In recent years, advances in technologies, laparoscopic and robotic, have led to renewed interest in the approach per vias naturales to hysterectomy, which has many proven benefits for patients. This volume, dedicated to explaining and promoting the vaginal route of hysterectomy, is written and edited by experienced and dedicated Gynecologist and provides a much-needed source of up-do-date information and guidance.

Importantly, the author cautions that laparoscopic technology can provide a valuable source of assistance for the gynecological surgeon in certain circumstances, though only in 'select' cases. This book, beautifully illustrated with line drawings and full-color photographs, contains step-by-step surgical techniques, enabling the surgeon to gain confidence and experience so that gradually more challenging operations can be managed successfully via the vaginal route or natural orifice. Acknowledged select authorities from India and around the world take the readers through several clinical situations for the vaginal approach, including endometrial cancer and offer an evidence-based elucidation of the 'why; 'when' and 'how' of vaginal hysterectomy.

Specific topics considered here include: Crucial preoperative assessment, the nulliparous patient, uterine fibroids, debulking, prophylactic salpingo-oophorectomy, adnexectomy for adnexal pathology, prolapse repair with or without bolsters, the place of sacrospinous colpopexy, urethral sphincter incompetence, and the hysterectomy and sexuality. Howard Jones brings finale with choice of hysterectomy. The book gives full review of the potential complications, morbidity and mortality associated with the vaginal approach. Contributions from noted expert colleagues beyond India DeCherney, Jones, Kovac, Magos, Magrina, Pelosi, Rane and Zimmerman provide to this book and the readers with unbias, well balanced with zero conflict of or vested interest crystallized material through appraisal of hysterectomy via vaginal route. In addition, the author set forth the arguments for and against vaginal hysterectomy, abdominal hysterectomy, laparoscopic assistance, and transcervical resection of the endometrium.