
Clinics care points
Urinary Tract Injury During Gynecologic Surgery: Prevention, Recognition, and Management
Key points
Introduction
Anatomy
Background
Prevention
Assessment and evaluation
Management and repair
Summary
Clinics care points
Female Pelvic Fistulae
Key points
Introduction
Cause and epidemiology of fistulae
Diagnosis and evaluation of fistulae
Conservative management of fistulae
Optimizing surgical management of fistulae
Surgical techniques for fistula repair
Summary
Clinics care points
Disclosure
Recognition and Management of Pelvic Floor Disorders in Pregnancy and the Postpartum Period
Key points
Introduction
Discussion
Summary
Clinics care points
Disclosure
Painful Bladder Syndrome/Interstitial Cystitis and High Tone Pelvic Floor Dysfunction
Key points
Introduction
Background
Clinical presentation and evaluation of painful bladder syndrome/interstitial cystitis and high tone pelvic floor dysfunction
Therapeutic options (painful bladder syndrome/interstitial cystitis)
Therapeutic options (high tone pelvic floor dysfunction)
Summary
Clinics care points
Urethral Masses
Key points
Urethral and periurethral masses
Summary
Clinics care points
Ultrasonographic Imaging of the Pelvic Floor
Key points
Introduction
Pelvic floor anatomy
Ultrasonographic indications and techniques
Clinical utility
Summary
Critical care points
Supplementary data
Sexual Function After Pelvic Reconstructive Surgery
Key points
Introduction
Sexual activity before and after surgery
Changes in overall sexual function after pelvic organ prolapse surgery
Dyspareunia after pelvic floor surgery
Comparing sexual function after various types of prolapse surgery
Domains of sexual function
How to measure sexual function in pelvic reconstructive surgery
Summary
Clinics care points
Defecatory Dysfunction
Key points
Background
Evaluation
Therapeutic Options
Clinics care points
Urinary Incontinence in Older Women: A Syndrome-Based Approach to Addressing Late Life Heterogeneity
Key points
Introduction
Urinary incontinence is associated with unhealthy aging
Urinary incontinence evolves over the lifespan
Urinary incontinence: an understudied and poorly characterized geriatric syndrome
Future directions
Neuromodulation
Key points
Introduction
Evidence for neuromodulation
Evidence for neuromodulation—bowel
Summary

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Advances in Female Pelvic Medicine and Reconstructive Surgery, An Issue of Obstetrics and Gynecology Clinics

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Rebecca G. Rogers