Urogynaecological problems are one of the most common reasons that women are referred to the hospital services, and can account for up to a fifth of the gynaecological surgery waiting list at any time. Pelvic floor problems can have a huge impact on the patient's quality of life, and therefore should be managed appropriately.
Compact, portable, and comprehensive, this new addition to the Oxford Specialist Handbooks in Obstetrics and Gynaecology series covers all aspects of pelvic floor function and dysfunction, and approaches to assessment and management in all compartments (the bladder, reproductive system, and bowel). Special chapters are dedicated to urogynaecological issues in pregnancy and childbirth, and also to the effects of age on the pelvic floor.
Covering all material needed for those undertaking the RCOG Advanced Training Skills Module in Urogynaecology and Vaginal Surgery, this is an invaluable guide for both senior general trainees in Gynaecology, and subspecialty trainees in urogynaecology.
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abdominal anaesthesia anaesthetic anal sphincter approach assessment associated bladder bowel catheter cause Chapter chronic closed common complete complications Conservative considered constipation continence contraction depend detrusor diagnosis difficult disease drugs effects emptying examination factors fistula flow fluid frequency function Grade haematuria High hysterectomy incision increased infection initial injury inserted Laparoscopic leakage lesions ligament Look loss lower measures mesh micturition muscle nerve normal Obstetrics obstruction occurs oestrogen offered overactivity Oxford Oxford University pain patient pelvic floor pelvic organ prolapse performed perineal pessaries position posterior Presentation pressure prior procedures prolapse rare RCOG rectal rectum reduced removal renal repair result risk sacral sling sphincter stimulation Stress surgeon surgery surgical sutured symptoms syndrome Table Technique tissue treatment Type ureter urethral urgency urinary incontinence urinary tract infection urine urodynamic urogynaecology usually uterus vaginal wall vault voiding volume women