GYNECOLOGY

Bladder drainage and urinary protective methods

Nov 27, 2021 by in GYNECOLOGY Comments Off on 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…

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Complications of pelvic reconstructive surgery

Nov 27, 2021 by in GYNECOLOGY Comments Off on 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…

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Surgical treatment of vaginal apex prolapse

Nov 27, 2021 by in GYNECOLOGY Comments Off on Surgical treatment of vaginal apex prolapse

Introduction Although anterior vaginal prolapse is most common, loss of apical support is usually present in women with prolapse that extends beyond the hymen. There is growing recognition that adequate…

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Rectovaginal fistula and perineal breakdown

Nov 27, 2021 by in GYNECOLOGY Comments Off on Rectovaginal fistula and perineal breakdown

Anatomy of the perineal body, distal vagina, rectum, and anus Perineal body defects and rectovaginal fistulas (RVFs) are part of a spectrum of conditions that impact the posterior pelvic floor….

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Lower urinary tract infection

Nov 27, 2021 by in GYNECOLOGY Comments Off on Lower urinary tract infection

Introduction Urinary tract infections (UTIs) are one of the most common bacterial infections, affecting 150 million people each year worldwide. Annually, UTIs result in 10.5 million office visits (constituting 0.9%…

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Voiding dysfunction in women

Nov 27, 2021 by in GYNECOLOGY Comments Off on Voiding dysfunction in women

Introduction Lower urinary tract dysfunction describes various problems related to the bladder’s ability to store or empty urine. Voiding dysfunction refers specifically to bladder emptying problems. Urinary retention is the…

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Fecal incontinence

Nov 27, 2021 by in GYNECOLOGY Comments Off on Fecal incontinence

Epidemiology Fecal incontinence, the involuntary leakage of liquid or solid stool, and anal incontinence, including the involuntary leakage of gas, are devastating problems. Many people find these conditions socially incapacitating…

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Neurourology and compliance abnormalities

Nov 27, 2021 by in GYNECOLOGY Comments Off on Neurourology and compliance abnormalities

Introduction The primary functions of the urinary bladder are storage and emptying, which are mediated by a combination of parasympathetic, sympathetic, and autonomic signaling (see Chapter 3 ). Bladder compliance…

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