Main description:

Urinary symptoms in women have a very high prevalence rate. While the storage function of the bladder is similar in both genders, voiding function has marked differences with obvious anatomic and physiological genitourinary distinctions. Despite all advances in contemporary diagnostics and imaging, female bladder outlet obstruction and urethral stricture disease remain a conundrum to be deciphered in clinical practice. It is also seen that the female voiding symptoms and bladder outlet obstruction are poorly understood entities; which is also evident from the fact that Urethral dilatation in women is still a widely practiced procedure. This book provides a comprehensive understanding of female voiding disorders leading to bladder outlet obstruction and helps identify the women who will actually need reconstructive surgeries. The book begins with what is normal female voiding and then goes on to describe the various definitions of female bladder outlet obstruction along with controversies in Urodynamic diagnosis . As the functional causes are more common than actual strictures, this book elucidates on the knowledge of each of these differentials with their basic understanding and treatment outline, further throwing knowledge on the anatomical causes like pelvic organ prolapse and female urethral stricture. A separate section is dedicated to female urethral surgical anatomy and urethral reconstruction for urethral stricture as well as pelvic fracture urethral injury in females.

Contents:

Section 1 Section 1 Pathophysiology and differential diagnoses of Female Bladder Outlet Obstruction (11 chapters):
1. Physiology of female Voiding: Are there many normals ? (Valsalva/detrusor/both) 2 Diagnosis and Controversies in identifying Bladder Outlet Obstruction in women (A urodynamic/videourodynamic perspective)
3 Dysfunctional voiding in women. 4 Primary Bladder Neck Obstruction as a cause for female bladder outlet Obstruction 5 Fowler's syndrome of recurrent Pianless retention in women6 Pelvic organ descent as a cause of Bladder out let Obstruction: 7 Female Urethral Stricture: 8 Bladder outlet Obstruction after Sling Surgery: 9 Female Bladder Outlet Obstruction: Whom to work up and what to look for?
10 Working Algorithm for Female Voding Lower Urinary Tract Symptoms 11 Minimally Invasive treatment for Female Bladder Outlet ObstructionSECTION II Female urethroplasty Surgical Techniques
1. . Applied anatomy of urethra with regards to all urethral reconstructive procedures : 2. Dorsal Onlay Urethroplasty for female urethral stricture3 Ventral Onlay Urethrooplasty for female urethral stricture4. Dorsal Inlay Urethroplasty for female urethral stricture5. Ventral Inlay Urethroplasty for female urethral stricture6 Labial and Vaginal flaps in female urethroplasty7. Anastomotic urethroplasty for Female strictures8. Female Pelvic Fracture Urethral Injuries:Principles of management