Donald R. Ostergard – författare

Urodynamic evaluation of the incontinent female has come of age. It is no longer accept­ able to subject women to surgical procedures for urinary incontinence based solely on the physician''s clinical impression of the cause of the urine loss. Multiple studies in the uro­ gynecological literature have told us that the error rate for stress incontinence is about 25% and the error rate for the unstable bladder is 50% when these diagnoses are based solely on historical data obtained from the patient. Unfortunately the patient is a poor witness to her bladder''s activities and diagnoses arrived at without further evaluation are subject to error. Urodynamic testing allows the establishment of precise diagnoses using procedures that have been proven to be accurate. For the physician who has not had the opportunity to have fellowship training, the uro­ dynamic tracing is sometimes more of a mystery than a diagnostic aid. Physician training in the reading of urodynamic tracings is limited to piecing together information from the literature, textbooks and postgraduate courses. Unfortunately none of these sources can provide the experience necessary to become an expert in the interpretation of the physio­ logical and pathophysiological events depicted on the tracing. Artifacts occur commonly and may lead to misinterpretation of these events and even misdiagnosis if the reader of the tracing is not careful and fully informed on the nuances of the testing procedures. This is why this text was conceived as an atlas of urodynamic testing procedures.

Selected as a Doody’s Core Title for 2023!Now totally revised and rewritten for today’s female pelvic medicine and reconstructive surgery practice, Ostergard’s Textbook of Urogynecology: Female Pelvic Medicine & Reconstructive Surgery, 7th Edition, offers comprehensive guidance on all aspects of this complex field. Drs. Ali Azadi, Jeffrey L. Cornella, Peter L. Dwyer, and Felicia L. Lane bring you up to date with current diagnosis and treatment of all female pelvic floor dysfunctions, including urinary incontinence and other lower urinary tract conditions, disorders of the anus and rectum, and disorders of pelvic support. Thorough updates include revised and rewritten content throughout, new full-color illustrations, new surgical videos, new chapters on current clinical topics, and much more. Covers relevant anatomy, describes the clinical examination and diagnostic tests, and provides current information on the diagnosis, physiology, and medical and surgical treatment of specific disorders Includes an all-new section on the essentials of pelvic floor surgery, and new chapters on robotic surgery, neuropelveology,biomechanics of pelvic floor, and cosmetic gynecology Offers succinct descriptions of current medical and surgical techniques and provides access to all-new surgical videos Describes surgical techniques for correcting incontinence, new drugs and injectables for incontinence, and the use of biosynthetic material to aid in surgical repair Features all-new editorial leadership that includes past presidents of the American Urogynecology Society and the International Urogynecology Association Includes contributions from more than 100 distinguished authors who are experts and leaders in the field An ideal study tool for board examination, as well as a reference for Ob/Gyn residents and practitioners, specialists in Female Pelvic Medicine and Reconstructive Surgery (FPMRS), including urogynecologists and female urologists, and those specializing in minimally invasive gynecologic surgery and chronic pelvic pain   Enrich Your eBook Reading ExperienceRead directly on your preferred device(s),such as computer, tablet, or smartphone Easily convert to audiobook,powering your content with natural language text-to-speech

Urodynamic evaluation of the incontinent female has come of age. It is no longer accept­ able to subject women to surgical procedures for urinary incontinence based solely on the physician's clinical impression of the cause of the urine loss. Multiple studies in the uro­ gynecological literature have told us that the error rate for stress incontinence is about 25% and the error rate for the unstable bladder is 50% when these diagnoses are based solely on historical data obtained from the patient. Unfortunately the patient is a poor witness to her bladder's activities and diagnoses arrived at without further evaluation are subject to error. Urodynamic testing allows the establishment of precise diagnoses using procedures that have been proven to be accurate. For the physician who has not had the opportunity to have fellowship training, the uro­ dynamic tracing is sometimes more of a mystery than a diagnostic aid. Physician training in the reading of urodynamic tracings is limited to piecing together information from the literature, textbooks and postgraduate courses. Unfortunately none of these sources can provide the experience necessary to become an expert in the interpretation of the physio­ logical and pathophysiological events depicted on the tracing. Artifacts occur commonly and may lead to misinterpretation of these events and even misdiagnosis if the reader of the tracing is not careful and fully informed on the nuances of the testing procedures. This is why this text was conceived as an atlas of urodynamic testing procedures.