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This comprehensive and innovative volume offers a hands-on reference for the management of challenging disorders of the female lower urinary tract. The volume features scenario presentations in which a patient presentation is described and followed by two experts in the field reviewing work-up and management of the problem. Novel techniques for the treatment of voiding dysfunction are provided.

Female Urology: A Practical Clinical Guide

Female Urology and Voiding Dysfunction

Howard Goldman, M.D.

Sandip Vasavada, M.D.



Table of Contents



Evaluation_________________________________________________________



1. Anatomy of Pelvic Support

2. Neurophysiologic Control of the Lower Urinary Tract

3. Office Evaluation of the Incontinent Female and the Prolapsed Patient

4. Urodynamic Evaluation of Female Stress Urinary Incontinence

5. Urodynamic Assessment of Overactive Bladder: Neurogenic and Non-Neurogenic



Treatment_________________________________________________________



6. Conservative Therapy for Incontinence



Stress Urinary Incontinence

7. Pharmacologic Therapy

8. Urethral Injectables

9. Mid-Urethral Slings

10. Bladder Neck Slings

11. Complications of Sling Surgery



Overactive Bladder

12. Pharmacologic

13. Intravesical Treatment

14. Urologic Applications of Botulinum Toxin

15. Non Sacral Neuromodulation

16. Sacral Neuromodulation

17. Augmentation Cystoplasty

18. Mixed Incontinence: Defining Symptoms, Management and Outcomes



Prolapse

19. Evaluation and Management of Anterior Vaginal Wall Prolapse

20. Treatment of Posterior Wall Vaginal Prolapse

21. Diagnosis and Mangement of Apical Prolapse



Reconstruction

22. Evaluation and Management of Vesicovaginal Fistulae

23. Female Urethral Diverticula



Case Studies



1. Recurrent stress urinary incontinence

2. Recurrent UTIs and pelvic organ prolapse

3. Mixed incontinence

4. UTIs and pelvic pain

5. Multiple Sclerosis and voiding dysfunction

6. 'De-novo' overactive bladder symptoms after a sling

7. Recurrent pelvic organ prolapse

8. Recalcitrant urinary frequency and urgency

9. Difficulty voiding and overactive bladder symptoms

10. Post-hysterectomy incontinence

11. Severe incontinence after multiple prior procedures

12. Urinary frequency and pelvic pain

13. Pelvic organ prolapse

14. Recurrent pelvic organ prolapse after colpocleisis

15. Stress incontinence and straining to void

16. Male with post-prostatectomy incontinence

17. Mixed incontinence in elderly woman

18. Male with post-prostatectomy incontinence - status post removal of eroded artificial sphincter