UROGYNAECOLOGY AND PELVIC RECONSTRUCTIVE SURGERY

This book was created as a guide to follow the recent International Urogynecological Association (IUGA) roadmap for training in urogynecology published in 2024. The chapters/topics discussed are those suggested by IUGA Fellowship development committee and can serve as an introduction to the basics of urogynecology that should be pursued by all trainees desiring a focused treatise on the field of urogynecology.

Clinical assessment is presented holistically, combining symptom assessment, severity and bother evaluation, lifestyle and precipitating factors, and appropriate use of diagnostic tools. Equal attention is given to conservative, office-based therapies and surgical options, allowing trainees to understand the full continuum of care and develop sound judgment in selecting appropriate interventions. The role of contemporary surgical materials, including biologic and synthetic options, is critically discussed within the context of safety, efficacy, and long-term outcomes. The text also highlights the importance of patient-reported outcomes, introducing validated measures of symptom severity and quality of life for both clinical practice and research. Written as a comprehensive roadmap, the book bridges foundational knowledge with real-world application, with a strong emphasis on anatomy-driven, patient-centred care.

Contents:

• Pelvic Floor, Organ Anatomy, and Physiology (Marwan Alkassis, Andrew Lai, Ervin Kocjancic)
• Pelvic Organ Prolapse (Katelyn Donaldson, Steven Swift)
• Stress Urinary Incontinence (Abbigail Woll)
• Overactive Bladder (Valentin Manriquez)
• Mixed Urinary Incontinence (Steven Swift)
• Bladder Pain Syndrome (Islam Abaza, Vik Khullar)
• Lower Urinary Tract Infection (Bernadette Lemmon)
• Neuro-Urology and Female Voiding Dysfunction (Mariana Bertoncelli Tanaka)
• Bowel Dysfunction — Fecal Incontinence/Defecatory Dysfunction Evaluation (Mallorie Huff, Rylee Barber, Anika Sedani, Richard Slay, Miriam Tadros, Nicola Adanna Okeahialam, Colleen Donahue)
• Obstetric Anal Sphincter Injuries (Miriam Tadros, Nicola Adanna Okeahialam)
• Pelvic Pain and Pelvic Floor Muscle Dysfunction (Muhammad Ejaz, Mittal Patel)
• Fistulae and Urethral Diverticulae (Conor Mosli-Lynch)
• Augmenting Surgical Materials in Urogynaecology (Visha Tailor)
• Symptom Severity and Quality-of-Life Measurement (Dudley Robinson)
• Clinical Researchh (Sharif Ismail)
• The Application of Psychosexual Medicine in Urogynaecology (Sharif Ismail)

Readership: Urogynaecologists, O&G specialists, urologists, sonologists, radiologists, physiotherapists, and other healthcare professionals (including students and junior residents) involved in the care of patients with pelvic floor dysfunctions.