Anatomy of the perineal body, distal vagina, rectum, and anus Perineal body defects and rectovaginal fistulas (RVFs) are part of a spectrum of conditions that impact the posterior pelvic floor. The surgical interventions used to address these defects must be…
This chapter discusses the evaluation, prevention, and management of many complications commonly associated with pelvic reconstructive surgery. Of note, it does not include a discussion of the evaluation and management of lower urinary tract injuries, which can be found in…
Introduction Pelvic reconstructive surgery for genital prolapse and urinary stress incontinence usually results in improved quality of life ( ). However, numerous complications from mesh-augmented prolapse repairs, as well as placement of synthetic slings, have been reported in the literature.…
Introduction As our population ages, pelvic floor disorders are becoming more prevalent and increasingly important health and social issues. Approximately 63 million women will be 45 years old or older by 2030, and 33% of the population will be postmenopausal…
Introduction Synthetic midurethral slings (MUSs) have become the most popular surgical procedures performed for the treatment of stress urinary incontinence (SUI) in the twenty-first century. Few operations in gynecology or urology have been as well studied or have gained such…
Introduction The concept of using a patient’s own tissue as a “sling” to provide support under the urethra to treat urinary incontinence dates to the beginning of the twentieth century; however, it was not until the last quarter of the…
Introduction to urodynamics The term urodynamics means observation of the changing function of the lower urinary tract (LUT) over time. Specifically, urodynamic studies are a number of interactive diagnostic tests that can be used to obtain functional information about bladder…
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