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El campo de la medicina pélvica femenina y la cirugía reconstructiva ha evolucionado desde la década de 1990, mezclando especialistas y técnicas de urología con los de obstetricia y ginecología. Esto ha proporcionado un manejo integral de las mujeres con trastornos del piso pélvico, como incontinencia urinaria y trastornos del tracto urinario inferior, prolapso de órganos pélvicos, y lesiones relacionadas con el parto. La cirugía vaginal requiere un conjunto único de habilidades y la comprensión de la anatomía, ya que se aborda a través de la vagina. Este atlas de video y texto está diseñado para ser una guía de cómo hacer varios procedimientos y técnicas vaginales. Cada capítulo contiene una descripción de la anatomía relevante para los procedimientos que se describen, además de una descripción paso a paso de los procedimientos individuales, con énfasis en técnicas especiales y ?perlas quirúrgicas? que encontramos útiles. Hemos optado por describir los procedimientos y técnicas utilizadas generalmente y que se han desarrollado durante más de 20 años de práctica quirúrgica. La anatomía y los procedimientos se describen con más detalle a través de las bellas ilustraciones de Joe Chovan, así como en más de 70 vídeos. Muchos de los videos están acompañados por presentaciones de casos. El libro comienza con un capítulo sobre cómo llevar a cabo un examen físico centrado en las mujeres con trastornos del piso pélvico. El segundo capítulo establece las bases para el resto del libro con la descripción de las incisiones vaginales más comunes y las técnicas de disección. Siete capítulos están dedicados al tratamiento quirúrgico del prolapso de órganos pélvicos, incluyendo capítulos sobre reparaciones anterior, apical y posterior, así como la histerectomía por prolapso, colpocleisis, y el uso injertos aumentados. Los tres capítulos dedicados a la cirugía uretral femenina, que incluye