Uniquely designed to reflect the physician’s decision-making process, Walters & Karram Urogynecology and Reconstructive Pelvic Surgery presents definitive, state-of-the-art guidance on every aspect of female pelvic medicine and reconstructive surgery. This practical, atlas-style resource covers everything from basic concepts through to clinical and urodynamic evaluation, management, and treatment, equipping you to make the best clinical decisions and optimize outcomes. Edited and authored by renowned experts in the field, this updated 5th Edition is an ideal resource for urogynecology fellows and practitioners, urologists, and OB/GYNs who need a step-by-step, comprehensive reference on the latest procedures and research to evaluate and treat female pelvic floor disorders.
Offers a comprehensive approach to all urogynecologic disorders, including genuine stress incontinence, pelvic organ prolapse, defecation disorders, painful and irritative voiding disorders, and specific conditions such as urinary tract infection.
Provides algorithmic approaches to common complaints, evidence-based assessments of appropriate therapies, and hundreds of clear surgical illustrations, photographs, and radiographs.
Features an all-new video collection to clearly demonstrate key procedures.
Contains new chapters on Urology for the Urogynecologist and Interstitial Cystitis/Bladder Pain Syndrome.
Contains timely discussions of surgical complications, the psychosocial issues associated with treating patients with female pelvic floor disorders, and female sexual function and dysfunction.
Includes case presentations from leading experts in urogynecology and urology that allow you to apply the information presented to everyday clinical situations.
1. Cover image - p. Cover 2. Title page - p. ii 3. Table of Contents - p. iii 4. Inside front cover - p. iii 5. Copyright - p. iii 6. Dedication - p. iii 7. Contributors - p. iii 8. Acknowledgments - p. iii 9. Contents - p. iii 10. List of Illustrations - p. iii 11. List of Tables - p. iii 12. PART 1: Basic Science - p. iii 13. Chapter 1: Anatomy of the lower urinary tract, pelvic floor, and rectum - p. iii 14. Chapter 2: Embryology and congenital anomalies of the urinary tract, rectum, and female genital system - p. 19 15. Chapter 3: Neurophysiology and pharmacology of the lower urinary tract - p. 41 16. Chapter 4: Physiology of the pelvic muscles, vagina, and anorectum - p. 54 17. Chapter 5: Pathophysiology of pelvic floor disorders - p. 69 18. Chapter 6: Epidemiology and psychosocial impact of female pelvic floor disorders - p. 81 19. Chapter 7: Synthetic mesh and biologic grafts: Properties and biomechanics - p. 92 20. Chapter 8: Description and classification of lower urinary tract dysfunction and pelvic organ prolapse - p. 114 21. PART 2: Evaluation - p. 122 22. Chapter 9: Evaluation of pelvic floor disorders: History, physical examination, and diagnostic testing - p. 122 23. Chapter 10: Female sexual function and dysfunction: Assessment and treatment - p. 137 24. Chapter 11: Urodynamics: Indications, techniques, interpretation, and clinical utility - p. 154 25. Chapter 12: Endoscopic assessment of the lower urinary tract - p. 193 26. Chapter 13: Radiologic studies of the lower urinary tract and pelvic floor - p. 205 27. PART 3: Management of Stress Urinary Incontinence and Pelvic Organ Prolapse - p. 224 28. Chapter 14: Stress urinary incontinence and pelvic organ prolapse: Nonsurgical management - p. 224 29. Chapter 15: Retropubic operations for stress urinary incontinence - p. 242 30. Chapter 16: Biologic bladder neck slings for stress urinary incontinence - p. 251 31. Chapter 17: Synthetic midurethral slings for stress urinary incontinence - p. 262 32. Chapter 18: Urethral injection of bulking agents for intrinsic sphincter deficiency - p. 287 33. Chapter 19: Surgical treatment of anterior vaginal wall prolapse - p. 296 34. Chapter 20: Surgical treatment of posterior vaginal wall prolapse - p. 312 35. Chapter 21: Surgical treatment of vaginal apex prolapse - p. 329 36. Chapter 22: Uterine preservation in pelvic organ prolapse surgery - p. 357 37. Chapter 23: Obliterative procedures for pelvic organ prolapse - p. 373 38. PART 4: Surgical Complications and their Management - p. 385 39. Chapter 24: Avoiding and managing lower urinary tract injuries during pelvic surgery - p. 385 40. Chapter 25: Managing mesh complications after surgeries for urinary incontinence and pelvic organ prolapse - p. 398 41. Chapter 26: Complications of pelvic reconstructive surgery - p. 411 42. PART 5: Fecal Incontinence and Defecation Disorders - p. 431 43. Chapter 27: Fecal incontinence - p. 431 44. Chapter 28: Constipation - p. 456 45. Chapter 29: Rectovaginal fistula and perineal breakdown - p. 470 46. Chapter 30: Full-thickness rectal prolapse - p. 483 47. PART 6: Lower Urinary Tract Disorders - p. 493 48. Chapter 31: Overactive bladder syndrome, polyuria, and nocturia - p. 493 49. Chapter 32: Refractory overactive bladder - p. 523 50. Chapter 33: Neurourology and compliance abnormalities - p. 539 51. Chapter 34: Voiding dysfunction in women - p. 549 52. Chapter 35: Interstitial cystitis/bladder pain syndrome - p. 566 53. PART 7: Specific Conditions - p. 586 54. Chapter 36: Lower urinary tract infection - p. 586 55. Chapter 37: Urethral diverticula - p. 597 56. Chapter 38: Lower urinary tract fistulas - p. 608 57. Chapter 39: Bladder drainage and urinary protective methods - p. 628 58. Chapter 40: Urology for the urogynecologist - p. 637 59. PART 8: Research Methods - p. 649 60. Chapter 41: Outcomes and quality-of-life measures in pelvic floor research - p. 649 61. Index - p. 672 62. Inside back cover - p. 672
Uniquely designed to reflect the physician’s decision-making process, Walters & Karram Urogynecology and Reconstructive Pelvic Surgery presents definitive, state-of-the-art guidance on every aspect of female pelvic medicine and reconstructive surgery. This practical, atlas-style resource covers everything from basic concepts through to clinical and urodynamic evaluation, management, and treatment, equipping you to make the best clinical decisions and optimize outcomes. Edited and authored by renowned experts in the field, this updated 5th Edition is an ideal resource for urogynecology fellows and practitioners, urologists, and OB/GYNs who need a step-by-step, comprehensive reference on the latest procedures and research to evaluate and treat female pelvic floor disorders.
Offers a comprehensive approach to all urogynecologic disorders, including genuine stress incontinence, pelvic organ prolapse, defecation disorders, painful and irritative voiding disorders, and specific conditions such as urinary tract infection.
Provides algorithmic approaches to common complaints, evidence-based assessments of appropriate therapies, and hundreds of clear surgical illustrations, photographs, and radiographs.
Features an all-new video collection to clearly demonstrate key procedures.
Contains new chapters on Urology for the Urogynecologist and Interstitial Cystitis/Bladder Pain Syndrome.
Contains timely discussions of surgical complications, the psychosocial issues associated with treating patients with female pelvic floor disorders, and female sexual function and dysfunction.
Includes case presentations from leading experts in urogynecology and urology that allow you to apply the information presented to everyday clinical situations.
1. Cover image - p. Cover 2. Title page - p. ii 3. Table of Contents - p. iii 4. Inside front cover - p. iii 5. Copyright - p. iii 6. Dedication - p. iii 7. Contributors - p. iii 8. Acknowledgments - p. iii 9. Contents - p. iii 10. List of Illustrations - p. iii 11. List of Tables - p. iii 12. PART 1: Basic Science - p. iii 13. Chapter 1: Anatomy of the lower urinary tract, pelvic floor, and rectum - p. iii 14. Chapter 2: Embryology and congenital anomalies of the urinary tract, rectum, and female genital system - p. 19 15. Chapter 3: Neurophysiology and pharmacology of the lower urinary tract - p. 41 16. Chapter 4: Physiology of the pelvic muscles, vagina, and anorectum - p. 54 17. Chapter 5: Pathophysiology of pelvic floor disorders - p. 69 18. Chapter 6: Epidemiology and psychosocial impact of female pelvic floor disorders - p. 81 19. Chapter 7: Synthetic mesh and biologic grafts: Properties and biomechanics - p. 92 20. Chapter 8: Description and classification of lower urinary tract dysfunction and pelvic organ prolapse - p. 114 21. PART 2: Evaluation - p. 122 22. Chapter 9: Evaluation of pelvic floor disorders: History, physical examination, and diagnostic testing - p. 122 23. Chapter 10: Female sexual function and dysfunction: Assessment and treatment - p. 137 24. Chapter 11: Urodynamics: Indications, techniques, interpretation, and clinical utility - p. 154 25. Chapter 12: Endoscopic assessment of the lower urinary tract - p. 193 26. Chapter 13: Radiologic studies of the lower urinary tract and pelvic floor - p. 205 27. PART 3: Management of Stress Urinary Incontinence and Pelvic Organ Prolapse - p. 224 28. Chapter 14: Stress urinary incontinence and pelvic organ prolapse: Nonsurgical management - p. 224 29. Chapter 15: Retropubic operations for stress urinary incontinence - p. 242 30. Chapter 16: Biologic bladder neck slings for stress urinary incontinence - p. 251 31. Chapter 17: Synthetic midurethral slings for stress urinary incontinence - p. 262 32. Chapter 18: Urethral injection of bulking agents for intrinsic sphincter deficiency - p. 287 33. Chapter 19: Surgical treatment of anterior vaginal wall prolapse - p. 296 34. Chapter 20: Surgical treatment of posterior vaginal wall prolapse - p. 312 35. Chapter 21: Surgical treatment of vaginal apex prolapse - p. 329 36. Chapter 22: Uterine preservation in pelvic organ prolapse surgery - p. 357 37. Chapter 23: Obliterative procedures for pelvic organ prolapse - p. 373 38. PART 4: Surgical Complications and their Management - p. 385 39. Chapter 24: Avoiding and managing lower urinary tract injuries during pelvic surgery - p. 385 40. Chapter 25: Managing mesh complications after surgeries for urinary incontinence and pelvic organ prolapse - p. 398 41. Chapter 26: Complications of pelvic reconstructive surgery - p. 411 42. PART 5: Fecal Incontinence and Defecation Disorders - p. 431 43. Chapter 27: Fecal incontinence - p. 431 44. Chapter 28: Constipation - p. 456 45. Chapter 29: Rectovaginal fistula and perineal breakdown - p. 470 46. Chapter 30: Full-thickness rectal prolapse - p. 483 47. PART 6: Lower Urinary Tract Disorders - p. 493 48. Chapter 31: Overactive bladder syndrome, polyuria, and nocturia - p. 493 49. Chapter 32: Refractory overactive bladder - p. 523 50. Chapter 33: Neurourology and compliance abnormalities - p. 539 51. Chapter 34: Voiding dysfunction in women - p. 549 52. Chapter 35: Interstitial cystitis/bladder pain syndrome - p. 566 53. PART 7: Specific Conditions - p. 586 54. Chapter 36: Lower urinary tract infection - p. 586 55. Chapter 37: Urethral diverticula - p. 597 56. Chapter 38: Lower urinary tract fistulas - p. 608 57. Chapter 39: Bladder drainage and urinary protective methods - p. 628 58. Chapter 40: Urology for the urogynecologist - p. 637 59. PART 8: Research Methods - p. 649 60. Chapter 41: Outcomes and quality-of-life measures in pelvic floor research - p. 649 61. Index - p. 672 62. Inside back cover - p. 672
