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xiv

TEXTBOOK OF GYNECOLOGY

Sarcoma Uterus......................................................................................................................................... 367


Fallopian Tube........................................................................................................................................... 369
Ovarian ..................................................................................................................................................... 370

Chapter 24 Urinary Problems in Gynecology 393416

Anatomy of Vesico-urethral Unit .............................................................................................................. 393


Genuine Stress Incontinence .................................................................................................................... 398
Urge Incontinence..................................................................................................................................... 405
Painful Bladder Syndrome ........................................................................................................................ 408
Overflow Incontinence .............................................................................................................................. 409
Voiding Disorder....................................................................................................................................... 409
Retention of Urine..................................................................................................................................... 409
Urinary Tract Infections............................................................................................................................. 410
Dysuria...................................................................................................................................................... 413
Urethral Caruncle....................................................................................................................................... 413

Chapter 25 Genital Fistulae 417429

Genitourinary ............................................................................................................................................ 417


Ureteric Injury .......................................................................................................................................... 425
Rectovaginal ............................................................................................................................................. 427

Chapter 26 Genital Tract Injuries 430438

Old Complete Perineal Tear ...................................................................................................................... 430


Rape Victims............................................................................................................................................. 434

Chapter 27 Intersex Dr B N Chakravorty 439448

Embryological Considerations................................................................................................................... 439


Female Intersex......................................................................................................................................... 440
Male Intersex............................................................................................................................................. 443
Management ............................................................................................................................................. 445

Chapter 28 Amenorrhea Dr K M Gun 449474

Physiological............................................................................................................................................. 449
Primary ..................................................................................................................................................... 450
Secondary ................................................................................................................................................ 457

Chapter 29 Contraception 475504

Methods ................................................................................................................................................... 475


Temporary................................................................................................................................................. 476
Barrier Methods ........................................................................................................................................ 476