Female Pelvic Health and Reconstructive Surgery by Bruce I. Carlin, Fah Che Leong

By Bruce I. Carlin, Fah Che Leong

Information particular surgical options in addition to the efficacy and potency of every modality to revive common organ functionality, hinder secondary health and wellbeing outcomes, and increase sufferer caliber of lifestyles. Emphasizes the significance of thorough place of work reviews to categorise indicators and plan acceptable healing interventions for urinary incontinence, pelvic flooring prolapse, urgency and nocturia, pelvic discomfort, and sexual disorder.

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Lose G, Gammelgaar J, Jorgensen TJ. The one-hour pad-weighing test: reproducibility and the correlation between the test result, start volume in the bladder and the diuresis. Neurourol Urodyn 1986; 5:17–21. 13. Hahn I, Fall M. Objective quantification of stress urinary incontinence: a short, reproducible, provocative pad-test. Neurourol Urodyn 1991; 10:475–479. Diagnostic Evaluation of the Female Patient 25 14. Heritz DM, Blaivas JG. Evaluation of urinary tract dysfunction. In: Raz S, ed. Female Urology.

Sphincter Nerve Conduction Studies Conduction studies of the pudendal nerve have become clinically feasible with the development of the St. Marks pudendal electrode (Fig. 10). Developed by Kiff and Swash [3] to study patients with fecal incontinence at St. Marks Hospital in London, the electrode consists of a stimulating cathode and anode and two record- Figure 10 The St. Marks pudendal electrode: the disposable electrode is taped to a glove. The stimulating cathode and anode are located at the fingertip, and the recording electrodes are at the base of the examiner’s finger.

Detrusor-sphincter dyssynergia was present in 5%, and detrusor–bladder neck dyssynergia and dysfunctional voiding comprised 13%. The remaining obstructive processes were secondary to previous anti-incontinence surgery, the leading cause of female voiding dysfunction in most reported series. Genital prolapse is the next most common cause of mechanical outlet obstruction in the female and can be associated with life-threatening ureteral obstruction. Urethral stricture is certainly less common in the female than the male and was present in 13% of the patients in Groutz’s series.

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