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…
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…
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…
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…
Periurethral Bulking Agent Injection in the Treatment of Female Stress Urinary Incontinence
Fig. 27.1 Pelvic CT imaging demonstrates a large periurethral hematoma in a patient on warfarin presenting for pelvic pain and acute urinary retention following transurethral bulking agent injection. The hematoma…
Bladder Augmentation
Indication Congenital Myelodysplasia Posterior urethral valves Exstrophy/epispadias complex Acquired neurogenic bladder Spinal cord injury Multiple sclerosis Acquired non-neurogenic bladder Overactive bladder Infectious Tuberculosis Schistosomiasis Inflammatory Radiation cystitis (Interstitial cystitis)…
