Contents

Dedication

S.

Contributors.. Foreword

Preface ......

E:

Section 1 Principles of Practice

Chapter 1: Initial Assessment and Communication Jonathan S. Berek Paula J. Adams Hillard ...........

i

Chapter 2: Principles of Patient Care Joanna M. Cain..

.

...................................... 23

Chapter 3: Safety and Quality John P. Keats Joseph C. Gambone

Chapter 4: Clinical Research Maureen G. Phipps Daniel W. Cramer...

......... 47

1

Section 11 Basic Principles

Chapter 5: Anatomy and Embryology Eric R Sokol Rene Genadry Jean R. Anderson.......

Primary Care Sharon T. Phelan Thomas E. Nolan......

.......62

............180

Chapter 10: Family Planning Phillip G. Stubblefield Danielle M. Roncari....

............ 211

Chapter 11: Sexuality, Sexual Dysfunction, and Sexual Assault Rosemary Basson David A. Baram..

Chapter 12: Common Psychiatric Problems Nada Logan Stotland..................................................... 305

Chapter 13: Complementary Therapy Tracy W. Gaudet.....................................

.............. 335

Section IV General Gynecology

Chapter 14: Benign Diseases of the Female Reproductive Tract Paula J. Adams Hillard..

.......... 374

pie

Intraepithelial Disease of the Cervix, Vagina, and Vulva Francisco Garcia Kenneth D. Hatch Jonathan S. Berek

. ..

......

574

..

Chapter 20: Early Pregnancy Loss and Ectopic Pregnancy Amy J. Voedisch Carrie E. Frederick Antonia F Nicosia Thomas G. Stovall....

.......619

Chapter 21: Benign Breast Disease Camelia A. Lawrence Baiba J. Grube Armando E. Giuliano

....652

Section V Operative Gynecology

Chapter 22: Preoperative Evaluation and Postoperative Management Daniel L. Clarke-Pearson Emily Ko Lisa Abaid Kevin Schuler........

682

Chapter 23: Gynecologic Endoscopy

Pelvic Organ Prolapse Jonathan L. Gleason Holly E. Richter R. Edward Varner..

........... 906

Chapter 28: Anorectal Dysfunction Robert E. Gutman Geoffrey W. Cundiff

...........940

Section VII Reproductive Endocrinology

Chapter 29: Puberty Robert W. Rebar Arasen A. V. Paupoo.

......... 992

Chapter 30: Amenorrhea Valerie L. Baker Wendy J. Schillings Howard D. McClamrock

.......... 1035

Chapter 31: Endocrine Disorders Oumar Kuzbari Jessie Dorais C. Matthew Peterson

........... 1066

Section VIII Gynecologic Oncology

Chapter 35: Uterine Cancer Sean C. Dowdy Andrea Mariani John R. Lurain.

.1250

Chapter 36: Cervical and Vaginal Cancer Caela Miller John C. Elkas.

.......1304

Chapter 37: Ovarian, Fallopian Tube, and Peritoneal Cancer Jonathan S. Berek Teri 4. Longacre Michael Friedlander ......

........ 1350

Chapter 38: Vulvar Cancer Christine H. Holschneider Jonathan S. Berek

........................ 1428

Chapter 39: Gestational Trophoblastic Disease Ross S. Berkowitz Donald P. Goldstein.

1458

 

● Although the basic facts of anatomy do not change, our understanding of specific
anatomic relationships and the development of new clinical and surgical correlations
continue to evolve.
● There is significant variation in the branching pattern of pelvic blood vessels
between individuals, and patterns of blood flow may be asymmetric from side to
side in the same individual. The pelvic surgeon should be prepared for deviations
from “textbook” vascular patterns.
● An understanding of the development of pelvic floor disorders and their safe and
effective management requires a comprehensive knowledge of the interrelationships
between the bony pelvis and its ligaments, pelvic muscles and fasciae, nerves
and blood vessels, and pelvic viscera.
● Approximately10%of infants are born with some abnormality of the genitourinary
system, and anomalies in one system are often mirrored by anomalies in another
system that provide special implications in pelvic surgery.
● About 75% of all iatrogenic injuries to the ureter result from gynecologic procedures,
most commonly abdominal hysterectomy; risk is increased with distortions
of pelvic anatomy, including adnexal masses, endometriosis, other pelvic adhesive
disease, or fibroids.
An understanding of the anatomy of

and .........