This book is from the internationally renowned Springer Publishing House and is carefully compiled by Professor Farzeen Firoozi, an American pelvic urology expert. The book has 21 chapters, which brings together the achievements of the development of urology and gynecology in recent years and absorbs the wisdom of experts from different professional backgrounds. It systematically discusses the diagnosis and treatment of common and uncommon diseases in the field of female pelvic medicine and reconstructive surgery, and introduces various surgical techniques in detail. It is a valuable book for doctors who are interested in or are already engaged in female pelvic medicine and urogynecology.
Chapter 1 Female Pelvic Anatomy 1
Section 1: Introduction 1
Section 2: Abdominal Wall 1
Section 3: Bony Pelvis 2
Section 4: Pelvic Muscles 5
Section 5: Urinary System 9
Section 6: Reproductive System 13
Section 7: Conclusion 17
Chapter 2 Pelvic Floor Surgery Instruments 19
Section 1: Introduction 19
Section 2: Instruments for laparotomy/transvaginal surgery 19
Section 3: Laparoscopic surgical instruments 24
Section 4: Robotic surgical instruments: da Vinci surgical system 25
Chapter 3 Surgical treatment of stress urinary incontinence 27
Section 1: Introduction 27
Section 2: Burch Colposuspension Surgery 27
Section 3: Periurethral bulking therapy 29
Section 4: Pubovaginal sling 31
Section 5: Synthetic mid-urethral sling 33
Section 6: Single-cut sling 38
Section 7: Conclusion 39
Chapter 4 Neuromodulation for the treatment of urinary dysfunction 42
Section 1: Introduction 42
Section 2: Background 42
Section 3: Normal Physiology of Urinating 42
Section 4: Indications and patient selection 43
Section 5: Transcutaneous electrical stimulation of the tibial nerve 44
Session 6: Sacral Nerve Regulation 46
Section 7: Future Directions/Conclusion 53
Chapter 5 Transvaginal Prolapse Repair 59
Section 1: Introduction 59
Section 2: Anterior pelvic repair 59
Section 3: Posterior pelvic repair and perineal repair 65
Section 4: Top Repair 68
Section 5: Conclusion 71
Chapter 6 Vagina closure 74
Section 1: Background 74
Section 2: Overview 74
Section 3: Assessment/Inspection 75
Section 4: Management of the Uterus 76
Section 5: Perioperative Adverse Events 77
Section 6: Regret and Relapse 77
Section 7: Simultaneous Surgery 78
Section 8: Surgical Procedures 79
Section 9: Conclusion 82
Chapter 7 Open Colposacopexy 86
Section 1: Introduction 86
Section 2: Background 86
Section 3: History 86
Section 4: Patient Assessment 87
Section 5: Surgical Technique 89
Section 6: Results 92
Section 7: Conclusion 96
Chapter 8 Laparoscopic/Robotic-Assisted Sacrocolpopexy 102
Section 1: Introduction 102
Section 2: Patient Assessment and Preparation 102
Section 3: Surgical Technique 104
Section 4: Results 109
Section 5: Conclusion 110
Chapter 9 Transvaginal urethrolysis for urethral obstruction 112
Section 1: Background 112
Section 2: Assessment and Diagnosis 112
Section 3: Repair techniques for urethral obstruction 114
Section 4: Clinical Outcomes 118
Section 5: Repairing Complications 120
Section 6: Conclusion 121
Chapter 10 Vaginal Fistula Repair 125
Section 1: Introduction 125
Section 2: Basic principles of fistula repair 125
Section 3: Vesicovaginal fistula 131
Section 4: Urethrovaginal fistula 136
Section 5: Ureterovaginal fistula 138
Section 6: Rectovaginal fistula 139
Chapter 11 Urethral Diverticulum Repair 148
Section 1: Introduction 148
Section 2: Incidence and risk factors 148
Section 3: Pathophysiology and Etiology 148
Section 4: Diverticular anatomy 150
Section 5: Assessment/Inspection 150
Section 6: Surgical Repair 153
Section 7: Conclusion 157
Chapter 12 Cystoplasty 162
Section 1: Introduction 162
Section 2: Background 162
Section 3: Clinical manifestations 164
第四节: 评估、初步处理和术前准备 164
Section 5: Surgical Technique 168
Section 6: Postoperative Management 174
Section 7: Outcomes 175
Section 8: Complications 175
Section 9: Conclusion 179
Chapter 13 Urethroplasty for Female Urethral Stricture 186
Section 1: Introduction 186
Section 2: Background 186
Section 3: Evaluation 187
Section 4: Preoperative precautions and postoperative care 187
Section 5: Surgical Technique 188
Section 6: Conclusion 192
Chapter 14: Resection of vaginal and vulvar cysts 194
Section 1: Introduction 194
Section 2: Embryology 194
Section 3: Anatomy 195
Section 4: Medical History and Physical Examination 197
Section 5: Differential Diagnosis 197
Section 6: Surgical Technique 203
Section 7: Vulvar Surgery Issues 206
Section 8: Conclusion 208
Chapter 15 Transvaginal Bladder Neck Closure 211
Section 1: Background 211
Section 2: Indications 211
Section 3: Preoperative Evaluation 212
Section 4: Surgical Technique 213
Section 5: Postoperative Management 214
Section 6: Complications 215
Section 7: Conclusion 216
Chapter 16 Surgical Treatment of Fecal Incontinence 218
Section 1: Introduction 218
Section 2: Causes 220
Section 3: Evaluation 220
Section 4: Physiological Testing 221
Section 5: Treatment 223
Section 6: Conclusion 228
Chapter 17: Botulinum toxin injections for the treatment of urinary dysfunction 234
Section 1: Introduction 234
Section 2: Mechanism of Action 234
Section 3: Indications for Botox A 236
Session 4: Application in neurogenic detrusor overactivity 237
Session 5: Application in overactive bladder 241
Section 6: Patient Selection 243
Section 7: Off-label use of Botox A 246
Section 8: Side effects of Botox A 249
Section 9: Injection Techniques 251
Chapter 18 Vaginoplasty 264
Section 1: Introduction 264
Section 2: Indications 264
Section 3: Preoperative evaluation and planning 265
Section 4: Treatment Goals 265
Section 5: Conservative treatment 266
Section 6: Surgical treatment 267
Section 7: Vaginoplasty for transgender women 281
Section 8: Complications of neovaginal reconstruction 284
Section 9: Neovaginal prolapse 285
Section 10: Conclusion 286
Chapter 19: Surgical treatment of interstitial cystitis/bladder pain syndrome 293
Section 1: Introduction 293
Section 2: Hunner Lesion 293
Section 3: Hydrodilation 294
Section 4: Endoscopic Therapy 295
Section 5: Surgical treatment 299
Section 6: Conclusion 302
Chapter 20: Application of synthetic mesh in pelvic floor reconstruction 307
Section 1: Introduction 307
Section 2: Properties and characteristics of mesh 307
Section 3: Physiological responses of polypropylene mesh 309
Section 4: Current Vaginal Mesh Products 310
Section 5: Data Results 312
Section 6: U.S. Food and Drug Administration's Notice on Transvaginal Mesh 313
Section 7: The future of mesh 314
Section 8: Conclusion 315
Chapter 21 Sex Reassignment Surgery 319
Section 1: Introduction 319
Section 2: Male to Female Sex Reassignment Surgery 319
Section 3: Female to Male Sex Reassignment Surgery 323
Section 4: Sex Reassignment Surgery and Bioethics 327
