Introduction
Introduction
1 Anatomy of pelvic support 1
2 Neurophysiology of micturition 23
3 Epidemiology of female urinary incontinence 45
4 Quality-of-life issues in incontinence 53
5 Female sexual dysfunction 65
6 Hormonal influence on the lower urinary tract 79
7 Obstetric issues and the female pelvis 95
8 History and physical examination in pelvic floor disorders 119
9 Urodynamic assessment : urethral pressure profilometry and PTR 141
10 Leak point pressures 157
11 Videourodynamics 167
12 Pharmacologic and surgical management of detrusor instability 191
13 Pharmacologic management of urinary incontinence 215
14 Behavioral treatments 233
15 Pessaries and vaginal devices for stress incontinence 267
16 Current role of transvaginal needle suspensions 279
17 Anterior vaginal wall suspension 283
18 Retropubic urethropexy 291
19 Laparoscopic treatment of urinary stress incontinence 309
20 Insertion of artificial urinary sphincter in women 319
21 Urethral injectables in the management of SUI and hypermobility 329
22 Vaginal sling surgery : overview, history, and sling material 345
23 Use of cadaveric fascia lata allograft for pubovaginal slings 357
24 Autologous fascia lata sling cystourethropexy 367
25 The in situ anterior vaginal wall sling 379
26 CATS : cadaveric transvaginal sling 387
27 Tension-free vaginal tape : an innovative, minimally invasive pubovaginal sling for female stress urinary incontinence 399
28 Distal urethral polypropylene sling 417
29 Transvaginal cooper's ligament sling for the treatment of stress urinary incontinence and low-pressure urethra 429
30 Management of postoperative detrusor instability and voiding dysfunction 437
31 Postoperative complications of sling surgery 447
32 Detrusor myomectomy 457
33 Management of refractory detrusor instability : anterior flap extraperitoneal cystoplasty 465
34 Laparoscopic enterocystoplasty 473
35 Management of refractory detrusor instability : sacral nerve root stimulation 485
36 Physical exam and assessment of pelvic support defects 497
37 Radiographic evaluation of pelvic organ prolapse 507
38 Surgical therapy of uterine prolapse 525
39 Vaginal hysterectomy and other operations for uterine prolapse 545
40 Advanced anterior vaginal wall prolapse (stage III and IV) 561
41 Anterior vaginal wall prolapse : mild/moderate cystoceles 575
42 Diagnosis and treatment of the stage IV cystocele 595
43 Surgical correction of paravaginal defects 615
44 Paravaginal repair : a laparoscopic approach 631
45 Transvaginal levator myorraphy for vaginal vault prolapse 641
46 Sacrospinous ligament suspension for vaginal vault prolapse 651
47 Surgical treatment of vaginal apex prolapse : transvaginal approaches 663
48 Abdominal sacrocolpopexy for the correction of vaginal vault prolapse 677
49 Laparascopic abdominal sacral colpopexy 691
50 Colpocleisis for the treatment of severe vaginal vault prolapse 701
51 Rectocele repair/posterior colporrhaphy 717
52 Evaluation and management of rectoceles 735
53 Vesicovaginal fistula : complex fistulae 761
54 Vesicovaginal fistula : abdominal approach 783
55 Urethrovaginal fistula 797
56 Female urethral diverticula 811
57 Urethral reconstruction in women 841
58 Radical cystectomy and orthotopic neobladder substitution in the female 859
59 Interstitial cystitis 889
60 Chronic pelvic pain in interstitial cystitis 903
61 Fecal incontinence 919