Chapter Outline Introduction Properties of the Ideal Graft Material Biologic Properties of Host Tissue Properties of Synthetic Material Properties of Biologic Tissue Urogynecologic Procedures Involving the Use of Synthetic Mesh…
Chapter Outline Introduction Historical Perspective Considerations for Uterine Preservation Patient Interest Lack of Data Supporting Hysterectomy to Treat Prolapse Role of Hysterectomy in Menopause Timing and Sexual Function Unanticipated Uterine…
Chapter Outline Introduction Indications for Minimally Invasive Prolapse Surgery Surgical Anatomy Operative Technique for Laparoscopic Sacral Colpopexy Operative Setup and Instrumentation Trocar Placement Intraperitoneal Anatomy Assessment Procedure Robotic Sacral Colpopexy…
Chapter Outline Introduction Anatomy and Pathology Evaluation History Physical Examination Diagnostic Tests Surgical Repair Techniques Anterior Colporrhaphy Anterior Prolapse Repair with Grafts Self-tailored Mesh Placement Trocar-Based Mesh Kits Nontrocar Mesh…
Chapter Outline Introduction Synthetic Retropubic MUSs Indications, Patient Selection, and Types of Slings Surgical Technique Bottom-to-Top Top-to-Bottom Outcomes ISD and Recurrent Incontinence Urethral Mobility Mixed Stress and Urge Incontinence Obesity…
Chapter Outline Introduction Indications and Contraindications Evaluation Materials Techniques Transurethral and Periurethral Postinjection Management and Follow-up Complications and Safety Effectiveness Cochrane Review Durasphere ® Macroplastique ® Coaptite ® Urethral Bulking…
Chapter Outline Introduction Indications Sling Materials Technique for Harvest of Rectus Fascia and Placement of Pubovaginal Sling Preoperative Considerations Positioning Abdominal Incision and Fascial Harvest Vaginal Dissection Passing Retropubic Needles…
Chapter Outline Indications for Retropubic Procedures Surgical Techniques Operative Setup and General Entry into the Retropubic Space Burch Colposuspension Paravaginal Defect Repair General Intraoperative and Postoperative Procedures Clinical Results Mechanisms…
Chapter Outline Elements of Urinary Continence Muscular and Supportive Tissue Elements Connective Tissue Bladder Urethra Levator Ani Neurophysiologic Considerations Efferent and Afferent Pathways Coordinating Reflexes Mechanisms of Female Urinary Continence…
Chapter Outline Introduction Alterations of Pelvic Floor Anatomy and Physiology in Pregnancy Pelvic Floor Support Urinary Tract in Pregnancy Urinary Tract Conditions during Pregnancy Urinary Retention Urinary Incontinence Asymptomatic Bacteriuria…
