This issue of the Urologic Clinics is unique in that it examines the Controversies in Female Pelvic Reconstruction from both the urology and urogynecology standpoint. Areas of controversy regarding evaluation and therapy for a number of conditions unique to women's health are examined. Topics covered include urethral bulking, robotic/laparoscopic prolapse repair, management of bladder pain syndromes, and urodynamics.

This text is designed to present a comprehensive and state-of the-art approach to robotic female pelvic reconstructive surgery. Written by experts in both urology and urogynecology, each of these sections address patient selection, pre-operative considerations, surgical technique, and management of intra and post –operative complications. Furthermore, each chapter includes the most current evidence in the literature that supports specific techniques. Extensive illustrations make this an interactive text. Emphasis is placed on sacrocolpopexy, the mostly commonly performed robotic procedure performed in female pelvic medicine. The set up of this operation, surgical technique, and tips and tricks are discussed. In addition, the management of the uterus is also be addressed in detail, including supracervical and total hysterectomy, as well as uterine-sparing techniques. The appropriate preoperative evaluation, including decisions to be made in addressing concomitant surgical conditions such as stress urinary incontinence, is addressed so that the reader can provide comprehensive management for all surgical pelvic floor disorders. Other reconstructive procedures covered include controversial topics such as power morcellation of the uterus and placement of vaginal mesh. The text will also include elements that pertain to male and female patients, such as ureteral reimplantation and sigmoid resection. The Use of Robotic Technology in Female Pelvic Floor Reconstruction will be invaluable to both urologists and gynecologists in the field.

This text includes sections on anatomy, normal and abnormal physiology, investigation techniques, inflammatory conditions and treatment options. The international panel of contributors is at the forefront of research in the field; the editors have assembled these contributors and topics that span the entire range of pelvic floor disorders in women. Throughout, the emphasis is on an evidence-based approach to the treatment of pelvic floor problems. Indispensable for gynecologists and urologists.

This book provides a comprehensive and up-to-date overview of the surgical treatment of pelvic organ prolapse, focusing especially on issues that continue to arouse controversy. In the first section, leading experts present detailed information on the surgical anatomy, pathophysiology, and epidemiology of prolapse and also the impact of concomitant functional disorders. The second section focuses on diagnostic work-up and the third is dedicated to the various treatment options aimed at resolution of the condition. The closing chapters discuss outcome measures and analyze the effects of prolapse surgery on urinary, bowel, and sexual symptoms. In 1966 Richard TeLinde stated that, “Every honest surgeon of extensive and long experience will have to admit that he is not entirely and absolutely satisfied with his long-term results of all his operations for prolapse and allied conditions.” Although many uncertainties in the field have since been resolved, some major issues still require clarification. Often it can be difficult to find the right balance between treatment effectiveness in the long term and risk reduction, including with respect to complications. This book will help trainees and less experienced surgeons to make appropriate treatment choices and achieve optimal outcomes.

With collaboration of Consulting Editor, Dr. Samir Taneja, Dr. Comiter has created a very current clinical look at surgery for female pelvic reconstruction. He secured expert authors from top institutions to contribute reviews on the following topics: Injection of Periurethral Bulking agents; Synthetic Midurethral Sling; Autologous Fascial Sling; Burch Colposuspension; Management of the Eroded Midurethral sling; Surgery for Apical Vaginal Prolapse After Hysterectomy: Transvaginal Suture-Based Repair; Surgery for Apical Vaginal Prolapse After Hysterectomy: Transvaginal Mesh-Based Repair; Surgery for Apical Vaginal Prolapse After Hysterectomy: Abdominal Sacrocolpopexy; Surgery for Posterior Compartment Vaginal Prolapse: Suture-Based repair; Surgery for Posterior Compartment Vaginal Prolapse: Graft Augmented Repair; Surgery for Anterior Compartment Prolapse: Suture-Based Repair; Surgery for Anterior Compartment Prolapse: Graft-Augmented repair; Vaginal Approach to Vesicovaginal Fistula; and Abdominal Approach to Vesicovaginal Fistula. Readers will come away with the most current clinical information they need to improve surgical outcomes in female patients.

Complications of Female Incontinence and Pelvic Reconstructive Surgery reviews the prevention, evaluation and management of complications arising from female pelvic surgery. Potential complications of both routine and specialized female pelvic procedures such as transvaginal slings, cystocele and rectocele repairs, urethral diverticulectomy, and transvaginal mesh repairs are reviewed. The chapters are divided by procedure allowing the reader to easily find what they are looking for. Images and figures of methods of evaluation and repair of these complications are included throughout. The volume is organized based on the specific types of surgeries performed and the user is able to look up the type of surgery performed and immediately find all of the potential complications and their treatments. This text will serve as a comprehensive guide and reference allowing the surgeon quick and ready access to information about the complications of female pelvic surgery.