Walters & Karram Urogynecology and Reconstructive Pelvic Surgery, 6th Edition

by Matthew D. Barber, MD, MHS and Catherine Bradley, MD, MSCE

Paperback

ISBN: 9780443286100

Publication Date: 02-06-2026

Page Count: 704

Imprint: Elsevier

List Price: $199.99

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Comprehensive in scope and practical in approach, Walters & Karram Urogynecology and Reconstructive Pelvic Surgery, 6th Edition, offers authoritative coverage of everything from basic concepts through to clinical evaluation, testing, and surgical and non-surgical management, equipping you to make the best clinical decisions and optimize outcomes. Uniquely designed to reflect the physician’s decision-making process, and reflecting the most current evidence and clinical protocols, this up-to-date, atlas-style resource provides urogynecology fellows and practitioners, urologists, gynecologic surgeons, and OB/GYNs with the knowledge needed to provide effective patient care.

Key Features
- Offers a comprehensive, step-by-step, evidence-based guidance on all urogynecologic disorders, including stress and urgency urinary incontinence, pelvic organ prolapse, defecation disorders, painful and irritative voiding disorders, and specific conditions such as urinary tract infection and urinary fistulas
- Moves systematically from foundational concepts to clinical evaluation, testing, management strategies, and surgical and non-surgical treatment options
- Provides algorithmic approaches to common complaints, evidence-based assessments of appropriate therapies, and hundreds of new and improved surgical illustrations, photographs, and radiographs
- Features an expanded video collection to clearly demonstrate key procedures
- Contains a new chapter on nocturia and polyuria, and an expanded chapter on urologic topics pertinent to urogynecologists
- Contains timely discussions of surgical complications, the psychosocial issues associated with treating patients with female pelvic floor disorders, and female sexual function and dysfunction
- Includes case presentations from leading experts in urogynecology that allow you to apply the information presented to everyday clinical situations
- An eBook version is included with purchase. The eBook allows you to access all of the text, figures, and references, with the ability to search, customize your content, make notes and highlights, and have content read aloud
Contents

PART 1 Basic Science
1. Anatomy of the Lower Urinary Tract, Pelvic Floor, and Rectum
2. Embryology and Congenital Anomalies of the Urinary Tract, Rectum, and Female Genital System
3. Neurophysiology and Pharmacology of the Lower Urinary Tract
4. Physiology of the Pelvic Muscles, Vagina, and Anorectum
5. Pathophysiology of Pelvic Floor Disorders
6. Epidemiology and Psychosocial Impact of Female Pelvic Floor Disorders
7. Synthetic Mesh and Biologic Grafts: Properties and Biomechanics
8. Description and Classification of Female Pelvic Floor Disorders

PART 2 Evaluation
9. Evaluation of Pelvic Floor Disorders: History, Physical Examination, and Office Testing
10. Female Sexual Function and Dysfunction: Assessment and Treatment
11. Urodynamics: Indications, Techniques, Interpretation, and Clinical Utility
12. Endoscopic Evaluation of the Lower Urinary Tract
13. Radiologic Studies of the Lower Urinary Tract and Pelvic Floor

PART 3 Management of Stress Urinary Incontinence and Pelvic Organ Prolapse
14. Stress Urinary Incontinence and Pelvic Organ Prolapse: Nonsurgical Management
15. Retropubic Operations for Stress Urinary Incontinence
16. Autologous Fascial Slings for Stress Urinary Incontinence
17. Synthetic Midurethral Slings for Stress Urinary Incontinence
18. Urethral Injection of Bulking Agents for Intrinsic Sphincter Deficiency
19. Surgical Treatment of Anterior Vaginal Wall Prolapse
20. Surgical Treatment of Rectocele and Perineal Wounds
21. Surgical Treatment of Vaginal Apex Prolapse
22. Uterine Conservation for the Surgical Treatment of Uterovaginal Prolapse
23. Obliterative Procedures for Pelvic Organ Prolapse

PART 4 Surgical Complications and Their Management
24. Avoiding and Managing Lower Urinary Tract Injuries During Pelvic Surgery
25. Managing Mesh Complications After Surgeries for Urinary Incontinence and Pelvic Organ Prolapse
26. Other Complications of Pelvic Reconstructive Surgery

PART 5 Fecal Incontinence and Defecation Disorders
27. Fecal Incontinence
28. Constipation
29. Rectovaginal Fistula and Perineal Wound Dehiscence
30. Rectal Prolapse

PART 6 Lower Urinary Tract Disorders
31. Overactive Bladder
32. Polyuria and Nocturia
33. Refractory Overactive Bladder
34. Neurourology and Detrusor Compliance Abnormalities
35. Voiding Dysfunction in Women
36. Interstitial Cystitis/Bladder Pain Syndrome

PART 7 Specific Conditions
37. Lower Urinary Tract Infection
38. Urethral Diverticula
39. Lower Urinary Tract Fistulas and Urethral Reconstruction
40. Bladder Drainage and Urinary Protective Methods
41. Urology for the Urogynecologist

PART 8 Research Methods
42. Outcomes and Quality-of-Life Measures in Pelvic Floor Research
Authors

Matthew D. Barber, MD, MHS, E.C. Hamblen Professor and Chair, Department of Obstetrics and Gynecology, Duke University Medical Center, USA and Catherine Bradley, MD, MSCE, Division Director, Urogynecology and Reconstructive Pelvic Surgery, Professor of Ob/Gyn & Urology, University of Iowa, Iowa City, Iowa, USA