The Surgical Rescue: Complications of Female Incontinence and Pelvic Reconstructive Surgery (2nd Edition)
Pelvic reconstructive surgery and incontinence procedures (like synthetic midurethral slings) have revolutionized urogynecology, drastically improving quality of life. However, when these procedures fail, the resulting complications—mesh erosions, fistulas, and intractable chronic pelvic pain—are catastrophic and technically terrifying to repair. Complications of Female Incontinence and Pelvic Reconstructive Surgery (2nd Edition) is a fiercely tactical, highly specialized surgical manual designed exclusively for the “salvage” operation. This volume provides the exact blueprints required by surgeons to navigate, mitigate, and repair the disastrous sequelae of failed pelvic surgery.
Mastering Mesh Complications and Fistula Repair
The core philosophy of this text is aggressive surgical correction. The authors detail the complex anatomy of the distorted pelvis. It dictates exactly how to safely explant eroded synthetic mesh from the bladder or vagina, providing exhaustive, step-by-step techniques for the difficult dissection required to avoid further visceral injury. It provides rigorous protocols for repairing complex vesicovaginal and rectovaginal fistulas resulting from surgical trauma.
Navigating Voiding Dysfunction and Chronic Pain
The book provides a masterclass in post-operative functional failure. It dictates the exact clinical pathways for managing the patient who develops severe, refractory urinary retention or de novo overactive bladder after a sling procedure. It heavily emphasizes the multidisciplinary management of post-surgical chronic pelvic pain, integrating surgical revision with neuro-modulation and pelvic floor physical therapy.
Frequently Asked Questions (FAQs)
Does this book teach how to perform the initial incontinence surgery?
No, it assumes you already know how to perform the primary procedure. It focuses strictly on recognizing and surgically managing the *complications* that arise when those primary procedures fail.
Who is the primary audience?
It is the absolute, mandatory surgical manual for Urogynecologists (Female Pelvic Medicine and Reconstructive Surgery specialists), General Urologists, and Gynecologic Surgeons.
