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He set reason above faith, an impulse Functional Neuronavigation 157 Spermicides, effect on lactobacilli colonization, 242 Sphincter stress incontinence and response of, 68 structure and function of, 710 urinary, effect of estrogen on, 319 Spinal anesthesia, 345348 case description, 336337 figure, 346 Staphylococcus saprophyticus, urinary tract infections caused by, 237 Stent, to manage ureter blockage after prolapse surgery, 219 Steroids effects of, on urinary tract infections, 245 for treating interstitial cystitis, 297 Stool impaction, incontinence caused by, in the elderly, 149150 Stress, pelvic-floor spasms due to, 22 Stress incontinence abdominal surgery for, 88 comparison with urge incontinence, 104 in cystocele, 188 in the elderly, 137140, 168173 and gender, 386 after menopause, 322323 prevalence of, 384 after pessary insertion, 202 after prolapse surgery, 213214 urinary, 2931, 63100 Submucosa, of the urinary bladder, 56 Subspecialties, medical, 4748 Succinylcholine, for muscle relaxation in surgery, 343 Sufentanyl, use in surgery, 341 Sulfa-based antibiotics, 256257 Sulfamethoxazole, for treating urinary tract infection, 257 Suprapubic tubes, for catheterization, 162163 after surgery, 172 Surgery anesthesia during, goals of, 338340 bladder, overflow incontinence following, 35 for fistula repair, 217 for interstitial cystitis, 302304 for prolapse, 202221 relationship with recurrent infections, 1920 for repairing leakage and bladder descent, 1516 for stress incontinence, 87100, 208 case, 6364 in the elderly, 168172 for urge incontinence, 129130 for uterine prolapse, 178180 Surgical specialties, list, 48 Symptoms of bladder prolapse, 188189 of interstitial cystitis, 275278 of pelvic-floor prolapse, 186192 of vaginal atrophy, 320321 Synthetic materials, for pubovaginal slings, 9596 T Tamoxifen, binding to receptors on the breast and the uterus, 315 Testosterone, production of, in menopause, 315 Tests, office-based, 358373 Tetracyclines, for treating urinary tract infections, 262 Thiopental, historic use of for induction in surgery, 341 Timed voiding to manage functional incontinence, 141142 to manage stress incontinence, 80 to manage urge incontinence, 121 Timing, frequency of urination at night, 110112 Tolterodine (Detrol and Detrol LA), for treating urge incontinence, 124125 Toradol (ketoralac) for pain relief after surgery, 337 for treating acute pain, 350 Total incontinence, 3637 410 || INDEX 160 F.

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