Advances in Reconstructive Vaginal Surgery

Section 1 – Female Pelvis
1. Operative anatomy for the vaginal surgeon
2. Applied anatomy and physiology of female pelvic floor support disorders – the identification of site-specific defects and their associated pathophysiology
3. Evaluation and management of pelvic organ prolapse

Section 2 – Preoperative and intraoperative decision making
4. How do you teach vaginal surgery?
5. Antiobiotic prophylaxis and vaginal surgery
6. Instruments for vaginal surgery
7. The use of graft materials in gynecologic surgery

Section 3 – Uterus and adnexa
8. Guidelines for hysterectomy
9. Vaginal hysterectomy
10. Vaginal hysterectomy for the enlarged uterus
11. Laparoscopically assisted vaginal hysterectomy
12. Subtotal vaginal hysterectomy and myomectomy
13. The difficult vaginal hysterectomy
14. Radical vaginal hysterectomy and laparoscopic lymphadenectomy
15. Vaginal salpingo-oophorectomy

Section 4 – Reconstruction of the vagina
16. Repair of the anterior segment
17. Posterior vaginal reconstruction with bilateral vaginal uterosacral colpopexy
18. Surgical repair of the superior vaginal segment
19. Surgery of the urethra
20. The neovagina
21. Colpocleisis
22. Neurological examination for the pelvic surgeon

Section 5 – Urinary incontinence
23. Pubovaginal slings
24A. Midurethral slings – pubic bone stabilization sling and transobturator vaginal tape
24B. Midurethral slings – tension-free tape
25. The use of urethral bulking agents and artificial urinary sphincter

Section 6 – Colorectal problems
26. Hemorrhoids and incontinence
27. Perineal descent and rectocele

Section 7 – Fistulas
28. Vesicovaginal, urogenital, and rectovaginal fistulas

Section 8 – Recognition and Management of Intraoperative and Postoperative Complications
29. Urinary tract injuries
30. Bowel injuries
31. Hemorrhage
32. Infections of the vulva, vagina, and cervix
33. Surgical management of pelvic inflammatory disease