Walters & Karram Urogynecology and Reconstructive Pelvic Surgery
- 5th Edition - September 1, 2021
- Imprint: Elsevier
- Editors: Matthew D. Barber, Mark D. Walters, Mickey M. Karram, Catherine Bradley
- Language: English
- Hardback ISBN:9 7 8 - 0 - 3 2 3 - 6 9 7 8 3 - 5
- eBook ISBN:9 7 8 - 0 - 3 2 3 - 8 2 6 1 7 - 4
Uniquely designed to reflect the physician’s decision-making process, Walters & Karram Urogynecology and Reconstructive Pelvic Surgery presents definitive, state-of-the-a… Read more
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Request a sales quoteUniquely designed to reflect the physician’s decision-making process, Walters & Karram Urogynecology and Reconstructive Pelvic Surgery presents definitive, state-of-the-art guidance on every aspect of female pelvic medicine and reconstructive surgery. This practical, atlas-style resource covers everything from basic concepts through to clinical and urodynamic evaluation, management, and treatment, equipping you to make the best clinical decisions and optimize outcomes. Edited and authored by renowned experts in the field, this updated 5th Edition is an ideal resource for urogynecology fellows and practitioners, urologists, and OB/GYNs who need a step-by-step, comprehensive reference on the latest procedures and research to evaluate and treat female pelvic floor disorders.
Offers a comprehensive approach to 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.
Provides algorithmic approaches to common complaints, evidence-based assessments of appropriate therapies, and hundreds of clear surgical illustrations, photographs, and radiographs.
Features an all-new video collection to clearly demonstrate key procedures.
Contains new chapters on Urology for the Urogynecologist and Interstitial Cystitis/Bladder Pain Syndrome.
Contains timely discussions of surgical complications, the psychosocial issues associated with treating patients with female pelvic floor disorders, and female sexual function and dysfunction.
Includes case presentations from leading experts in urogynecology and urology that allow you to apply the information presented to everyday clinical situations.
Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices.
Urogynecologists and Fellows, Urologists, Gynecologic Surgeons
- Cover image
- Title page
- Table of Contents
- Copyright
- Dedication
- Contributors
- Acknowledgments
- List of Illustrations
- List of Tables
- Part 1. Basic Science
- 1. Anatomy of the lower urinary tract, pelvic floor, and rectum
- Pelvic anatomy
- Surgical spaces
- Pelvic organ support
- Bibliography
- 2. Embryology and congenital anomalies of the urinary tract, rectum, and female genital system
- Embryology
- Congenital anomalies of the female genital system
- Summary
- Bibliography
- 3. Neurophysiology and pharmacology of the lower urinary tract
- Introduction
- General nervous system arrangements
- Sensory innervation
- Central nervous system modulation
- Bladder filling and storage
- Voiding
- Innervation of lower urinary tract outlet
- Clinical pharmacology of the lower urinary tract
- Therapy to facilitate bladder emptying
- Therapy to facilitate urine storage
- Bibliography
- 4. Physiology of the pelvic muscles, vagina, and anorectum
- Pelvic floor
- Vagina
- Anorectum
- Summary
- Bibliography
- 5. Pathophysiology of pelvic floor disorders
- Introduction
- Stress urinary incontinence
- Pelvic organ prolapse
- Fecal incontinence
- Bibliography
- Stress urinary incontinence
- Pelvic organ prolapse
- Fecal incontinence
- 6. Epidemiology and psychosocial impact of female pelvic floor disorders
- Epidemiology
- Causes and prevention of pelvic floor disorders
- Psychosocial impact of pelvic floor disorders
- Bibliography
- 7. Synthetic mesh and biologic grafts: Properties and biomechanics
- Introduction
- Synthetic meshes
- Biologic grafts
- Future outlook for synthetic meshes and biologic grafts
- Bibliography
- 8. Description and classification of lower urinary tract dysfunction and pelvic organ prolapse
- Introduction
- Classification systems of lower urinary tract dysfunction
- Differential diagnosis of urinary incontinence
- Description and staging of pelvic organ prolapse
- Classification system of vaginal prostheses and graft complications
- Bibliography
- Classification of complications related to vaginal prostheses and grafts
- Classification of pelvic organ prolapse
- Classification of urinary incontinence
- Part 2. Evaluation
- 9. Evaluation of pelvic floor disorders: History, physical examination, and diagnostic testing
- Introduction
- History for pelvic floor disorders
- Physical examination
- Diagnostic testing
- Summary
- Bibliography
- Introduction
- History of pelvic floor disorders
- Physical examination
- Diagnostic testing
- 10. Female sexual function and dysfunction: Assessment and treatment
- Introduction
- Models of female sexual response
- Physiology
- Female sexual disorders
- Variables that can affect sexual function
- Screening and evaluation for sexual dysfunction
- Treatment of female sexual disorders
- Conclusion
- Bibliography
- 11. Urodynamics: Indications, techniques, interpretation, and clinical utility
- Introduction to urodynamics
- Urodynamic equipment
- Performing a urodynamic evaluation
- Interpretation of specific tests
- Urodynamics and specific conditions
- Video urodynamics
- Case discussions
- American urological association/society of urodynamics, female pelvic medicine & urogenital reconstruction guidelines on urodynamic studies in adults
- Conclusion
- Bibliography
- Cystometry
- Leak point pressures
- Urethral pressure profilometry
- Flow studies
- Video urodynamics
- 12. Endoscopic assessment of the lower urinary tract
- Historical perspective
- Indications
- Instrumentation
- Cystourethroscopic technique
- Cystourethroscopic findings
- Bibliography
- Historical perspective
- Instrumentation
- Cystourethroscopic technique
- Cystourethroscopic findings
- 13. Radiologic studies of the lower urinary tract and pelvic floor
- Introduction
- Plain film of the abdomen
- Intravenous pyelography, computed tomography urogram, and retrograde pyelography
- Cystography and voiding cystourethrography
- Fluoroscopy and defecography
- Ultrasound
- Applications of ultrasound in evaluating disorders of the lower urinary tract and pelvic floor
- Magnetic resonance imaging
- Bibliography
- Part 3. Management of Stress Urinary Incontinence and Pelvic Organ Prolapse
- 14. Stress urinary incontinence and pelvic organ prolapse: Nonsurgical management
- Introduction
- The bladder diary: A valuable clinical tool
- Behavioral intervention: Pelvic floor muscle training and exercise
- Weight loss and urinary incontinence
- Complementary and alternative therapies for urinary incontinence
- Estrogen and stress urinary incontinence
- Other pharmacologic therapies for stress urinary incontinence
- Urethral devices
- The ins and outs of pessary use
- Conclusion
- Bibliography
- Introduction
- The bladder diary: A valuable clinical tool
- Behavioral intervention: Pelvic floor muscle training and exercise
- Weight loss and urinary incontinence
- Complementary and alternative therapies for urinary incontinence
- Estrogen and stress urinary incontinence
- Other pharmacologic therapies
- Urethral devices
- Ins and outs of pessary use
- 15. Retropubic operations for stress urinary incontinence
- Introduction
- Indications for retropubic procedures
- Surgical techniques
- Clinical results
- Mechanisms of cure
- Complications
- Role of hysterectomy in the treatment of incontinence
- Pregnancy after retropubic surgery
- Bibliography
- Surgical technique
- Results and mechanism of cure
- Complications
- 16. Biologic bladder neck slings for stress urinary incontinence
- Introduction
- Indications
- Sling materials
- Surgical techniques
- Outcomes
- Complications
- Bibliography
- 17. Synthetic midurethral slings for stress urinary incontinence
- Introduction
- Retropubic midurethral slings
- Transobturator midurethral slings
- Single-incision minislings
- Outcomes
- Avoiding and managing complications
- Perioperative pelvic muscle exercises
- Pregnancy after midurethral slings
- Conclusion
- Bibliography
- 18. Urethral injection of bulking agents for intrinsic sphincter deficiency
- Introduction
- Indications and contraindications
- Evaluation
- Materials
- Techniques
- Complications and safety
- Future considerations
- Bibliography
- 19. Surgical treatment of anterior vaginal wall prolapse
- Introduction
- Anatomy and pathology
- Evaluation
- Surgical repair techniques
- Results
- Complications
- Bibliography
- 20. Surgical treatment of posterior vaginal wall prolapse
- Anatomy and pathophysiology
- Evaluation
- Surgical repair techniques
- Analysis of outcomes
- Complications
- Conclusion
- Bibliography
- Anatomy and pathophysiology
- Evaluation
- Surgical techniques, complications, and recurrence
- 21. Surgical treatment of vaginal apex prolapse
- Introduction
- Anatomic considerations
- Transvaginal native tissue suture repairs
- Transvaginal mesh procedures
- Sacrocolpopexy
- Choosing approach of surgery
- Bibliography
- 22. Uterine preservation in pelvic organ prolapse surgery
- Introduction
- Historical perspective
- Considerations for uterine preservation
- Vaginal approach
- Abdominal approach
- Comparing approaches to hysteropexy
- Summary and future questions
- Bibliography
- 23. Obliterative procedures for pelvic organ prolapse
- Introduction
- Historical perspectives
- Preoperative evaluation
- Le fort partial colpocleisis
- Total colpectomy and colpocleisis
- Levator plication and perineorrhaphy
- Urinary and bowel function following obliterative procedures
- Quality of life and regret of loss of sexual function
- Conclusion
- Bibliography
- Historical perspectives
- Evaluation, surgical treatment, and complications
- Part 4. Surgical Complications and their Management
- 24. Avoiding and managing lower urinary tract injuries during pelvic surgery
- Introduction
- Incidence
- Prevention of injuries
- Recognition and management of injuries
- Postoperative evaluation of suspected genitourinary fistulas
- Bibliography
- 25. Managing mesh complications after surgeries for urinary incontinence and pelvic organ prolapse
- Introduction
- US food and drug administration warnings
- Professional society guidelines
- Avoiding synthetic mesh complications
- Managing complications
- Conclusion
- Bibliography
- 26. Complications of pelvic reconstructive surgery
- Evaluating comorbidities and perioperative risk
- Enhanced recovery
- Pulmonary complications
- Venous thromboembolism
- Delirium
- Fever and perioperative infections
- Small bowel obstruction
- Small bowel injury
- Rectal injury
- Nerve injury
- Iatrogenic complications of vaginal surgery
- Conclusion
- Bibliography
- Part 5. Fecal Incontinence and Defecation Disorders
- 27. Fecal incontinence
- Epidemiology
- Etiology
- Evaluation
- Nonsurgical treatment
- Procedures and surgery
- Additional treatment considerations
- Conclusion
- Bibliography
- 28. Constipation
- Definition and etiology
- Epidemiology
- Evaluation
- Nonsurgical treatment
- Surgical treatment
- Conclusion
- Bibliography
- 29. Rectovaginal fistula and perineal breakdown
- Anatomy of the perineal body, distal vagina, rectum, and anus
- Classification and presentation of perineal breakdown and rectovaginal fistula
- Etiologies of rectovaginal fistula and perineal breakdown
- Diagnosis and preoperative evaluation
- Surgical treatment of rectovaginal fistula
- Perineal breakdown
- Conclusion
- Bibliography
- 30. Full-thickness rectal prolapse
- Introduction
- Etiology
- Epidemiology
- Clinical features
- Evaluation
- Nonsurgical options for prolapse
- Common surgical repairs for prolapse
- Outcomes and choice of procedure
- Bibliography
- Part 6. Lower Urinary Tract Disorders
- 31. Overactive bladder syndrome, polyuria, and nocturia
- Overactive bladder syndrome
- Polyuria
- Nocturia
- Summary
- Bibliography
- 32. Refractory overactive bladder
- Introduction
- Botulinum toxin
- Sacral neuromodulation
- Factors associated with success of botulinum toxin and sacral neuromodulation
- Percutaneous tibial nerve stimulation
- Cost effectiveness of therapies
- Emerging therapies
- Final conclusions
- Bibliography
- 33. Neurourology and compliance abnormalities
- Introduction
- Compliance and changes in bladder neurophysiology
- Types of neurogenic bladder
- Urodynamics and bladder compliance
- Urodynamic findings in neurogenic bladder
- Patient evaluation
- Management of impaired compliance
- Conclusion
- Bibliography
- 34. Voiding dysfunction in women
- Introduction
- Neurophysiology of micturition
- Classification of voiding dysfunction
- Evaluation of female voiding dysfunction
- Diagnosis and management
- Neurogenic voiding dysfunction
- Conclusion
- Bibliography
- 35. Interstitial cystitis/bladder pain syndrome
- Introduction
- Nomenclature
- Epidemiology
- Etiology
- Clinical phenotyping
- Flares
- Evaluation
- Management of interstitial cystitis/bladder pain syndrome
- Bibliography
- Nomenclature and epidemiology
- Etiology
- Clinical phenotyping and flares
- Evaluation
- Management of interstitial cystitis/bladder pain syndrome
- Part 7. Specific Conditions
- 36. Lower urinary tract infection
- Introduction
- Acute, symptomatic, uncomplicated lower urinary tract infection
- Complicated urinary tract infections
- Recurrent symptomatic urinary tract infection
- Asymptomatic bacteriuria
- Special circumstances
- Conclusions
- Bibliography
- 37. Urethral diverticula
- Introduction
- Incidence
- Etiology
- Presentation
- Diagnosis
- Radiologic imaging
- Urethral and urethral diverticular pathology
- Management of female urethral diverticula
- Complications
- Summary
- Bibliography
- 38. Lower urinary tract fistulas
- Historic perspectives
- Epidemiology and etiology
- Presentation and diagnosis
- Conservative management
- Timing of surgical repair
- Presurgical management
- Surgical repair
- Urinary diversion
- Complications of fistula repair
- Prevention
- Bibliography
- 39. Bladder drainage and urinary protective methods
- Introduction
- Bladder drainage
- Urine loss appliances and absorptive products
- Bibliography
- 40. Urology for the urogynecologist
- Basics of urinary stone disease
- Bladder cancer
- Retrograde ureterogram and stent placement
- Bibliography
- Part 8. Research Methods
- 41. Outcomes and quality-of-life measures in pelvic floor research
- Introduction
- Symptom diaries
- Pad testing
- Anatomic outcomes
- Physiologic testing
- Questionnaires
- Socioeconomic outcomes
- Defining treatment success
- Bibliography
- Introduction
- Symptom diaries and pad testing
- Anatomic and physiologic outcomes
- Questionnaires
- Patient-selected goals
- Defining treatment success
- Index
- Edition: 5
- Published: September 1, 2021
- Imprint: Elsevier
- Language: English
- Hardback ISBN: 9780323697835
- eBook ISBN: 9780323826174
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Matthew D. Barber
Affiliations and expertise
E.C. Hamblen Professor and Chair, Department of Obstetrics and Gynecology, Duke University Medical Center, USAMW
Mark D. Walters
Affiliations and expertise
Professor and Vice-Chair of Gynecology, Center of Urogynecology and Reconstructive Pelvic Surgery, Obstetrics, Gynecology, and Women's Health Institute, Celeveland Clinic, Cleveland, OhioMK
Mickey M. Karram
Affiliations and expertise
Director of Urogynecology,The Christ Hospital,Clinical Professor of Obstetrics & Gynecology ,University of Cincinnati,Cincinnati, OHCB
Catherine Bradley
Affiliations and expertise
Division Director, Urogynecology and Reconstructive Pelvic Surgery, Professor of Ob/Gyn & Urology, University of Iowa, Iowa City, Iowa, USA