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Index
Cover
Table of Contents
Ambulatory Urology and Urogynaecology
Copyright
dedication
List of Contributors
Section I: Basic Principles of an Ambulatory Service
1 Principles of an Ambulatory Surgery Service
Infrastructure
Pre‐operative Assessment
Social Selection Criteria
Physical Selection Criteria
Preparation for Surgery
Setting Up an Ambulatory Centre
Conclusion
Further Reading
Section II: Ambulatory Urogynaecology
2 Introduction and Epidemiology of Pelvic Floor Dysfunction
Introduction
Types of Pelvic Floor Dysfunction
Epidemiology
Pelvic Organ Prolapse
Urinary Incontinence
Anal Incontinence
Predisposing Factors
Pelvic Organ Support
Conclusion
Further Reading
3 Ambulatory Evaluation of Pelvic Organ Prolapse and Urinary Incontinence
History
Urological History
Physical Examination
Investigations
Conclusion
Further Reading
4 Role of Cystoscopy
Instrument
Pre‐procedure
Indications
Technique
Cystoscopy as Surgical Tool
Side Effects and Complications
Conclusion
Further Reading
5 Role of Nurse Practitioners in Ambulatory Urogynaecological Care
Introduction
Who is a Nurse Practitioner (NP)?
What Can a Urogynaecology Nurse Practitioner Do?
Educational/Training Requirements
Documentation
Managing Risks and Governance Requirements
Conclusions
Further Reading
6 Non‐Surgical Management of Pelvic Floor Disorders
General Life‐Style Interventions
Pelvic Floor Exercises
Supervised PFMT and Biofeedback
Bladder Re‐training
Pessaries
Pharmacotherapy
Percutaneous Posterior Tibial Nerve Stimulation (PTNS)
Conclusion
Further Reading
7 Ambulatory Surgical Procedures in Stress Urinary Incontinence
Introduction
Epidemiology
Pathophysiology
Ambulatory Procedures for Stress Urinary Incontinence
Urethral Bulking Agents
Macroplastique
Bulkamid
Coaptite
Durasphere
Urolastic
Urolon
Single Incision Mini‐Slings (SIMS)
Thermomodulation
Laser
Radiofrequency
Conclusion
Further Reading
8 Pelvic Organ Prolapse Surgery as an Ambulatory Procedure
General Requirements
Enhanced Recovery Protocols
Urogynaecological Procedures
Vaginal Hysterectomy
Anterior and Posterior Vaginal Repair (Colporrhaphy)
Vault Suspension Procedures
Practical Considerations to Grow an Ambulatory Urogynaecological Surgery Practice
Further Reading
9 Common Urethral and Vaginal Lesions in Ambulatory Urogynaecology
Introduction
Embryology and Anatomy of Urethra
Benign Urethral Lesions
Pathogenesis
Classification of Fistula
Vaginal Lesions
Other Vaginal and Periurethral Lesions
Conclusion
Further Reading
10 Ambulatory Management of Childbirth Pelvic Floor Trauma
Introduction
Perineal Wound Complications
Superficial Dyspareunia Following Childbirth
Obstetric Anal Sphincter Injuries
Mode of Birth in Pregnancies Subsequent to OASIs
Levator Ani Muscle Avulsion
Conclusion
Further Reading
11 Teaching and Training in Urogynaecology
Role of the Generalist Gynaecologist in Urogynaecology
Formal Urogynaecological Training by Country
Low‐Resource Countries – FIGO Recommendations
Use of Technology and Simulation in Training
Research
The Mesh Saga
Training Status
Further Reading
Section III: Ambulatory Urology
Foreword
12 Ambulatory Penile and Inguino‐Scrotal Surgery
Background
Individual Conditions and Procedures
Testicular Cancer + Radical Inguinal Orchidectomy
Phimosis and Circumcision
Peyronie's Disease and Penile Straightening Surgery
Vasectomy
Further Reading
13 Ambulatory Management of Renal Stone Disease
Epidemiology
Aetiology
Symptoms
Signs
Investigation
Emergency Management of the Infected Obstructed System
Treatment
Long‐Term Management and Prevention
Further Reading
14 The Management of Recurrent Urinary Tract Infections
History
Definitions
Risk Factors and Patient Discussion
Management Strategies
Further Reading
15 An Ambulatory Approach to Benign Prostatic Obstruction
Further Assessment and Investigations
Medical Management
Surgical Management
Further Reading
16 Urethral Catheters and Ambulatory Management of Urinary Retention
Risk Factors
Definition of Acute Urinary Retention
Definition of Chronic Urinary Retention
Definition of Acute‐on‐Chronic Retention
Causes of Urinary Retention
Post‐obstructive Diuresis
Clinical Assessment of a Patient with Urinary Retention
Catheter Insertion
Further Reading
17 Paediatric Urology
Recurrent Urinary Tract Infections
Reflux
Undescended Testes
Phimosis
Enuresis
Further Reading
18 Urothelial Bladder Cancer
Bladder Cancer Investigation
Clinical Assessment
Cystoscopy
Further Steps
Transurethral Resection of a Bladder Tumour
Risk Stratification and Further Treatment and Follow‐Up for Non‐muscle Invasive Disease
Muscle Invasive Disease
Further Reading
19 Prostate Cancer
Pathology
Tumour Grading
History
Risk Factors
Symptoms of the Disease
Examination and Investigation
Biopsy
Treatment
Further Reading
20 Renal Cancer
Incidence
Aetiology
Signs and Symptoms
Investigation
Staging
Role of Biopsy
Management
Enhanced Recovery After Renal Surgery
Further Reading
21 Penile Cancer
Pathology
Risk Factors
Presentation
History
Examination
Investigation
Imaging
Management
Invasive Disease
Lymph Node Management
Follow‐Up after Treatment
Summary of Key Points
Further Reading
22 Testis Cancer
Aetiology
Symptoms and Signs
Pathology and Subtypes
Investigation
Management of Seminomatous Germ Cell Tumours (SGCTs)
Management of Non‐seminomatous Germ Cell Tumours (NSGCTs)
Management of Metastatic Testicular Cancer
Further Reading
23 Plain X‐Ray, Computed Tomography Scanning, and Nuclear Imaging in Urology
X‐ray
Intravenous Pyelogram (IVP) or Intravenous Urogram (IVU)
CT KUB
CT Urogram (CTU)
Renal Protocol CT Scan
Staging CT Scans
Percutaneous Procedures
Nuclear Medicine Scans
Further Reading
24 Magnetic Resonance Imaging in Urology
Basic Principles
Clinical Applications
Advantages and Disadvantages
Further Reading
Index
End User License Agreement
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