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Chapter 16 - Pelvic Floor Procedures

Published online by Cambridge University Press:  06 November 2025

Edited by
Camran R. Nezhat ,
Farr R. Nezhat ,
Ceana Nezhat ,
Nisha Lakhi  and
Azadeh Nezhat
Camran R. Nezhat
Affiliation:
Stanford University School of Medicine, California
Farr R. Nezhat
Affiliation:
Nezhat Surgery for Gynecology/Oncology, New York
Ceana Nezhat
Affiliation:
Nezhat Medical Center, Atlanta
Nisha Lakhi
Affiliation:
Richmond University Medical Center, New York
Azadeh Nezhat
Affiliation:
Nezhat Institute and Center for Special Minimally Invasive and Robotic Surgery, California
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Summary

The first vaginal approach (minimally invasive) to the surgical management of female stress urinary incontinence (SUI) was described by Howard Kelly in 1913. He described an anterior horizontal mattress plication stitch placed at the urethrovesical junction (UVJ) designed to narrow the proximal urethra and provide elevation of the bladder neck.[1] Although this original procedure did provide symptomatic relief in many patients, several studies have demonstrated an unacceptable failure rate over time.

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Chapter
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Nezhat's Textbook of Minimally Invasive Surgery
Including Hysteroscopy, Vaginoscopy and Robotic-Assisted Procedures
 , pp. 460 - 517
Publisher: Cambridge University Press
Print publication year: 2025

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References

References

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Further Reading

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  • Pelvic Floor Procedures
  • Edited by Camran R. Nezhat, Stanford University School of Medicine, California, Farr R. Nezhat, Nezhat Surgery for Gynecology/Oncology, New York, Ceana Nezhat, Nezhat Medical Center, Atlanta, Nisha Lakhi, Richmond University Medical Center, New York, Azadeh Nezhat, Nezhat Institute and Center for Special Minimally Invasive and Robotic Surgery, California
  • Book: Nezhat's Textbook of Minimally Invasive Surgery
  • Online publication: 06 November 2025
  • Chapter DOI: https://doi.org/10.1017/9781108561440.018
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  • Pelvic Floor Procedures
  • Edited by Camran R. Nezhat, Stanford University School of Medicine, California, Farr R. Nezhat, Nezhat Surgery for Gynecology/Oncology, New York, Ceana Nezhat, Nezhat Medical Center, Atlanta, Nisha Lakhi, Richmond University Medical Center, New York, Azadeh Nezhat, Nezhat Institute and Center for Special Minimally Invasive and Robotic Surgery, California
  • Book: Nezhat's Textbook of Minimally Invasive Surgery
  • Online publication: 06 November 2025
  • Chapter DOI: https://doi.org/10.1017/9781108561440.018
Available formats
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Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

  • Pelvic Floor Procedures
  • Edited by Camran R. Nezhat, Stanford University School of Medicine, California, Farr R. Nezhat, Nezhat Surgery for Gynecology/Oncology, New York, Ceana Nezhat, Nezhat Medical Center, Atlanta, Nisha Lakhi, Richmond University Medical Center, New York, Azadeh Nezhat, Nezhat Institute and Center for Special Minimally Invasive and Robotic Surgery, California
  • Book: Nezhat's Textbook of Minimally Invasive Surgery
  • Online publication: 06 November 2025
  • Chapter DOI: https://doi.org/10.1017/9781108561440.018
Available formats
×