Female Urology, Urogynecology, and Voiding Dysfunction
http://www.100md.com
《新英格兰医药杂志》
Pelvic-floor dysfunction causes urinary and fecal incontinence, problems with defecation, difficulty in voiding, pelvic-organ prolapse, pelvic pain, and sexual dysfunction. As the population ages in the United States, increasing numbers of women will challenge clinicians with problems arising from pelvic-floor dysfunction, but there is no single medical specialty that can provide definitive care for each of these complex conditions. A multispecialty approach to the treatment of benign disease in the female pelvis is clearly in the best interest of women. Female Urology, Urogynecology, and Voiding Dysfunction is a wonderful, comprehensive textbook that addresses complex clinical problems from the viewpoints of multiple medical and surgical subspecialties.
The contributors to this book include leaders in many specialties from around the world. Colon and rectal surgeons, female urologists, urogynecologists, and gastroenterologists offer strategies for the care of problems with which they are most experienced. I applaud the virtually seamless integration of such a variety of backgrounds into this work.
The book is logically arranged. After basic concepts are introduced, there are complete sections covering urinary incontinence, pelvic-organ prolapse, and reconstructive surgery of the lower urinary tract. A final section covers interstitial cystitis, pelvic pain, and fecal incontinence.
The editors recognize that several strategies might apply to a single clinical problem, with only minimal differences in efficacy, safety, and durability among them. To this end, multiple vaginal sling procedures for the treatment of stress urinary incontinence are covered after a brief introductory chapter that reviews the history of pubovaginal sling surgery and discusses the wide variety of autologous, allograft, and synthetic sling materials in use.
It has recently become clear to physicians who treat pelvic-floor dysfunction that increased emphasis must be placed on prevention. Unfortunately, this important point has been completely overlooked or given minimal attention in previous textbooks on female urology or urogynecology, but it is addressed in detail in this book. Chapter 7, "Obstetric Issues and the Female Pelvis," by Roger Goldberg and Peter Sand, comprehensively reviews the effect of obstetrical care on pelvic-floor dysfunction after the reproductive period. This well-done chapter, which should be read by any midwife or physician who provides obstetrical care, gives an unbiased account of the controversial topic of elective cesarean section for the prevention of pelvic-floor trauma, along with practical, evidence-based management strategies for the antepartum, intrapartum, and postpartum periods.
Throughout the book, the descriptions of surgical techniques are generally well written, understandable, and adequately illustrated. Several chapters are particularly effective; one of them is chapter 47, "Surgical Treatment of Vaginal Apex Prolapse: Transvaginal Approaches," by Mark Walters and Tristi Muir, which clearly and precisely outlines the anatomical and biomechanical concerns associated with the development of apical prolapse and offers an illustrated description of four separate surgical techniques for correction of this difficult problem.
The table of contents and index make this book particularly useful for quick reference to specific items of interest. I am excited to see a multispecialty book concerning female pelvic medicine, and I hope that this work predicts continued clinical cooperation among various specialties concerned with the pelvic floor.
Raymond T. Foster, Sr., M.D.
Duke University Medical Center
Durham, NC 27710(Edited by Sandip P. Vasav)
The contributors to this book include leaders in many specialties from around the world. Colon and rectal surgeons, female urologists, urogynecologists, and gastroenterologists offer strategies for the care of problems with which they are most experienced. I applaud the virtually seamless integration of such a variety of backgrounds into this work.
The book is logically arranged. After basic concepts are introduced, there are complete sections covering urinary incontinence, pelvic-organ prolapse, and reconstructive surgery of the lower urinary tract. A final section covers interstitial cystitis, pelvic pain, and fecal incontinence.
The editors recognize that several strategies might apply to a single clinical problem, with only minimal differences in efficacy, safety, and durability among them. To this end, multiple vaginal sling procedures for the treatment of stress urinary incontinence are covered after a brief introductory chapter that reviews the history of pubovaginal sling surgery and discusses the wide variety of autologous, allograft, and synthetic sling materials in use.
It has recently become clear to physicians who treat pelvic-floor dysfunction that increased emphasis must be placed on prevention. Unfortunately, this important point has been completely overlooked or given minimal attention in previous textbooks on female urology or urogynecology, but it is addressed in detail in this book. Chapter 7, "Obstetric Issues and the Female Pelvis," by Roger Goldberg and Peter Sand, comprehensively reviews the effect of obstetrical care on pelvic-floor dysfunction after the reproductive period. This well-done chapter, which should be read by any midwife or physician who provides obstetrical care, gives an unbiased account of the controversial topic of elective cesarean section for the prevention of pelvic-floor trauma, along with practical, evidence-based management strategies for the antepartum, intrapartum, and postpartum periods.
Throughout the book, the descriptions of surgical techniques are generally well written, understandable, and adequately illustrated. Several chapters are particularly effective; one of them is chapter 47, "Surgical Treatment of Vaginal Apex Prolapse: Transvaginal Approaches," by Mark Walters and Tristi Muir, which clearly and precisely outlines the anatomical and biomechanical concerns associated with the development of apical prolapse and offers an illustrated description of four separate surgical techniques for correction of this difficult problem.
The table of contents and index make this book particularly useful for quick reference to specific items of interest. I am excited to see a multispecialty book concerning female pelvic medicine, and I hope that this work predicts continued clinical cooperation among various specialties concerned with the pelvic floor.
Raymond T. Foster, Sr., M.D.
Duke University Medical Center
Durham, NC 27710(Edited by Sandip P. Vasav)