{"product_id":"urogynecology-evidence-based-clinical-practice-9783030933661","title":"Urogynecology: Evidence-Based Clinical Practice","description":"\u003cb\u003eBook Synopsis\u003c\/b\u003e\u003cbr\u003e\u003cp\u003eThis heavily revised third edition concisely covers the latest evidence-based treatment strategies for urinary incontinence and prolapse. Chapters cover methodologies relevant to continence procedures, prolapse management, and potential complications. New topics discussed include Colpocleisis, principles associated with managing Mesh complications and the Mirabegron mechanism.\u003c\/p\u003e\u003cp\u003e\u003ci\u003eUrogynecology: Evidence-Based Clinical Practice 3rd Edition\u003c\/i\u003e is a vital how-to guide, which is ideal for junior registrars assigned to work in a urogynecology department, as well as for those with no previous formal urogynecological training seeking to develop their understanding of the subject.\u003cbr\u003e\u003c\/p\u003e\u003cbr\u003e\u003cbr\u003e\u003cbr\u003e\u003cb\u003eTable of Contents\u003c\/b\u003e\u003cbr\u003eHistory taking.- \u003cb\u003eIncontinence and Frequency, Urgency, Nocturia\u003c\/b\u003e.- The Frequency Volume Char.- How bad is the problem? – assessing severity.- Voiding difficulty.- Prolapse.- Faecal Incontinence and Obstructive Defecation.- Surgical History.- Dyspareunia in relation to urogynaecology.- \u003cb\u003eAssessment of Mesh Pain\/ complications\u003c\/b\u003e.- \u003cb\u003eRecurrent bacterial cystitis\u003c\/b\u003e.- Interstitial Cystitis\/ Painful Bladder Syndrome.- History of Drug Therapy.- \u003cb\u003eGeneral Assessment of Precipitating Factors\u003c\/b\u003e.- Physical examination.- \u003cb\u003eAssess the abdomen.- \u003c\/b\u003eInspect the vulva.- Elicit a “stress leak”.- Speculum examination needs.- POPQ Scoring system of Prolapse.- Assess Pelvic Floor Muscle Contraction Strength – Oxford Score.- \u003cb\u003eHow to assess vagina\/ pelvis in Mesh Pain, overview\u003c\/b\u003e.- Do all patients need a rectal examination?.- Screening neurological examination.- How to manage the patient after history and examination.- Explaining the situation to the patient.- \u003cb\u003eTreat precipitating factors\u003c\/b\u003e.- Get old notes of any relevant surgery.- Begin basic management plan for incontinence\/ prolapse\/ UTI.- How to conduct  and interpret urodynamic tests.- Who needs urodynamic testing?.- Different types of urodynamics.- Practical advice about how to perform urodynamic tests.- Uroflowmetry.- Twin channel cystometry.- Urodynamic diagnoses available from the filling phase.- Videourodynamics.- “Occult” stress incontinence.- \u003cb\u003eUltrasound \u003c\/b\u003e.- Voiding cystometry, diagnoses available after test.- Special tests: Urethral Pressure Profilometry and Leak Point Pressures.- \u003cb\u003e3D ultrasound and\/or MRI\u003c\/b\u003e.- Examples of reports – what do they mean?.- Outcome measures in assessing response to treatment.- Tests that measure patient’s symptoms.- \u003cb\u003eThe ICIQ-SF, Wexner Scale\u003c\/b\u003e.- Tests that quantify patients symptom.- Micturition chart, Frequency Volume Chart, Urinary Diary.- The Pad Test; 1 hour and 24 hour.- Quality of Life.- Economic evaluation.- Conservative therapy of USI.- Managing chronic cough and obesity.- Treatment of constipation.- \u003cb\u003eTreating postmenopausal urogenital atrophy \u003c\/b\u003e.- Starting a home-based pelvic floor muscle training program.- The role of the Nurse Continence Advisor.- Who should be referred for physiotherapy?.- What does the physiotherapist do?.- \u003cb\u003eThe efficacy of physiotherapy techniques\u003c\/b\u003e.- What if conservative therapy fails but patient does not want surgery? Rings.- Step by step guide to treatment of overactive bladder \/ detrusor overactivity.- Explain the condition – basic physiology review.- Step by step guide to bladder training.- \u003cb\u003eNeed section on Nocturia treatment\u003c\/b\u003e.- How do anticholinergic drugs work, how do we use them?.- \u003cb\u003eMirabegron mechanism, effectiveness, risks\u003c\/b\u003e.- Are these drugs effective? – need for long term therapy?.- Role of topical oestrogens in DO.- Alternative treatments.- TENS.- Acupuncture and SANS electro-acupunctur.- Hypnotherapy.- Electrostimulation and Extracorporeal Magnetic Stimulation.- Cystodistension.- \u003cb\u003eClam cystoplasty\u003c\/b\u003e.- Implantation of S3 Sacral Nerve Root Stimulator.- Botox Therapy.- \u003cb\u003eIntravesical Resiniferatoxin installation.- \u003c\/b\u003eFaecal Incontinence and Disorders of Obstructive Defecation.- Basic Physiology of Anal Continence and Defecation for the Gynaecologist.- \u003cb\u003eOverview of Anal Incontinence Tests and Treatment\u003c\/b\u003e.- Overview of the Disorders of Obstructive Defecation.- Constipation, Outlet Obstruction.- \u003cb\u003eOverview of Treatment of Disorders of Defecation.- \u003c\/b\u003e Surgery for US.- Bladder neck buttress.- Colposuspension, lap versus open.- Preoperative consent discussion.- Postoperative convalescence.- Technique.- Postoperative management.- Short term voiding difficulty.- Long term voiding dysfunction.- \u003cb\u003eAbdominovaginal Sling, and “Sling on a String”\u003c\/b\u003e.- Preoperative consent discussion.- Technique.- Historical note: Stamey\/ Raz\/Peyreyra\/ Gittes procedures, Paravaginal repair.- Laparoscopic colposuspension.- \u003cb\u003eThe retropubic TVT needs total revision\u003c\/b\u003e.- \u003cb\u003ePreoperative consent discussion, risks\u003c\/b\u003e.- Technique.- Postoperative instructions .- \u003cb\u003eThe transobturator tape;\u003c\/b\u003e \u003cb\u003erecent awareness of increased risk versus benefit\u003c\/b\u003e.- Use of bulking agents: GAX collagen, Macroplastique, Durasphere.- Management of Prolapse.- Non surgical management options.- Surgery for cystocoele: four techniques.- Outline of controversies.- What is the value of Manchester repair- technique.- Preoperative consent discussion for anterior compartment repair.- \u003cb\u003eOverview of the rationale for previous use of vaginal mesh in cystocoele\u003c\/b\u003e.- Surgery for Rectocoele\/ Deficient Perineum.- Outline of controversies.- Surgery for enterocoele.- Vaginal Sacrospinous Fixation technique.- Preoperative consent discussion, postop instructions\/ issues.- Abdomino-sacro-colpopexy techniques.- Preoperative consent discussion, postop regime.- Uterine prolapse.- \u003cb\u003eColpocleisis\u003c\/b\u003e.- \u003cb\u003eManagement of Mesh complications- basic principles\u003c\/b\u003e.- Recurrent bacterial cystitis in wome.- Guide to Management.- \u003cb\u003eInvestigations\u003c\/b\u003e.- \u003cb\u003eTreatment\u003c\/b\u003e.- Interstititial cystitis?.- How to diagnosis it.- Outline of aetiology.- \u003cb\u003eTreatment\u003c\/b\u003e.\u003cp\u003e\u003c\/p\u003e  \u003cp\u003e \u003c\/p\u003e","brand":"Springer Nature Switzerland AG","offers":[{"title":"Default Title","offer_id":51926353707351,"sku":"9783030933661","price":89.99,"currency_code":"GBP","in_stock":false}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0817\/1739\/5799\/files\/9783030933661.jpg?v=1760623489","url":"https:\/\/bookcurl.com\/products\/urogynecology-evidence-based-clinical-practice-9783030933661","provider":"Book Curl","version":"1.0","type":"link"}