Surgical Treatment of Vaginal Apex Prolapse

May 16, 2019 by in GYNECOLOGY Comments Off on Surgical Treatment of Vaginal Apex Prolapse

Chapter Outline Introduction Prevalence, Demographics, and Risk Factors for Pelvic Organ Prolapse Pathology of Pelvic Organ Prolapse Transvaginal Native Tissue Suture Repairs Techniques Vaginal Repair of Enterocele McCall Culdoplasty Modified…

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Fecal Incontinence

May 16, 2019 by in GYNECOLOGY Comments Off on Fecal Incontinence

Chapter Outline Epidemiology Etiology Evaluation History Physical Examination Scoring Scales for Fecal Incontinence Diagnostic Testing Enema Anorectal Physiology Testing Defecography Colonoscopy and Barium Enema Endorectal Ultrasonography Conclusion Nonsurgical Treatment Medical…

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Surgical Treatment of Rectocele and Perineal Defects

May 16, 2019 by in GYNECOLOGY Comments Off on Surgical Treatment of Rectocele and Perineal Defects

Chapter Outline Anatomy and Pathophysiology Evaluation History Physical Examination Diagnostic Tests Surgical Repair Techniques Posterior Colporrhaphy Site-Specific Defect Repair Graft Augmentation Abdominal Sacral Colpopexy (Colpoperineopexy) Endorectal Repair Perineorrhaphy Postoperative Instructions…

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Obliterative Procedures for Pelvic Organ Prolapse

May 16, 2019 by in GYNECOLOGY Comments Off on Obliterative Procedures for Pelvic Organ Prolapse

Chapter Outline Introduction Historical Perspectives Preoperative Evaluation Le Fort Partial Colpocleisis Surgical Technique and Outcomes Total Colpectomy and Colpocleisis Surgical Technique and Outcomes Levator Plication and Perineorrhaphy Urinary Function Following…

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Laparoscopic and Robotic Surgery for Pelvic Organ Prolapse and Stress Urinary Incontinence

May 16, 2019 by in GYNECOLOGY Comments Off on Laparoscopic and Robotic Surgery for Pelvic Organ Prolapse and Stress Urinary Incontinence

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…

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Surgical Treatment of Anterior Vaginal Wall Prolapse

May 16, 2019 by in GYNECOLOGY Comments Off on Surgical Treatment of Anterior Vaginal Wall Prolapse

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…

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Synthetic Midurethral Slings for Stress Urinary Incontinence

May 16, 2019 by in GYNECOLOGY Comments Off on Synthetic Midurethral Slings for Stress Urinary Incontinence

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…

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Urethral Injection of Bulking Agents for Intrinsic Sphincter Deficiency

May 16, 2019 by in GYNECOLOGY Comments Off on Urethral Injection of Bulking Agents for Intrinsic Sphincter Deficiency

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…

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