In recent years advances in laparoscopic technologies have led to renewed interest in the vaginal approach to hysterectomy, which has many proven benefits for patients. This volume, dedicated to explaining and promoting the vaginal route of hysterectomy, is written and edited by an international team of experts and provides a much-needed source of up-to-date information and instruction. Importantly, the authors caution that laparoscopic technology can provide a valuable source of assistance for the gynaecological surgeon in certain circumstances, though only in a percentage of cases. This book, beautifully illustrated with line drawings and full-colour photographs, contains step-by-step surgical techniques, enabling the surgeon to gain confidence and experience so that gradually more challenging operations can be managed successfully via the vaginal route. Acknowledged authorities from around the world take the reader through the indications and contra-indications for the vaginal approach, explain crucial preoperative assessment procedures, and offer an evidence-based elucidation of the 'why', 'when' and 'how' of vaginal hysterectomy. Specific topics considered here include: the nulliparous patient, uterine fiboids, debulking, the use of gonadtrophin-releasing hormone agonists, oophorectomy and prophylactic oophorectomy, adnexectomy for adnexal pathology, genital prolapse, the place of sacrospinous colpopexy, urethral sphincter incompetence, hormone replacement therapy, and the psychological and sexual outcomes of hysterectomy. In addition, the authors set forth the arguments for and against vaginal hysterectomy, abdominal hysterectomy, laparoscopic assistance, and transcervical resection of the endometrium. Combined with a full review of the potential complications, morbidity and mortality associated with the vaginal approach, this book provides the reader with a well-balanced, thorough and considered appraisal of vaginal hysterectomy. As the incidence of hysterectomy worldwide continues to rise, Vaginal Hysterectomy will be an indespensable reference for practising gynaecologists, surgeons, consultants and postgraduates.

Edited and authored by some of the most respected figures in the field, this newly revised book is your comprehensive guide to all areas of urogynecology, including urinary and fecal incontinence, urodynamic testing, management of genuine stress incontinence, pelvic organ prolapse, overactive bladder, and much more. Uniquely organized to reflect a physician's decision-making process, this practical, clinically oriented text moves from basic concepts through to clinical and urodynamic evaluation, management, and treatment. Inside, you'll find evidence-based assessments of appropriate therapies, along with algorithmic approaches to common complaints, and clear surgical illustrations. Exclusive to the third edition is a section addressing painful and irritative voiding disorders, including overactive bladder, as well as 20 new case presentations that offer opinions from the leading experts in urogynecology and urology. Features step-by-step instructions for urodynamic testing. Addresses 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. Presents vital information on urethral injections, covering the newest treatment options available. Examines the use of autologous materials and mesh in reconstructive pelvic surgery. Uses over 300 crisp illustrations to illuminate every detail. Contains a new section on painful and irritative voiding disorders, including a discussion of overactive bladder and the latest treatment options available. Discusses urodynamics and the most up-to-date testing available for urethral sphincteric function. Features 20 all new case presentations with expert commentary.

A cross-disciplinary take on the rising phenomenon of female genital cosmetic surgery, from world-leading experts, in a single volume.

Female Cosmetic Genital Surgery: Concepts, Classifications, and Techniques Interest in the field of female genital rejuvenation, once neglected by physicians, has received increasing prominence as a result of media coverage of the topic. Women worldwide have learned that there are options to enhance the appearance of their external genitalia, which may have altered over time from childbirth or the effects of aging. To increase their self-confidence and sense of attractiveness, women are more frequently requesting aesthetic vaginal surgery. The editors have created this timely, unique, comprehensive resource for the field of female aesthetic vulvovaginal surgery. The book offers the following for surgeons adding these increasingly popular procedures to their armamentarium: Applied anatomy and classification of variations in shape and morphology Stepwise guidance for performing a range of reduction and augmentation procedures, including fat grafting, as well as hymenoplasty, perineoplasty, and vaginoplasty Discussion of culturally defined concepts of genital beauty Exciting new advances, such as the O-Shot® and vaginal rejuvenation with fractional erbium laser and transcutaneous temperature-controlled radiofrequency techniques More than 350 color photographs and beautifully detailed surgical illustrations Multiple fully narrated video clips showing details of surgery Both print and electronic formats for easy access everywhere To meet the ever-increasing patient demand for these updated procedures, all surgeons desiring to enhance their knowledge of and skills in female cosmetic genital surgery will want this valuable resource on their shelf!

This book is a rare and pioneering one. It is also a unique one....highly informative and useful... -- BIZ INDIA Some people pursue medical interventions as part of the process of expressing their gender, and an increasing number of gender affirmation surgeries are being performed. This book, which provides comprehensive coverage of the subject, is edited by three well-respected and experienced authors with over 20 contributors from around the world. It features full coverage of both medical and surgical treatment, supported by over 350 full-color drawings and photos and surgical video.

Introducing the definitive gynecologic oncology reference and surgical atlas—in one essential text Gynecologic Oncology: Clinical Practice and Surgical Atlas brings together a skill-sharpening reference and full-color atlas to deliver an unmatched introduction to the field. As the most comprehensive, evidence-based gynecologic oncology resource available, this all-in-one resource offers high-yield coverage of the discipline’s underlying principles and proven management strategies. Each topic is written by experts and is presented in an easily accessible, consistent presentation that highlights clinical practice guidelines, along with the diagnosis and treatment of specific malignancies. This authoritative coverage is reinforced by the state-of-the-art surgical atlas, which offers a richly illustrated, overview of essential procedures designed to build your knowledge and confidence. FEATURES Consistent, streamlined presentation for each disease consists of: Epidemiology, Pathology, Clinical Presentation, Diagnosis, Staging, Treatment, Survival, Key management strategies Thorough examination of basic gynecological oncology topics, including epidemiology, clinical trial design, biostatistics, genetics and biology of gynecologic cancers, and diagnostic modalities Instructive, A-to-Z coverage of disease sites—from cervical cancer and gestational trophoblastic disease, to epithelial ovarian cancers and breast cancer—emphasizes evidence-based practice guidelines and critical supporting data In-depth, hands-on look at clinical management topics provides an up-to-date survey of perioperative and critical care; the principles of chemotherapy, radiation therapy, and immunotherapies; and quality of care and quality of life Full-color design filled with more than 600 figures, tables, algorithms, color photos, and illustrations Key points helpfully review the main topics to be covered in specific chapters, while chapter conclusions offer convenient summaries of each chapter’s core concepts Chapter-ending references underscore the book’s evidence-based approach

Female genital plastic surgery has become an increasingly sought-after option for women seeking improvement in genital appearance, relief from discomfort, and increased sexual pleasure. These surgeries are a combination of gynecologic, plastic, and cosmetic procedures. Every year sees a higher demand for physicians properly trained and able to perform them. This unique text from the acknowledged experts in the field covers; the anatomy of the area the specific surgical procedures and all their variations patients' rationales for surgery training guidelines and ethical issues outcome statistics sexual issues patient selection potential risks and complications. Examining the issues from individual patient's perspectives, it is written in an academic but easy-to-read style with understandable and unambiguous drawings and photographs. It contains a step-by-step surgical approach, how to best select the right surgical candidates, how to treat this select group of patients, the sexual issues involved, how to individualize techniques for each specific patient, how to deal with criticism from colleagues or journalists, psychosexual issues, and patient protection.