Principles and Practice of Urogynaecology

180 Pages·2015·8.829 MB·English

by  A Tamilselvi, Ajay Rane (eds.)

Principles and
Practice of
Urogynaecology
A Tamilselvi
Ajay Rane
Editors
123
Principles and Practice
of Urogynaecology

A Tamilselvi (cid:129) A jay Rane
Editors
Principles and Practice
of Urogynaecology
Editors
A Tamilselvi, MRCOG Ajay Rane, OAM, FRANZCOG, FRCOG
Reproductive Medicine Department of Obstetrics
and Women’s Health and Gynaecology
Chennai James Cook University
India Townsville
Australia
ISBN 978-81-322-1691-9 ISBN 978-81-322-1692-6 (eBook)
DOI 10.1007/978-81-322-1692-6
Springer New Delhi Heidelberg New York Dordrecht London
Library of Congress Control Number: 2014960233
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Dedicated to my family and the quietly suffering women the
world over.
Ajay Rane
This book is dedicated to my parents – my father, whose only
dream has been to see me as a doctor, and my mother,
supporting me all the way through – and to all my teachers.
A Tamilselvi

Foreword
Urogynaecology as a subspecialty is a relatively new fi eld in India. Approximately
one-third of gynaecological practice involves women presenting with complaints
relating to pelvic fl oor problems. Urogynaecology involves not only vaginal sur-
gery but conservative and medical management of pelvic organ dysfunction as
well. An understanding of both the anatomy and physiology of pelvic organs is
essential for optimal management of patients presenting with these problems.
T here has been a plethora of textbooks relating to other subspecialty topics
in Gynaecology such as Reproductive Medicine, Laparoscopy and
Gynaecological Oncology. Books in Urology cover the topics of Bladder
Physiology, Neurourology and Urodynamics in detail, with minor emphasis
on complex features of pelvic organ prolapse and anal incontinence. Similarly,
most textbooks on Gynaecology give minimal details on subjects such as
Neurourology and Urodynamics. There is an immediate need for comprehen-
sive textbooks on urogynaecology, which spans the entire spectrum of female
pelvic fl oor dysfunction.
In this regard, this textbook, P rinciples and Practice of Urogynaecology ,
is a timely and welcome step by the authors. This book not only provides
basic anatomical and physiological concepts of female pelvic fl oor disorders
but also covers evidence-based and up-to-date clinical and surgical princi-
ples. I believe that this book will help both postgraduates and practising
Gynaecologists and Urologists understand the fundamental concepts of
female pelvic fl oor disorders and apply them in clinical practice.
Each chapter in this book is written by authors with extensive experience
in their particular fi eld. The arrangement of chapters is logically designed to
start from basics and take the readers to complex topics, which can be easily
understood.
I congratulate the authors for this monumental work and wish them the
best in their endeavours and contribution to the fi eld of Urogynaecology.
N. Rajamaheshwari , MD, DGO, MCh
President – Urogynaecology and
Reconstructive Pelvic Surgery Society of India (URPSSI),
Former Professor of Urogynaecology and HOD
Department of Urogynaecology,
Government Kasthurbha Gandhi Hospital
Chennai , India
vii

Pref ace
The faction of general gynaecologists is gradually reducing in numbers, with
various sub-specializations in Gynaecology. The truth however is that most
gynaecologists encounter women with pelvic fl oor problems irrespective of
their sub-specialization. It therefore becomes vital to be armed with knowl-
edge on important aspects of Urogynaecology in caring for these women.
Acquisition of knowledge usually starts with understanding basic principles
and moving on to evidence-based assessment and management.
This textbook, P rinciples and Practice of Urogynaecology , is designed to
meet this need in Urogynaecology. The textbook attempts to achieve a level
where everybody – students, trainees, specialists and sub-specialists – will
benefi t from the collective wisdom of the authors. The book initially deals
with both the structural and neurological anatomy of the pelvic fl oor to pro-
vide a better understanding of basic principles. The subsequent divisions on
pelvic organ dysfunctions elaborate on the evidence-based management of
these problems.
T he highlight of the book is an almost ‘East meets West’ fl avour, with a
blend of contributing authors from around the globe who are most respected
in their fi elds. We would sincerely like to thank the contributing authors for
their professionalism, clarity in their chapters and patience with us.
We hope that readers of this textbook will fi nd it useful in their clinical
practice – both in the outpatient setting as well as in operating theatres. We
also trust that students will benefi t from the illustrations employed to make
the concepts easier to assimilate.
We would like to thank our colleagues for providing their feedback, proof-
reading the chapters with patience and providing any assistance as deemed
necessary. Sincere thanks to our publishers Springer (India) for their convic-
tion in bringing out the textbook in Urogynaecology. Particular thanks are
expressed to Ryan Bishal Faruque, sixth-year medical student at James Cook
University, Australia, and Mr. Rajan Babu, Chennai for the illustrations.
A Tamilselvi
Ajay Rane
ix