Main description:

This book provides a comprehensive and up-to-date overview of the surgical treatment of pelvic organ prolapse, focusing especially on issues that continue to arouse controversy. In the first section, leading experts present detailed information on the surgical anatomy, pathophysiology, and epidemiology of prolapse and also the impact of concomitant functional disorders. The second section focuses on diagnostic work-up and the third is dedicated to the various treatment options aimed at resolution of the condition. The closing chapters discuss outcome measures and analyze the effects of prolapse surgery on urinary, bowel, and sexual symptoms.

In 1966 Richard TeLinde stated that, "Every honest surgeon of extensive and long experience will have to admit that he is not entirely and absolutely satisfied with his long-term results of all his operations for prolapse and allied conditions." Although many uncertainties in the field have since been resolved, some major issues still require clarification. Often it can be difficult to find the right balance between treatment effectiveness in the long term and risk reduction, including with respect to complications. This book will help trainees and less experienced surgeons to make appropriate treatment choices and achieve optimal outcomes.

Contents:

Part 1 General remarks
1. Surgical anatomy for the reconstructive pelvic surgeon (P. Palma, E. Costantini)
2. Pelvic organ prolapse: pathophysiology and epidemiology (A. Braga, G. Caccia)
3. Concomitant functional disorders in genito-urinary prolapse (E. Finazzi Agro, D. Bianchi)

Part 2 Diagnostic work-up
4. Clinical evaluation and diagnostic tools in women with prolapse (F. Del Deo, A. Grimaldi, M. Torella) 5. Urodynamic prolapse assessment: when and why (A. Braga, M. Milanesi, G. Del Popolo)

Part 3 Treatment options
6. Pelvic floor muscle training and prolapse: prevention or treatment? (A. Biroli, GF. Lamberti)
7. Pessary: a rediscovered tool (E. Cattoni, P. Sorice, L. Leidi-Bulla)
8. Fascial surgical repair for prolapse (M. Meschia)
9. Sacrocolpopexy: conventional laparoscopic versus robot-assisted approach (A. Minervini, G Siena, R. Campi, C. Wagner, G. Vittori, F. Annino, R. Gaston)
10. Transvaginal mesh repair for pelvic organ prolapse: toward a new era (V. Li Marzi, J. Frizzi, R. Campi, S. Serni)
11. Posterior prolapse repair: traditional, transanal, and employing mesh-graft (M. Soligo)
12. The role of hysterectomy in genito-urinary prolapse (M. Serati, P. Sorice)

Part 4 Outcome and follow-up
13. Prolapse surgery and outcome measures (R. Bray, A. Digesu)
14. Urinary, bowel and sexual symptoms after prolapse surgery (S.I.M.F. Ismail, D.E.E. Rizk)