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Principles and Practice of Urogynaecology PDF

180 Pages·2015·8.829 MB·English
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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 © Springer India 2015 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifi cally the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfi lms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. Exempted from this legal reservation are brief excerpts in connection with reviews or scholarly analysis or material supplied specifi cally for the purpose of being entered and executed on a computer system, for exclusive use by the purchaser of the work. Duplication of this publication or parts thereof is permitted only under the provisions of the Copyright Law of the Publisher’s location, in its current version, and permission for use must always be obtained from Springer. Permissions for use may be obtained through RightsLink at the Copyright Clearance Center. Violations are liable to prosecution under the respective Copyright Law. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specifi c statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. While the advice and information in this book are believed to be true and accurate at the date of publication, neither the authors nor the editors nor the publisher can accept any legal responsibility for any errors or omissions that may be made. The publisher makes no warranty, express or implied, with respect to the material contained herein. Printed on acid-free paper Springer is part of Springer Science+Business Media (www.springer.com) 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

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