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Complications of Female Incontinence and Pelvic Reconstructive Surgery Second Edition PDF

Download Complications of Female Incontinence and Pelvic Reconstructive Surgery Second Edition PDF

Complications of Female Incontinence and Pelvic Reconstructive Surgery Second Edition PDF

Complications of Female Incontinence and Pelvic Reconstructive Surgery Second Edition PDF Ais the best book that is used by many clinicians to improve the knowledge in GYNECOLOGY Complications of Female Incontinence and Pelvic Reconstructive Surgery Second Edition PDF Isthe best and trending book in latest CLINICAL UROLOGY FEILD..This second edition of Dr. Howard Goldman’s Complications of Female Incontinence and Pelvic Reconstructive Surgery updates the outstanding rst edition which included a multinational authorship related to those issues of quality and safety that are pertinent to female pelvic surgical reconstruction. The second edition updates the rst edition by including discussions related to speci c procedures, but also more global issues related to surgical recon- struction and risks thereof associated.

The rst chapter of the book summa- rizes taxonomic classi cations for complications both generally and speci cally. The next two chapters—Patient Consent and Perception of Complications and Medical Malpractice—de ne the importance of the engaged and informed patient and the issues surrounding the importance of obtaining appropriate informed consent from the standpoint of avoiding med- ical–legal concerns. The last general chapter deals with Medical and Other Types of Complications Related to Pelvic Surgery (and in fact inherent to all surgeries). Following these rst four chapters, there then follow chapters on various prolapse repair concerns followed by incontinence concerns and nally speci c issues related to management of other lower urinary tract symptom complexes and/or anatomic abnormalities.

It is abundantly clear that surgery is only one aspect of approaching com- plex female disorders. There is an extremely important presurgical time frame which not only involves the subjective and objective estimation of the patient’s condition, bother, and ongoing life burden but also involves the objecti cation of those symptoms through appropriate, focused, and informed testing which will help the surgeon in his or her preplanning for the surgical procedure. There has been a great deal of discussion and research into the value of certain types of testing modalities (i.e., urodynamics). It is incum- bent upon the surgeon, for the unique patient, to make the appropriate choice of objective testing. The wary surgeon is cautioned that operating for symp- toms only is fraught with the potential of not completely understanding what is causing those symptoms and complicating the initial symptoms with sec- ondary symptoms arising from surgical intervention.

Preoperative prepara- tion, education, and realistic expectation setting are critical for not only the perioperative time frame but also the chronic postoperative time frame where the patient experiences (we hope) some resolution or improvement of their symptoms. Part of urologic pelvic reconstruction is the acknowledgement that rarely is success equivalent to cure but rather remediation and improve- ment. The successful surgeon is one who counsels his or her patient that they are good.

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