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Doody's Review ServiceReviewer: Adonis K Hijaz, MD (Case Western Reserve University)
Description: This is one of the few pocket-sized books on urogynecology aimed to provide residents in training with an overview of the practical elements of the specialty based on current evidence without lengthy discussion of controversies.
Purpose: The author sought to fill a need for a concise book that residents in training or medical students rotating in urogynecology can refer to for a quick how-to guide. It can also serve to provide gynecologists with no formal training in urogynecology with a practical update on the topic. Recently, the number of comprehensive reference books on female urology/urogynecology has significantly increased, but there remains a need for concise pocket-sized books. The author has done a good job in addressing the need.
Audience: The author envisions the audience to be primarily students, residents in training, and gynecologists with no formal training in urogynecology. The how-to style in which the book is written and the concise presentation allows the book to serve needs of this audience.
Features: The book covers the practical issues that relate to the field of urogynecology. There is strong emphasis on evaluation (history, physical exam, urodynamics evaluation and outcome measures) and these chapters represent almost 40 percent of the book. Thereafter, the book covers the management of the common conditions in the field: stress urinary incontinence, overactive bladder, anal incontinence, pelvic organ prolapse. In the management of these conditions, the author discusses the contemporary and standard procedures that have survived the test of time and supports this with outcome data from randomized clinical trials or Cochrane reviews when applicable. Finally, it provides an overview of the evaluation and management of interstitial cystitis and recurrent urinary tract infections.
Assessment: This book has many things to offer. It is concise, current, practical, and most importantly evidence-based. All of these characteristics make it an excellent pocket reference for students and residents in training and a good source of updates for gynecologists, urologists, or general practitioners with no formal training in the field. Residents and students are still encouraged to read comprehensive reference books for an in-depth understanding of the problems described in this book. Exposure to epidemiology, etiology, and pathophysiology is crucial for a better understanding of these disease entities.