Clinical Urogynecology

Part One: Basic Science. Anatomy. Neurophysiology. Mechanism of incontinence. Theory of pharmacology. Epidemiology of micturition disorders. Part Two: Investigation. Physical aspects of urodynamic investigation. History and examination. General urologic investigation. Cystometry and videocystourethrography. Radiology and MRI. Uroflowmetry. Urethral function tests. Cystourethroscopy. Ultrasound. Clinical neurophysiology. Ambulatory urodynamic monitoring. Special investigations. Part Three: Clinical Conditions. Classification of urogynaecological disorders. Urethral sphincter incompetence. Detrusor instability. Neuropathic bladder. Bladder after radical pelvic surgery. Genitourinary fistulae. Voiding difficulties and retention. Urinary tract and benign and malignant disease. Congenital abnormalities. Urinary frequency and urgency. Bladder hypersensitivity. Urinary tract infection. Urethral lesions. Pelvic organ prolapse. Urogenital tract dysfunction and the menopause. The elderly. Urogynaecology in the third world. Psychological aspects of micturition disorders. Nocturnal enuresis. Sexual problems. Lower intestinal tract disease. Clinical neuropathology of the urethra. Part Four: Urinary Tract In Pregnancy. Upper urinary tract in pregnancy. Lower urinary tract in pregnancy. Part Five: Treatment. Applied pharmacology. Electrical therapy. Bladder drainage. Diversion and undiversion. Role of laparoscopy in urogynaecology. Bladder retraining. Pads. Pants and mechanical devices. Physiotherapy. Part Six: Into Practice. Organisation of community continence services. Training. Urogynaecology audit. Appendix: ICS Standardisation Reports.