Multidisciplinary Approach

With 178 Figures

^ Springer

G. Willy Davila, MD

Gamal M. Ghoniem, MD, FACS Head, Section of Voiding Dysfunction, Female Urology and Reconstruction Clinical Professor of Surgery/Urology,

Chairman, Department of Gynecology; Head, Section of Urogynecology and Reconstructive Pelvic Surgery

NOVA Southeastern University Ohio State University and University of

Cleveland Clinic Florida Weston, FL, USA

South Florida Cleveland Clinic Florida

Affiliate Associate Professor, University of South Florida, USA

Weston, FL, USA

Steven D. Wexner, MD, FACS, FRCS, FRCSED Chief of Staff, Cleveland Clinic Hospital 21st Century Oncology Chair in Colorectal Surgery

Chairman, Department of Colorectal Surgery Cleveland Clinic Florida Professor of Surgery, Ohio State University Health Sciences Center at Cleveland Clinic Foundation Clinical Professor of Surgery, University of

South Florida College of Medicine Research Professor, Charles E. Schmidt College at Florida Atlantic University

A Catalogue record for this book is available from the British Library.

Library of Congress Control Number: 2005924370

ISBN-10: 1-85233-730-3 Printed on acid-free paper

ISBN-13: 978-1-85233-730-8

© Springer-Verlag London Limited 2006

Apart from any fair dealing for the purposes of research or private study, or criticism or review, as permitted under the Copyright, Designs and Patents Act 1988, this publication may only be reproduced, stored or transmitted, in any form or by any means, with the prior permission in writing of the publishers, or in the case of reprographic reproduction in accordance with the terms of licences issued by the Copyright Licensing Agency. Enquiries concerning reproduction outside those terms should be sent to the publishers. The use of registered names, trademarks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant laws and regulations and therefore free for general use. Product liability: The publisher can give no guarantee for information about drug dosage and application thereof contained in this book. In every individual case the respective user must check its accuracy by consulting other pharmaceutical literature.

Printed in the United States of America. (BS/MVY)


Springer Science+Business Media

I dedicate this work to those who have been instrumental in the development of my urogynecologic career: Dr. Donald Ostergard for teaching me the basics and beyond, Dr. Oscar Contreras Ortiz for encouraging me to become involved, and Dr. Harold Drutz for showing me how to achieve "the balance." To these mentors and friends I am forever in debt, and no words can express my appreciation for their warmth and interest in my professional and personal growth. I attempt to emulate their efforts on a daily basis.

G. Willy Davila, MD

My work on this book is dedicated to the memory of the great men who influenced my life's work, and who passed in December 2003. To the memory of my father, Mostafa Ghoniem and my mentor, Mohamed Al-Ghorab, to whom I will be eternally grateful for their love and support.

Gamal Ghoniem, MD

This book is dedicated to the most important people in my life - my family. To my parents, for having taught me by their example to succeed by hard work, honesty, and perseverance. Their love and guidance made it possible for me to have achieved my career. To my wife Nicolette, whose devotion to me and to our children and whose intellectual stimulation and love have made it possible for me to continue to be productive and innovative. To my children Wesley, Trevor, Marisa, and Gabriella, as it was precious time away from them that allowed me to produce these pages.

Steven D. Wexner, MD

The editors and authors express their gratitude to Ms. Kristin Dunn and Ms. Stacy Kopka for their exhaustive efforts in preparation of the manuscripts for publication; and Ross Papalardo and Beth Halasz for their superb medical illustration skills.

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