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Table of Contents

Оглавление

Cover

Title Page

Copyright Page

Dedication Page

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

10  End User License Agreement

Ambulatory Urology and Urogynaecology

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