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. Copyright - p. iii 5. Dedication - p. v 6. Contributors - p. vi 7. Acknowledgments - p. vii 8. Videos - p. vii 9. List of Tables - p. viii 10. List of Illustrations - p. ix 11. Part 1. Basic Science - p. ix 12. 1. Anatomy of the lower urinary tract, pelvic floor, and rectum - p. ix 13. 2. Embryology and congenital anomalies of the urinary tract, rectum, and female genital system - p. 19 14. 3. Neurophysiology and pharmacology of the lower urinary tract - p. 41 15. 4. Physiology of the pelvic muscles, vagina, and anorectum - p. 54 16. 5. Pathophysiology of pelvic floor disorders - p. 69 17. 6. Epidemiology and psychosocial impact of female pelvic floor disorders - p. 81 18. 7. Synthetic mesh and biologic grafts: Properties and biomechanics - p. 92 19. 8. Description and classification of lower urinary tract dysfunction and pelvic organ prolapse - p. 114 20. Part 2. Evaluation - p. 122 21. 9. Evaluation of pelvic floor disorders: History, physical examination, and diagnostic testing - p. 122 22. 10. Female sexual function and dysfunction: Assessment and treatment - p. 137 23. 11. Urodynamics: Indications, techniques, interpretation, and clinical utility - p. 154 24. 12. Endoscopic assessment of the lower urinary tract - p. 193 25. 13. Radiologic studies of the lower urinary tract and pelvic floor - p. 205 26. Part 3. Management of Stress Urinary Incontinence and Pelvic Organ Prolapse - p. 224 27. 14. Stress urinary incontinence and pelvic organ prolapse: Nonsurgical management - p. 224 28. 15. Retropubic operations for stress urinary incontinence - p. 242 29. 16. Biologic bladder neck slings for stress urinary incontinence - p. 251 30. 17. Synthetic midurethral slings for stress urinary incontinence - p. 262 31. 18. Urethral injection of bulking agents for intrinsic sphincter deficiency - p. 287 32. 19. Surgical treatment of anterior vaginal wall prolapse - p. 296 33. 20. Surgical treatment of posterior vaginal wall prolapse - p. 312 34. 21. Surgical treatment of vaginal apex prolapse - p. 329 35. 22. Uterine preservation in pelvic organ prolapse surgery - p. 357 36. 23. Obliterative procedures for pelvic organ prolapse - p. 373 37. Part 4. Surgical Complications and their Management - p. 385 38. 24. Avoiding and managing lower urinary tract injuries during pelvic surgery - p. 385 39. 25. Managing mesh complications after surgeries for urinary incontinence and pelvic organ prolapse - p. 398 40. 26. Complications of pelvic reconstructive surgery - p. 411 41. Part 5. Fecal Incontinence and Defecation Disorders - p. 436 42. 27. Fecal incontinence - p. 436 43. 28. Constipation - p. 456 44. 29. Rectovaginal fistula and perineal breakdown - p. 470 45. 30. Full-thickness rectal prolapse - p. 483 46. Part 6. Lower Urinary Tract Disorders - p. 493 47. 31. Overactive bladder syndrome, polyuria, and nocturia - p. 493 48. 32. Refractory overactive bladder - p. 523 49. 33. Neurourology and compliance abnormalities - p. 539 50. 34. Voiding dysfunction in women - p. 549 51. 35. Interstitial cystitis/bladder pain syndrome - p. 566 52. Part 7. Specific Conditions - p. 586 53. 36. Lower urinary tract infection - p. 586 54. 37. Urethral diverticula - p. 597 55. 38. Lower urinary tract fistulas - p. 608 56. 39. Bladder drainage and urinary protective methods - p. 628 57. 40. Urology for the urogynecologist - p. 637 58. Part 8. Research Methods - p. 649 59. 41. Outcomes and quality-of-life measures in pelvic floor research - p. 649 60. Index - p. 673
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. Copyright - p. iii 5. Dedication - p. v 6. Contributors - p. vi 7. Acknowledgments - p. vii 8. Videos - p. vii 9. List of Tables - p. viii 10. List of Illustrations - p. ix 11. Part 1. Basic Science - p. ix 12. 1. Anatomy of the lower urinary tract, pelvic floor, and rectum - p. ix 13. 2. Embryology and congenital anomalies of the urinary tract, rectum, and female genital system - p. 19 14. 3. Neurophysiology and pharmacology of the lower urinary tract - p. 41 15. 4. Physiology of the pelvic muscles, vagina, and anorectum - p. 54 16. 5. Pathophysiology of pelvic floor disorders - p. 69 17. 6. Epidemiology and psychosocial impact of female pelvic floor disorders - p. 81 18. 7. Synthetic mesh and biologic grafts: Properties and biomechanics - p. 92 19. 8. Description and classification of lower urinary tract dysfunction and pelvic organ prolapse - p. 114 20. Part 2. Evaluation - p. 122 21. 9. Evaluation of pelvic floor disorders: History, physical examination, and diagnostic testing - p. 122 22. 10. Female sexual function and dysfunction: Assessment and treatment - p. 137 23. 11. Urodynamics: Indications, techniques, interpretation, and clinical utility - p. 154 24. 12. Endoscopic assessment of the lower urinary tract - p. 193 25. 13. Radiologic studies of the lower urinary tract and pelvic floor - p. 205 26. Part 3. Management of Stress Urinary Incontinence and Pelvic Organ Prolapse - p. 224 27. 14. Stress urinary incontinence and pelvic organ prolapse: Nonsurgical management - p. 224 28. 15. Retropubic operations for stress urinary incontinence - p. 242 29. 16. Biologic bladder neck slings for stress urinary incontinence - p. 251 30. 17. Synthetic midurethral slings for stress urinary incontinence - p. 262 31. 18. Urethral injection of bulking agents for intrinsic sphincter deficiency - p. 287 32. 19. Surgical treatment of anterior vaginal wall prolapse - p. 296 33. 20. Surgical treatment of posterior vaginal wall prolapse - p. 312 34. 21. Surgical treatment of vaginal apex prolapse - p. 329 35. 22. Uterine preservation in pelvic organ prolapse surgery - p. 357 36. 23. Obliterative procedures for pelvic organ prolapse - p. 373 37. Part 4. Surgical Complications and their Management - p. 385 38. 24. Avoiding and managing lower urinary tract injuries during pelvic surgery - p. 385 39. 25. Managing mesh complications after surgeries for urinary incontinence and pelvic organ prolapse - p. 398 40. 26. Complications of pelvic reconstructive surgery - p. 411 41. Part 5. Fecal Incontinence and Defecation Disorders - p. 436 42. 27. Fecal incontinence - p. 436 43. 28. Constipation - p. 456 44. 29. Rectovaginal fistula and perineal breakdown - p. 470 45. 30. Full-thickness rectal prolapse - p. 483 46. Part 6. Lower Urinary Tract Disorders - p. 493 47. 31. Overactive bladder syndrome, polyuria, and nocturia - p. 493 48. 32. Refractory overactive bladder - p. 523 49. 33. Neurourology and compliance abnormalities - p. 539 50. 34. Voiding dysfunction in women - p. 549 51. 35. Interstitial cystitis/bladder pain syndrome - p. 566 52. Part 7. Specific Conditions - p. 586 53. 36. Lower urinary tract infection - p. 586 54. 37. Urethral diverticula - p. 597 55. 38. Lower urinary tract fistulas - p. 608 56. 39. Bladder drainage and urinary protective methods - p. 628 57. 40. Urology for the urogynecologist - p. 637 58. Part 8. Research Methods - p. 649 59. 41. Outcomes and quality-of-life measures in pelvic floor research - p. 649 60. Index - p. 673
