Chapters authored
Robotic Sacrocolpopexy for Treatment of Prolapse of the Apical Segment of the Vagina
Abdominal sacrocolpopexy for apical prolapse repair is the gold standard treatment and is more effective and durable than the transvaginal approach. The increase in minimally invasive surgery has led to attempts at laparoscopic sacrocolpopexy, but this technique has not gained popularity due to complex procedures and a steep learning curve. Robotic sacrocolpopexy overcomes these issues and has yielded good results for more than 15 years, with equivalent outcomes and safety to open and laparoscopic sacrocolpopexy (LSC). LSC is still a useful procedure for experienced surgeons, but it is expected that robot-assisted sacrocolpopexy (RSC) will have better results overall due to the advantages of the robotic instrument. The most important advantage is that surgeons who are inexperienced with minimally invasive approaches can more readily master RSC compared to overcoming the steep learning curve of LSC.
Part of the book: Medical Robotics
Management of Hunner Lesion in Interstitial Cystitis/Bladder Pain Syndrome Patients
Interstitial cystitis/bladder pain syndrome (IC/BPS) is a chronic condition characterized by chronic pelvic pain related to the bladder. One phenotype of IC/BPS is the Hunner lesion type IC/BPS. Hunner lesion exhibits typical features such as mucosal ulceration, fibrosis, and severe inflammation. The tissue surrounding the Hunner lesion may show lymphoplasmacytic infiltrates, and mast cells are increased in the lamina propria. In this chapter, we discuss intravesical treatment, endoscopic treatment, and partial cystectomy with augmentation cystoplasty for the management of Hunner lesion in IC/BPS patients.
Part of the book: Pelvic Floor Dysfunction