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Table of Contents
1 Cover
6 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
7 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