Urology for the urogynecologist
Basics of urinary stone disease Introduction One out of 13 women will become symptomatic with a kidney stone in her lifetime; that incidence is rising in the United States resulting…
Urethral diverticula
Introduction For years, investigators who described their experience with urethral diverticula stated that more general awareness of this condition must prevail to improve its identification. Urethral diverticula can be difficult…
Lower urinary tract fistulas
Historic perspectives The earliest evidence of gynecologic fistula dates back millennia, to Queen Henhenit, one of the wives of King Mentuhotep II of Egypt (11th Dynasty, c. 2050 bc). In…
Overactive bladder syndrome, polyuria, and nocturia
Overactive bladder syndrome Overactive bladder (OAB) is a symptom syndrome defined as urinary urgency, with or without urgency incontinence, usually with urinary frequency and nocturia, and in the absence of…
Full-thickness rectal prolapse
Introduction Full-thickness rectal prolapse is a benign but debilitating condition involving full-thickness descent of the rectum through the anal canal ( Fig. 30.1 ). It is important to distinguish full-thickness…
Refractory overactive bladder
Introduction Overactive bladder (OAB) is characterized by urinary urgency, with or without urgency urinary incontinence (UUI), usually with increased daytime frequency and nocturia, if there is no proven infection or…
Interstitial cystitis/bladder pain syndrome
Introduction Interstitial cystitis/bladder pain syndrome (IC/BPS) is a heterogeneous and symptom-based condition marked by bladder or urethral pain and associated lower urinary tract symptoms, especially urinary frequency and urgency, in…
Outcomes and quality-of-life measures in pelvic floor research
Introduction Outcome measures are the tools used to determine the efficacy, safety, and side effects of a treatment. Researchers assess outcome measures before and after treatments to determine their relative…
Bladder drainage and urinary protective methods
Introduction Patients who undergo surgery for urinary incontinence or pelvic organ prolapse may require catheterization postoperatively because of voiding difficulty. Patients with neurogenic bladder, dysfunctional voiding, or intractable incontinence may…
Complications of pelvic reconstructive surgery
This chapter discusses the evaluation, prevention, and management of many complications commonly associated with pelvic reconstructive surgery. Of note, it does not include a discussion of the evaluation and management…
