Pelvic Surgery DVD Series

This unique 10-set DVD series provides you with over 20 hours of video footage on a variety of sugical procedures.

These extraordinary videos utilize explicit surgical drawings, extensive video footage of cadaver dissections, as well as numerous live surgical demonstrations to teach techniques of a variety of pelvic surgical procedures. 

Urogynecologist and pelvic surgeon, Mickey M. Karram, M.D., who is the editor-in-chief of the series plus another 18 renowned pelvic surgeons discuss how best to evaluate patients prior to sugery as well as appropriate indications and techniques of a variety of pelvic procedures. Also, significant footage is provided on how best to avoid and manage complications.

Pelvicmed Video Series

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You can view chapter outlines and sample video clips by clicking on the titles below.
PELVIC SURGERY DVD SERIES CONTENTS
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This DVD is 2 hours and 46 minutes long and reviews the entire process of evaluating a patient who presents with lower urinary tract dysfunction with and without pelvic organ prolapse.  The video begins with an overview of female pelvic floor dysfunction and then proceeds with specific chapters on how best to interview these patients, perform physical examinations and perform and interpret urodynamic testing. 

One of the unique characteristics of this DVD is live patient demonstrations of examinations, as well as urodynamic studies.  Specific case studies are presented, management options are reviewed and the final chapter provides an overview regarding coding and reimbursement.  Also included in this DVD is an extras folder in which history and physical examination forms, voiding diaries and office and surgical superbills can be downloaded.

Chapter 1: Female Pelvic Floor Dysfunction - An Overview
Chapter 2: The Interview Process
Chapter 3: The Physical Examination
Chapter 4: Urodynamic Studies
Chapter 5: Case Studies
Chapter 6: Management Options
Chapter 7: Coding and Reimbursement
 
= Sample Video from this chapter

 

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This two set DVD is 3 hours and 10 minutes long and is composed of 12 chapters. Techniques of a variety of different suburethral sling procedures are discussed and demonstrated. It begins with an overview of surgery for SUI, as well as a review of important, historical milestones that have occurred over the last one hundred years. Periurethral anatomy and surgical concepts are discussed. Traditional autologous pubovaginal slings are demonstrated utilizing rectus fascia and fascia lata. A variety of modifications of traditional slings are also demonstrated and discussed. The pros and cons of various sling materials are presented.

An entire section on synthetic midurethral slings begins with a detailed description and demonstration of relevant pelvic anatomy for retropubic and transobturator synthetic slings. Traditional TVT, as well as other suprapubic approaches are demonstrated and discussed. A whole section on transobturator synthetic midurethral slings is also provided. This begins with a detailed description of transobturator anatomy, followed by multiple examples of various transobturator slings. The final section on “Avoiding and Managing Sling Complications” is presented and this includes video footage on how to take down a variety of sling procedures, as well as a detailed discussion of avoiding and managing complications.

Chapter 1: Overview of Surgery for Stress Incontinence
Chapter 2: Relevant Anatomy; Non-Synthetic Sling Materials; Indications and Preoperative Evaluation
Chapter 3: Pubovaginal Sling with Autologous Rectus Fascia
Chapter 4: Pubovaginal Sling with Autologous Fascia Lata
Chapter 5: Autologous Fascia Lata Patch Sling
Chapter 6: Modifications of Proximal Urethral Sling Procedures
Chapter 7: Synthetic Mid-Urethral Slings, Introduction Materials and Relevant Anatomy
Chapter 8: Tension-Free-Vaginal Tape Procedure
Chapter 9: Modifications of the TVT Procedure
Chapter 10: Anatomy of Transobturator Slings
Chapter 11: Transobturator Slings

Chapter 12:

 

Avoiding and Managing Complications of Sling Procedures
= Sample Video from this chapter
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This DVD is 1 hour and 9 minutes long and is divided into six chapters. Retropubic procedures for stress incontinence and paravaginal defect repair are demonstrated and discussed. A detailed description of retropubic anatomy using both cadaver dissections and a live surgical patient are demonstrated. Surgical techniques to access the retropubic space and techniques for modified Burch urethropexy, Marshall-Marchetti-Krantz procedure and retropubic paravaginal repair are all demonstrated. Also shown is a technique for retropubic takedown of a previous suspension. The final chapter deals with commonly asked questions and answers.

 

Chapter 1:

Anatomy of a Retropubic Space

Chapter 2:
Modified Burch Colposuspension
Chapter 3: Marshall-Marchetti-Krantz Procedure

Chapter 4:

Laparoscopic Paravaginal Repair

Chapter 5: Retropubic Takedown of Previous Suspension
Chapter 6: Questions and Answers
   
= Sample Video from this chapter

 

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This DVD is approximately 1 hour and 42 minutes long and is composed of 7 chapters. The DVD begins with a detailed discussion of the anatomy of the urethra, bladder and lower ureter utilizing extensive cadaver dissections. The next section deals with cystoscopy and begins with a section on instrumentation and techniques to perform office, as well as intraoperative urethroscopy and cystoscopy.

This is followed by a chapter that is a video atlas of a variety of urethral and bladder abnormalities that can be seen on cystourethroscopy. A section on operative cystoscopy which includes passage of ureteral stents, retrograde pyelogram and bladder biopsy is also demonstrated. Techniques for suprapubic catheter placement and opening and closing of the bladder are demonstrated.

Chapter 1:

Anatomy of the Ureter and the Bladder

Chapter 2:
Instrumentation and Basic Techniques of Cystourethroscopy

Chapter 3:

Video Atlas of Normal and Abnormal Findings Seen on Cystourethroscopy

Chapter 4: Techniques to Perform Operative Cystourethroscopy
Chapter 5: Techniques for Suprapubic Catheter Placement (2 examples) and Suprapubic Teloscopy

Chapter 6:

Opening and Closing the Bladder (2 examples)

Chapter 7: Discussion
 
= Sample Video from this chapter

 

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This two set DVD is 2 hours and 52 minutes long and is divided into six chapters. Numerous reconstructive procedures performed on the urethra and the urinary bladder are demonstrated and discussed. These involve repair of both simple and complex urethral diverticulum and urethrovaginal fistula with and without a Martius fat pad transposition. A pubovaginal sling in conjunction with urethral diverticulum repair, urethrovaginal fistula is also demonstrated. Techniques for managing urethral stricture with complete urethral reconstruction, as well as urethral reconstruction for complete loss of the posterior urethra are discussed and demonstrated. Multiple examples of vaginal and abdominal repair of vesicovaginal fistula are also discussed and demonstrated. The final chapter deals with repair of a vesicouterine fistula.

Chapter 1:

Repair of Urethrovaginal Fistula (3 examples) and Discussion

Chapter 2:

Repair of Urethral Diverticula (5examples) and Discussion

Chapter 3: Urethral Reconstruction (2 examples) and Discussion

Chapter 4:

Vaginal Repair of Vesicovaginal Fistula (4 examples) and Discussion

Chapter 5: Abdominal Repair of Vesicovaginal Fistula (2 examples)
Chapter 6: Repair of Vesicouterine Fistula
   

= Sample Video from this chapter

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This two set DVD is 3 hours and 28 minutes long and is composed of 10 chapters. This two set DVD begins with an overview of the concepts of pelvic support, as well as an anatomic review utilizing cadaveric dissection of normal anterior and posterior vaginal wall support. A traditional cystocele repair with Kelly plication, as well as numerous examples of vaginal paravaginal repair are demonstrated. Surgical techniques to appropriately determine midline versus paravaginal defects are also demonstrated and discussed. Defect specific rectocele, perineorrhaphy and levatorplasty are all demonstrated. A section on combined repairs demonstrates repairs in conjunction with vaginal hysterectomy and enterocele repairs. Augmented mesh repairs of the anterior and posterior vaginal walls are also demonstrated with a detailed discussion on indications and fixation points when mesh is utilized. The final chapter addresses commonly asked questions.

 

Chapter 1: Overview and general principles of repair

Chapter 2:

Relevant anatomy

Chapter 3: Anterior colporrhaphy with Kelly Plication (2 examples)
Chapter 4: Vaginal paravaginal repair (2 examples)

Chapter 5:

Mesh augmented anterior repair

Chapter 6: Posterior colporrhaphy (3 examples)

Chapter 7:

Mesh augmented posterior colporrhaphy (3 examples)

Chapter 8: Vaginal hysterectomy with repairs (3 examples)
Chapter 9: Combined anterior and posterior repair (2 examples)
Chapter 10: Questions and Answers

= Sample Video from this chapter

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This two set DVD is 3 hours and 33 minutes long, and is broken down into 10 chapters. Techniques to correct enterocele and vaginal vault prolapse are discussed and demonstrated. It begins with an introduction and discussion of anatomy of the pelvic floor and general principles of repair. Vaginal techniques to correct enterocele, as well as modified McCall culdeplasty are demonstrated. High uterosacral vaginal vault suspension, sacrospinous ligament suspension, ileococcygeus suspension, abdominal sacrocolpopexy and Mayo technique for cuff support are all demonstrated and discussed. Obliterative procedures including a LeForte partial colpocleisis and complete colpectomy and colpocleisis are also demonstrated. The final chapter deals with commonly asked questions.

 

Chapter 1: Overview and general principles of repair
Chapter 2:
McCall Culdoplasty

Chapter 3:

Isolating and entering an enterocele sac (4 examples)

Chapter 4: High uterosacral vaginal vault suspension (4 examples)
Chapter 5: Mayo technique for vaginal vault suspension
Chapter 6: Sacrospinous ligament vaginal vault suspension (2 examples)
Chapter 7: Ileococcygeus suspension

Chapter 8:

Abdominal sacrocolpopexy (3 examples)

Chapter 9: Obliterative procedures (3 examples)
Chapter 10: Questions and Answers

= Sample Video from this chapter

 

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This DVD is approximately 48 minutes long and is divided into 9 chapters. This unique DVD demonstrates numerous examples of challenging cases in the field of female urology and urogynecology. These include examples of complicated prolapse repairs, fistulas, and other interesting and clinically challenging cases.

 

Chapter 1:

Vaginal Hysterectomy with Elongated Cervix

Chapter 2:
Vaginal Ureterolysis
Chapter 3: Pelvic Organ Prolapse in Association with Bladder Extrophy (2 examples)

Chapter 4:

Eroded Transobturator Tape

Chapter 5: Urethral Erosion of a Synthetic Sling Resulting in a Urethrovaginal Fistula
Chapter 6: Loss of Posterior Urethra with Erosion of Synthetic Sling
Chapter 7:
Acute Bowel Evisceration
Chapter 8: Large Irreducible Prolapse

Chapter 9:

Development of a Stone in a Urethral Diverticulum

= Sample Video from this chapter

 

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This DVD is 3 hours and 5 minutes in length and provides surgical demonstrations of numerous anal sphincter repairs for fecal incontinence, rectovaginal fistula repair, surgical correction of rectocele and enterocele, as well as surgery for rectal prolapse.  Also in this DVD is a significant discussion with a prominent colorectal surgeon regarding much of the evaluation and important surgical aspects of these procedures.  The anatomy of this area is reviewed with extensive cadaveric dissections.  The final chapter has a significant amount of discussion about these various topics.

 

Chapter 1: Overview of Posterior Pelvic Floor Abnormalities
Chapter 2: Anatomy of the Posterior Pelvic Floor
Chapter 3: Anal Sphincter Repair for Fecal Incontinence
Chapter 4: Surgical Management of Rectovaginal Fistula
Chapter 5: Rectocele and Enterocele Repair
Chapter 6: Surgery for Rectal Prolapse
Chapter 7: Discussion

= Sample Video from this chapter

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This two set DVD is 3 hours and 2 minutes in length and divided into nine chapters.  This provides surgical demonstrations on a variety of congenital, acquired, and iatrogenic lesions of the lower urinary tract and vagina.  These include numerous demonstrations of surgical procedures for  vaginal cysts, suburethral diverticulum, periurethral masses, as well as things such as surgical management of  hymenectomy, vaginal agenesis, vaginal stenosis, and iatrogenically induced vaginal constriction and vaginal shortness.  Also significant discussions regarding anatomy and embryology are presented.

 

Chapter 1: Anatomy and Embryology of the Lower Urogenital Tract
Chapter 2: Hymenectomy
Chapter 3: Surgical Management of Vaginal Cysts
Chapter 4: Surgical Management of Urethral Prolapse and Periurethral Masses
Chapter 5: Surgical Management of Suburethral Diverticulum
Chapter 6: Vaginal Agenesis
Chapter 7: Severe Vaginal Stenosis
Chapter 8: Surgical Management of Mid and Distal Vaginal Constriction
Chapter 9: Surgical Management of the Iatrogenically Foreshortened Vagina

= Sample Video from this chapter