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Comprehensive in scope and practical in approach, Walters & Karram Urogynecology and Reconstructive Pelvic Surgery, 6th Edition, offers authoritative coverage of everything from basic concepts through to clinical evaluation, testing, and surgical and non-surgical management, equipping you to make the best clinical decisions and optimize outcomes. Uniquely designed to reflect the physician’s decision-making process, and reflecting the most current evidence and clinical protocols, this up-to-date, atlas-style resource provides urogynecology fellows and practitioners, urologists, gynecologic surgeons, and OB/GYNs with the knowledge needed to provide effective patient care.

  • Offers a comprehensive, step-by-step, evidence-based guidance on all urogynecologic disorders, including stress and urgency urinary incontinence, pelvic organ prolapse, defecation disorders, painful and irritative voiding disorders, and specific conditions such as urinary tract infection and urinary fistulas
  • Moves systematically from foundational concepts to clinical evaluation, testing, management strategies, and surgical and non-surgical treatment options
  • Provides algorithmic approaches to common complaints, evidence-based assessments of appropriate therapies, and hundreds of new and improved surgical illustrations, photographs, and radiographs
  • Features an expanded video collection to clearly demonstrate key procedures
  • Contains a new chapter on nocturia and polyuria, and an expanded chapter on urologic topics pertinent to urogynecologists
  • 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 that allow you to apply the information presented to everyday clinical situations
  • Any additional digital ancillary content may publish up to 6 weeks following the publication date

1. Cover image - p. c 2. Title page - p. iii 3. Copyright - p. iv 4. Contributors - p. v 5. Preface - p. ix 6. Contents - p. xi 7. Video Contents - p. xiii 8. Part 1 Basic Science - p. 1 9. 1 Anatomy of the Lower Urinary Tract, Pelvic Floor, and Rectum - p. 2 10. 2 Embryology and Congenital Anomalies of the Urinary Tract, Rectum, and Female Genital System - p. 22 11. 3 Neurophysiology and Pharmacology of the Lower Urinary Tract - p. 41 12. 4 Physiology of the Pelvic Muscles, Vagina, and Anorectum - p. 54 13. 5 Pathophysiology of Pelvic Floor Disorders - p. 74 14. 6 Epidemiology and Psychosocial Impact of Female Pelvic Floor Disorders - p. 88 15. 7 Synthetic Mesh and Biologic Grafts: Properties and Biomechanics - p. 101 16. 8 Description and Classification of Female Pelvic Floor Disorders - p. 126 17. Part 2 Evaluation - p. 135 18. 9 Evaluation of Pelvic Floor Disorders: History, Physical Examination, and Office Testing - p. 136 19. 10 Female Sexual Function and Dysfunction: Assessment and Treatment - p. 150 20. 11 Urodynamics: Indications, Techniques, Interpretation, and Clinical Utility - p. 169 21. 12 Endoscopic Evaluation of the Lower Urinary Tract - p. 208 22. 13 Radiologic Studies of the Lower Urinary Tract and Pelvic Floor - p. 220 23. Part 3 Management of Stress Urinary Incontinence and Pelvic Organ Prelapse - p. 240 24. 14 Stress Urinary Incontinence and Pelvic Organ Prolapse: Nonsurgical Management - p. 241 25. 15 Retropubic Operations for Stress Urinary Incontinence - p. 261 26. 16 Autologous Fascial Slings for Stress Urinary Incontinence - p. 270 27. 17 Synthetic Midurethral Slings for Stress Urinary Incontinence - p. 283 28. 18 Urethral Injection of Bulking Agents for Intrinsic Sphincter Deficiency - p. 310 29. 19 Surgical Treatment of Anterior Vaginal Wall Prolapse - p. 319 30. 20 Surgical Treatment of Rectocele and Perineal Defects - p. 337 31. 21 Surgical Treatment of Vaginal Apex Prolapse - p. 356 32. 22 Uterine Conversation for the Surgical Treatment of Uterovaginal Prolapse - p. 385 33. 23 Obliterative Procedures for Pelvic Organ Prolapse - p. 403 34. Part 4 Surgical Complications and Their Management - p. 415 35. 24 Avoiding and Managing Lower Urinary Tract Injuries During Pelvic Surgery - p. 416 36. 25 Managing Mesh Complications After Surgeries for Urinary Incontinence and Pelvic Organ Prolapse - p. 428 37. 26 Other Complications of Pelvic Reconstructive Surgery - p. 441 38. Part 5 Fecal Incontinence and Defecation Disorders - p. 468 39. 27 Fecal Incontinence - p. 469 40. 28 Constipation - p. 489 41. 29 Rectovaginal Fistula and Perineal Wound Dehiscence - p. 506 42. 30 Rectal Prolapse - p. 522 43. Part 6 Lower Urinary Tract Disorders - p. 533 44. 31 Overactive Bladder - p. 534 45. 32 Polyuria and Nocturia - p. 558 46. 33 Refractory Overactive Bladder - p. 571 47. 34 Neurourology and Detrusor Compliance Abnormalities - p. 590 48. 35 Voiding Dysfunction in Women - p. 601 49. 36 Interstitial Cystitis/Bladder Pain Syndrome - p. 619 50. Part 7 Specific Conditions - p. 638 51. 37 Lower Urinary Tract Infection - p. 639 52. 38 Urethral Diverticula - p. 649 53. 39 Lower Urinary Tract Fistulas and Urethral Reconstruction - p. 661 54. 40 Bladder Drainage and Urinary Protective Methods - p. 682 55. 41 Urology for the Urogynecologist - p. 691 56. Part 8 Research Methods - p. 705 57. 42 Outcomes and Quality-of-Life Measures in Pelvic Floor Research - p. 706 58. Index - p. 729

Descripcion
Descripción

Comprehensive in scope and practical in approach, Walters & Karram Urogynecology and Reconstructive Pelvic Surgery, 6th Edition, offers authoritative coverage of everything from basic concepts through to clinical evaluation, testing, and surgical and non-surgical management, equipping you to make the best clinical decisions and optimize outcomes. Uniquely designed to reflect the physician’s decision-making process, and reflecting the most current evidence and clinical protocols, this up-to-date, atlas-style resource provides urogynecology fellows and practitioners, urologists, gynecologic surgeons, and OB/GYNs with the knowledge needed to provide effective patient care.

  • Offers a comprehensive, step-by-step, evidence-based guidance on all urogynecologic disorders, including stress and urgency urinary incontinence, pelvic organ prolapse, defecation disorders, painful and irritative voiding disorders, and specific conditions such as urinary tract infection and urinary fistulas
  • Moves systematically from foundational concepts to clinical evaluation, testing, management strategies, and surgical and non-surgical treatment options
  • Provides algorithmic approaches to common complaints, evidence-based assessments of appropriate therapies, and hundreds of new and improved surgical illustrations, photographs, and radiographs
  • Features an expanded video collection to clearly demonstrate key procedures
  • Contains a new chapter on nocturia and polyuria, and an expanded chapter on urologic topics pertinent to urogynecologists
  • 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 that allow you to apply the information presented to everyday clinical situations
  • Any additional digital ancillary content may publish up to 6 weeks following the publication date

1. Cover image - p. c 2. Title page - p. iii 3. Copyright - p. iv 4. Contributors - p. v 5. Preface - p. ix 6. Contents - p. xi 7. Video Contents - p. xiii 8. Part 1 Basic Science - p. 1 9. 1 Anatomy of the Lower Urinary Tract, Pelvic Floor, and Rectum - p. 2 10. 2 Embryology and Congenital Anomalies of the Urinary Tract, Rectum, and Female Genital System - p. 22 11. 3 Neurophysiology and Pharmacology of the Lower Urinary Tract - p. 41 12. 4 Physiology of the Pelvic Muscles, Vagina, and Anorectum - p. 54 13. 5 Pathophysiology of Pelvic Floor Disorders - p. 74 14. 6 Epidemiology and Psychosocial Impact of Female Pelvic Floor Disorders - p. 88 15. 7 Synthetic Mesh and Biologic Grafts: Properties and Biomechanics - p. 101 16. 8 Description and Classification of Female Pelvic Floor Disorders - p. 126 17. Part 2 Evaluation - p. 135 18. 9 Evaluation of Pelvic Floor Disorders: History, Physical Examination, and Office Testing - p. 136 19. 10 Female Sexual Function and Dysfunction: Assessment and Treatment - p. 150 20. 11 Urodynamics: Indications, Techniques, Interpretation, and Clinical Utility - p. 169 21. 12 Endoscopic Evaluation of the Lower Urinary Tract - p. 208 22. 13 Radiologic Studies of the Lower Urinary Tract and Pelvic Floor - p. 220 23. Part 3 Management of Stress Urinary Incontinence and Pelvic Organ Prelapse - p. 240 24. 14 Stress Urinary Incontinence and Pelvic Organ Prolapse: Nonsurgical Management - p. 241 25. 15 Retropubic Operations for Stress Urinary Incontinence - p. 261 26. 16 Autologous Fascial Slings for Stress Urinary Incontinence - p. 270 27. 17 Synthetic Midurethral Slings for Stress Urinary Incontinence - p. 283 28. 18 Urethral Injection of Bulking Agents for Intrinsic Sphincter Deficiency - p. 310 29. 19 Surgical Treatment of Anterior Vaginal Wall Prolapse - p. 319 30. 20 Surgical Treatment of Rectocele and Perineal Defects - p. 337 31. 21 Surgical Treatment of Vaginal Apex Prolapse - p. 356 32. 22 Uterine Conversation for the Surgical Treatment of Uterovaginal Prolapse - p. 385 33. 23 Obliterative Procedures for Pelvic Organ Prolapse - p. 403 34. Part 4 Surgical Complications and Their Management - p. 415 35. 24 Avoiding and Managing Lower Urinary Tract Injuries During Pelvic Surgery - p. 416 36. 25 Managing Mesh Complications After Surgeries for Urinary Incontinence and Pelvic Organ Prolapse - p. 428 37. 26 Other Complications of Pelvic Reconstructive Surgery - p. 441 38. Part 5 Fecal Incontinence and Defecation Disorders - p. 468 39. 27 Fecal Incontinence - p. 469 40. 28 Constipation - p. 489 41. 29 Rectovaginal Fistula and Perineal Wound Dehiscence - p. 506 42. 30 Rectal Prolapse - p. 522 43. Part 6 Lower Urinary Tract Disorders - p. 533 44. 31 Overactive Bladder - p. 534 45. 32 Polyuria and Nocturia - p. 558 46. 33 Refractory Overactive Bladder - p. 571 47. 34 Neurourology and Detrusor Compliance Abnormalities - p. 590 48. 35 Voiding Dysfunction in Women - p. 601 49. 36 Interstitial Cystitis/Bladder Pain Syndrome - p. 619 50. Part 7 Specific Conditions - p. 638 51. 37 Lower Urinary Tract Infection - p. 639 52. 38 Urethral Diverticula - p. 649 53. 39 Lower Urinary Tract Fistulas and Urethral Reconstruction - p. 661 54. 40 Bladder Drainage and Urinary Protective Methods - p. 682 55. 41 Urology for the Urogynecologist - p. 691 56. Part 8 Research Methods - p. 705 57. 42 Outcomes and Quality-of-Life Measures in Pelvic Floor Research - p. 706 58. Index - p. 729

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