PROLOG: Urogynecology and Reconstructive Pelvic Surgery, Second Edition

American College of Obstetricians and Gynecologists

• Publisher: ACOG
• Year: 2026
• eBook ISBN:
  9781948258906
• Topic: Medicine
• Subtopic: Gynecology, Obstetrics & Midwifery

PROLOG: Urogynecology and Reconstructive Pelvic Surgery, Second Edition is a comprehensive, self-directed learning resource designed for obstetricians, gynecologists, and other health care professionals seeking to assess and update their clinical knowledge in this field. It provides evidence-based instruction of core topics in urogynecology, including pelvic anatomy and physiology, pelvic floor dysfunction, incontinence, upper limb nerve injury, pelvic organ prolapse, and pain management. PROLOG: Urogynecology and Reconstructive Pelvic Surgery, Second Edition is written by experts and is based on the latest research and clinical guidelines, ensuring that readers have access to the most up-to-date information. Physicians who pass the online assessment earn continuing medical education (CME) credits. PROLOG: Urogynecology and Reconstructive Pelvic Surgery, Second Edition is a valuable resource for medical students, residents, and practicing physicians seeking to deepen their skills and knowledge of gynecologic and obstetric care.

Table of contents

• Cover
• Title Page
• Contributors
• Special Acknowledgment
• Preface
• PROLOG Objectives
• 1 Anterior vaginal wall mass
• 2 Wound breakdown
• 3 Nocturia
• 4 Surgical complications
• 5 Evaluation of hematuria
• 6 Number needed to treat
• 7 Risk factors for recurrent obstetric anal sphincter injury
• 8 Surgical treatment for prolapse
• 9 Prevalence of incontinence types
• 10 Labiaplasty
• 11 Risk factors for fecal incontinence
• 12 Evaluation of pediatric vaginal discharge
• 13 Spinal cord lesion
• 14 Geriatric bowel concerns
• 15 First-line treatment for incontinence
• 16 Mesh complications of midurethral sling
• 17 Complications of pessary
• 18 Abnormal findings on cystoscopy
• 19 Lower limb peripheral nerve injury
• 20 Interpretation of urodynamic study
• 21 Surgical options for stress urinary incontinence
• 22 Patient-reported outcome measures
• 23 Pain after pelvic surgery
• 24 Delayed diagnosis of urinary tract injury
• 25 Effectiveness of pelvic organ prolapse surgery
• 26 Treatment of bothersome voiding symptoms
• 27 Treatment options for urgency urinary incontinence
• 28 Female genital cutting
• 29 Voiding dysfunction after stress urinary incontinence surgery
• 30 Evaluation of fecal incontinence
• 31 Levels of pelvic organ support
• 32 Effects of vaginal radiation urinary therapy
• 33 Treatment for refractory urgency urinary incontinence
• 34 Postoperative pain with vaginal prolapse surgery
• 35 Vaginal agenesis
• 36 Causes of rectovaginal fistula
• 37 Epidemiologic measurements
• 38 Surgical management of stress urinary incontinence
• 39 Postoperative complications
• 40 Suprapubic catheter
• 41 Surgical management of pelvic organ prolapse
• 42 Obstructed defecation
• 43 Incontinence treatment and future fertility
• 44 Back pain after sacrocolpopexy
• 45 Vaginal mass
• 46 Hysteropexy during pelvic organ prolapse treatment
• 47 Colleague using illicit substances
• 48 Medications for urgency incontinence
• 49 Upper limb nerve injury
• 50 Passive fecal seepage and ultrasound defect
• 51 Rectovaginal fistula
• 52 Study design to identify rates of rare complications
• 53 Evaluation of urinary urgency and frequency
• 54 Pain after midurethral sling
• 55 Mesh complications of sacrocolpopexy
• 56 Primary amenorrhea
• 57 Rectal prolapse
• 58 Female sexual function
• 59 Positioning for vaginal surgery
• 60 Investigation of urinary incontinence
• 61 Vaginal bleeding with a pessary in place
• 62 Voiding trial
• 63 Urethral diverticulum and concurrent stress urinary incontinence
• 64 Sacrospinous ligament suspension complications
• 65 Intraoperative decision making
• 66 Evaluation of urinary incontinence
• 67 Rectovaginal fistula
• 68 Intention-to-treat analysis
• 69 Lower limb peripheral nerve injury
• 70 Fecal incontinence treatment
• 71 Evaluation of the urinary tract
• 72 Office evaluation of incontinence
• 73 Occult stress incontinence in a patient with prolapse
• 74 Vascular injury during midurethral sling surgery
• 75 Obstructed defecation syndrome
• 76 Recurrent urinary tract infection
• 77 Bladder pain syndrome
• 78 Nocturia
• 79 Management of bleeding during sacrospinous ligament fixation
• 80 Congenital anomalies
• 81 Medical malpractice insurance
• 82 Obstetric complications
• 83 Calculating sample size
• 84 Management of perineal wound breakdown
• 85 Urinary incontinence
• 86 Recurrent urinary tract infection in breast cancer survivors
• 87 Fecal incontinence
• 88 Posterior vaginal wall prolapse
• 89 Evaluation for intraoperative ureteral injury
• 90 Genitourinary syndrome in patients with a history of breast cancer
• 91 Antimuscarinic medications
• 92 Labial cysts
• 93 Vaginal mesh
• 94 Recognition and repair of ureteral injury
• 95 Pelvic anatomy
• 96 Urinary retention
• 97 Neuromodulation for urgency incontinence
• 98 Statistical approach for loss to follow-up
• 99 Upper limb nerve injury
• 100 Obstetric laceration
• 101 Elements of informed consent
• 102 Management of a transverse vaginal septum
• 103 Urgency urinary incontinence
• 104 Electrosurgery
• 105 Pelvic organ prolapse repair
• 106 Refractory fecal incontinence
• 107 Postoperative pain management
• 108 Contraindications to retropubic midurethral slings
• 109 Complications of pelvic surgery
• 110 Obstructed defecation after pelvic surgery
• 111 Pessary check
• 112 Treatment of urgency incontinence
• 113 –116 Gender-affirming care
• 117 –120 Stress urinary incontinence
• 121 –126 Physician burnout
• 127 –130 Study design
• 131 –134 Gynecologic surgery in low-resource settings
• 135 –139 Mesh exposure after sacrocolpopexy
• 140 –144 Surgical training
• 145 –148 Assessment of pelvic floor and musculoskeletal system
• 149 –152 Characteristics of diagnostic and screening tests
• 153 –157 Health equity in urogynecology
• 158 –162 Surgical complications of midurethral sling
• Appendix A
• Appendix B (7, 84)
• Appendix C (8, 31, 60, 72, 75, 88, 105)
• Appendix D (8, 34)
• Appendix E (11, 84)
• Appendix F (19, 59)
• Appendix G (21, 38, 69)
• Appendix H (21, 38, 158–162)
• Appendix I (21, 38)
• Appendix J (31, 41, 95)
• Appendix K (34, 95)
• Appendix L (34, 69, 99)
• Appendix M (42, 69, 75, 110)
• Appendix N (59, 69)
• Appendix O (61, 88)
• Index
• 1 Anterior vaginal wall mass
• 2 Wound breakdown
• 3 Nocturia
• 4 Surgical complications
• 5 Evaluation of hematuria
• 6 Number needed to treat
• 7 Risk factors for recurrent obstetric anal sphincter injury
• 8 Surgical treatment for prolapse
• 9 Prevalence of incontinence types
• 10 Labiaplasty
• 11 Risk factors for fecal incontinence
• 12 Evaluation of pediatric vaginal discharge
• 13 Spinal cord lesion
• 14 Geriatric bowel concerns
• 15 First-line treatment for incontinence
• 16 Mesh complications of midurethral sling
• 17 Complications of pessary
• 18 Abnormal findings on cystoscopy
• 19 Lower limb peripheral nerve injury
• 20 Interpretation of urodynamic study
• 21 Surgical options for stress urinary incontinence
• 22 Patient-reported outcome measures
• 23 Pain after pelvic surgery
• 24 Delayed diagnosis of urinary tract injury
• 25 Effectiveness of pelvic organ prolapse surgery
• 26 Treatment of bothersome voiding symptoms
• 27 Treatment options for urgency urinary incontinence
• 28 Female genital cutting
• 29 Voiding dysfunction after stress urinary incontinence surgery
• 30 Evaluation of fecal incontinence
• 31 Levels of pelvic organ support
• 32 Effects of vaginal radiation urinary therapy
• 33 Treatment for refractory urgency urinary incontinence
• 34 Postoperative pain with vaginal prolapse surgery
• 35 Vaginal agenesis
• 36 Causes of rectovaginal fistula
• 37 Epidemiologic measurements
• 38 Surgical management of stress urinary incontinence
• 39 Postoperative complications
• 40 Suprapubic catheter
• 41 Surgical management of pelvic organ prolapse
• 42 Obstructed defecation
• 43 Incontinence treatment and future fertility
• 44 Back pain after sacrocolpopexy
• 45 Vaginal mass
• 46 Hysteropexy during pelvic organ prolapse treatment
• 47 Colleague using illicit substances
• 48 Medications for urgency incontinence
• 49 Upper limb nerve injury
• 50 Passive fecal seepage and ultrasound defect
• 51 Rectovaginal fistula
• 52 Study design to identify rates of rare complications
• 53 Evaluation of urinary urgency and frequency
• 54 Pain after midurethral sling
• 55 Mesh complications of sacrocolpopexy
• 56 Primary amenorrhea
• 57 Rectal prolapse
• 58 Female sexual function
• 59 Positioning for vaginal surgery
• 60 Investigation of urinary incontinence
• 61 Vaginal bleeding with a pessary in place
• 62 Voiding trial
• 63 Urethral diverticulum and concurrent stress urinary incontinence
• 64 Sacrospinous ligament suspension complications
• 65 Intraoperative decision making
• 66 Evaluation of urinary incontinence
• 67 Rectovaginal fistula
• 68 Intention-to-treat analysis
• 69 Lower limb peripheral nerve injury
• 70 Fecal incontinence treatment
• 71 Evaluation of the urinary tract
• 72 Office evaluation of incontinence
• 73 Occult stress incontinence in a patient with prolapse
• 74 Vascular injury during midurethral sling surgery
• 75 Obstructed defecation syndrome
• 76 Recurrent urinary tract infection
• 77 Bladder pain syndrome
• 79 Management of bleeding during sacrospinous ligament fixation
• 80 Congenital anomalies
• 81 Medical malpractice insurance
• 82 Obstetric complications
• 83 Calculating sample size
• 84 Management of perineal wound breakdown
• 85 Urinary incontinence
• 86 Recurrent urinary tract infection in breast cancer survivors
• 87 Fecal incontinence
• 88 Posterior vaginal wall prolapse
• 89 Evaluation for intraoperative ureteral injury
• 90 Genitourinary syndrome in patients with a history of breast cancer
• 91 Antimuscarinic medications
• 92 Labial cysts
• 93 Vaginal mesh
• 94 Recognition and repair of ureteral injury
• 95 Pelvic anatomy
• 96 Urinary retention
• 97 Neuromodulation for urgency incontinence
• 98 Statistical approach for loss to follow-up
• 99 Upper limb nerve injury
• 100 Obstetric laceration
• 101 Elements of informed consent
• 102 Management of a transverse vaginal septum
• 103 Urgency urinary incontinence
• 104 Electrosurgery
• 105 Pelvic organ prolapse repair
• 106 Refractory fecal incontinence
• 107 Postoperative pain management
• 108 Contraindications to retropubic midurethral slings
• 109 Complications of pelvic surgery
• 110 Obstructed defecation after pelvic surgery
• 111 Pessary check
• 112 Treatment of urgency incontinence
• 113 –116 Gender-affirming care
• 117 –120 Stress urinary incontinence
• 121 –126 Physician burnout
• 127 –130 Study design
• 131 –134 Gynecologic surgery in low-resource settings
• 135 –139 Mesh exposure after sacrocolpopexy
• 140 –144 Surgical training
• 145 –148 Assessment of pelvic floor and musculoskeletal system
• 149 –152 Characteristics of diagnostic and screening tests
• 153 –157 Health equity in urogynecology
• 158 –162 Surgical complications of midurethral sling
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