Posterior Compartment Repair
Fig. 6.1 The Miyazaki retractor is shown here (a). This retractor has a fiber optic light on the end (b) that is useful when the surgeon is working in a…
Urethral Diverticulectomy
Leiomyoma Skene’s gland abnormalities Gartner’s duct abnormalities Vaginal wall cysts Urethral mucosal prolapse Urethral caruncle Periurethral bulking agents Malignancy Endometriosis Fig. 20.1 Skene’s gland abscess clinically (top) and on MRI…
Abdominal Sacrocolpopexy
Fig. 9.1 Type 1 macroporous mesh is sutured to the sacral promontory and the vaginal cuff Fig. 9.2 The mesh graft is affixed to the apex of the vagina with…
Pain Related to Transvaginal Mesh Placed for Stress Urinary Incontinence and Pelvic Organ Prolapse
Fig. 14.1 IUGA/ICS joint terminology and classification of the complications related directly to the insertion of prostheses. (Reprinted with permission of John Wiley and Sons from Haylen BT, Freeman RM,…
Martius Labial Fat Pad Construction
Fistula (vesico-vaginal/urethrovaginal/ano-rectal vaginal) Iatrogenic bladder injury Urethral diverticulectomy Mesh (prolapse/mid-urethral sling) erosion Urethrolysis Vaginal/neovaginal reconstruction Bladder neck augmentation for artificial urinary sphincter Bladder neck closure In regard to the repair…
Anal Sphincteroplasty
Fig. 24.1 A transverse incision along the perineum. Note the patient is positioned in the prone position with the anus superior and vagina inferior (Reprinted with permission, Cleveland Clinic Center…
Colpocleisis
Fig. 11.1 Incisions in the vaginal epithelium are mapped out in a woman with post-hysterectomy vaginal prolapse. Note that the vertical incision stops at least 1.5 cm proximal to the…
Mesh Prolapse Repair
Fig. 12.1 (a–h) Excision of transvaginal mesh . (Reprinted with permission, Cleveland Clinic Center for Medical Art & Photography © 2010–2016. All Rights Reserved) Surgical Technique for Excision of Mesh…
Uterosacral Ligament Suspension
Fig. 7.1 Abdominal view illustrating the relationship between the ureter and the uterosacral ligament. Proceeding cephalad, the uterosacral ligament proceeds medially while the ureter proceeds laterally. Vault suspension to the…
General Complications of Pelvic Reconstructive Surgery
Level of risk Definitiona Recommended prevention strategy Very low <0.5% risk of VTE (Most outpatient or same-day surgery) No specific recommendations Low Minor surgery (1.5% risk) (ex: spinal surgery for…
