This book consists of 45 chapters written by leading international authorities. Each chapter will analyse the available literature to produce an authoritative statement about the management of urological disorders. There will be a concise summary of the best available scientific evidence providing up-to-date information. Individual doctors cannot read everything that is published and cannot possibly synthesise what they do read, so that they are not always aware of what is proven to be effective and what probably is not. The Evidence for ... series seeks to fill that need. In The Evidence for Urology we have commissioned systematic reviews of the common operations and some innovative treatments, to present the facts to busy doctors. Where is there and where is there not evidence?

Impotence is a widespread phenomenon; about half of couples entering sex therapy and one quarter of those entering marital therapy will complain of this problem. As baby boomers enter their fifties and grow older during the next few decades, many more men will be affected by this problem. In this groundbreaking work, Gerald Weeks and Nancy Gambescia present the first serious discussion of comprehensive psychological and medical treatments for erectile dysfunction after the advent of Viagra. Though most recently Viagra has catapulted discussion of erectile dysfunction to the front pages of major newspapers and, via television, American living rooms, there are actually a number of different treatment options available. In fact, medical therapies for erectile dysfunction have developed at an ever-increasing pace in the last 20 years. Yet, despite widespread advances made in the treatment of erectile dysfunction, the field of sex therapy has lagged significantly behind in how it addresses the problem. The authors offer an integrated approach that examines both the organic and psychological factors contributing to erectile dysfunction. With this treatment model integrating both medical and psychological therapies, the authors also stress the role of the couple's relationship in the etiology and treatment of the dysfunction. The book presents medical information (about various kinds of drugs as well as other interventions); physiological information (why certain drugs work and why some don't); psychological information (the effects of the disorder on both the individual and the couple); and practical information (when and how to seek treatment and what type of treatment works best under different conditions). For sex and couple therapists and physicians, Erectile Dysfunction presents a systematic method for evaluating erectile dysfunction, determining whether its basis is primarily organic or psychogenic, and treating it by integrating medical interventions with sex and marital therapy. For the person seeking treatment (and for his spouse), the book offers a thorough and impartial discussion of the disorder.

The book encompasses the different concepts and designs using magnets for surgical purposes. It provides a concise yet comprehensive summary of the current status of the field that will help guide patient management and stimulate investigative efforts. The text reviews new data about interventions in all medical and surgical fields. Written by experts in their fields, topics focus on endoluminal and laparoscopic operations, techniques from vascular and GI anastomosis. The book demonstrates the use of magnets to treat a variety of diseases such as reflux, back pain, and fecal incontinence. The reader will learn how to retract and gain exposure, dissect tissue planes, achieve hemostasis, and create anastomosis in a totally different way. Physical properties of external surface and internal magnets are discussed. The authors emphasize the importance of partnering with industry leaders to develop novel surgical tools. By harnessing the power of attraction, the energy and might of magnets, Magnetic Surgery serves as a valuable resource for clinicians, surgeons and researchers in biomedical engineering interested in this form of energy and physical metal properties. In utilizing these properties, the book seeks to improve surgical outcomes of patients worldwide.

This book summarises the entire field of adult neuro-urology in a concise, well-illustrated, and practical style. Contents include epidemiology, lower urinary tract anatomy and physiology. This is followed by coverage of the pathophysiology of various types of voiding dysfunctions and a clinical section focusing on practical evaluation and treatment. A range of treatments from behavioral, pharmacological, intra vesical, tissue engineering and surgical are explained and reviewed. Other topics such as complications, sexual function, fertility, maternity aspects, and prognostic factors round off the book. *Each topic is covered in detail and well illustrated. *The reader will gain a full understanding of every aspect of adult neuro-urology. *Facilitates improved clinical knowledge and practice. Provides an essential and complete reference tool for students and established urologists, neurologists, physiotherapists and nurses, and technicians involved in the care of patients with neurogenic bladder dysfunction.

The first edition laid out the foundation with laparoscopic and robotic surgery utilizing the Da Vinci SI platform. Since then, many new advances in equipment and surgical techniques are becoming more popular. This second edition expands upon laparoscopic and endoscopic techniques and robotic surgery with the use of the new Da Vinci XI platform. This book bridges the gap between the practicing community of surgeons and the surgical innovators and provides a foundation for all classic and new techniques in minimally invasive colorectal surgery. By enhancing the surgical toolbox, the surgeon is able to progress from the novice to the master. Rather than describing the entire operative procedure by an individual author, this book compares operative steps of various technical difficulties throughout different chapters, thereby allowing the surgeon to tailor surgery to patient and surgeon`s own comfort level and experience. Chapters are written by a myriad of renowned experts in the field and discuss the major advances in advanced laparoscopic and endoscopic, robotic, and transanal minimally invasive surgical techniques. Great emphasis is placed on transanal total mesorectal excision (TaTME), which is dramatically changing the surgical approach to rectal resections. The second edition of Advanced Techniques in Minimally Invasive and Robotic Colorectal Surgery serves as a valuable resource to general surgeons, colon and rectal surgeons, minimally invasive surgeons, as well as residents and fellows.

Learn the fundamental principles and clinical applications of the diagnostic and risk assessment imaging test of choice for prostate cancer: prostate MRI Although prostate cancer is the second leading cause of cancer death in men in the USA, it can be treated successfully if detected early. Disease management has gradually changed to a paradigm that relies on close monitoring through active surveillance in select patients, as well as ongoing refinements in treatment interventions, including minimally invasive procedures. This has resulted in a critical need for a more exacting methodology for performing targeted biopsies, assessing risk levels, and devising treatment strategies. Prostate MRI has emerged as the most precise, state-of-the-art imaging modality for prostate cancer diagnosis and management, thereby creating an immediate demand for radiologists to become proficient in its use. Conceived and edited by a leading authority, with contributions from renowned experts in the field, MRI of the Prostate: A Practical Approach is the first book to tackle this important topic. It provides an overview of the fundamentals of prostate MRI acquisition, interpretation, and reporting. Readers will benefit from a wide range of insightful perspectives gleaned from years of hands-on experience. Key Highlights Prostate Imaging Reporting and Data System (PI-RADS) for prostate MRI interpretation and cancer risk scoring Clinical pearls on the optimization and application of prostate MRI for risk assessment, disease staging, MRI-targeted biopsy, recurrent disease, and active surveillance The emerging utilization of PET and PET/MRI for primary prostate cancer evaluation More than 700 illustrations with one entirely image-based chapter featuring educational case studies Radiologists will learn how to optimally perform and interpret prostate MRI, and referring physicians will learn to integrate it into day-to-day practice. This book is an essential resource for radiologists and radiology residents, as well as urologists, oncologists, MRI technicians, and other medical practitioners who treat patients with genitourinary disorders.

Cushing's Disease: An Often Misdiagnosed and Not So Rare Disorder reviews the epidemiology of Cushing's, including statistics on the incidence and prevalence of this disease. There are discussions of the signs and symptoms and the most common co-morbidities, such as diabetes mellitus, hypertension, osteoporosis, amenorrhea, and infertility. Surgical, medical, and radiotherapeutic treatments, including indications, results, risks, and complications, are reviewed. Also featured is a chapter on the patient's perspective, coping with Cushing's, quality of life, and psychosomatic issues. This book is essential reading for the wide range of physicians who treat patients with Cushing's disease symptoms, as well as biomedical researchers who investigate the etiology and mechanisms of rare genetic diseases, in particular rare endocrine disorders.

Uroscopy - the diagnosis of disease by visual examination of the urine - played a very prominent role in early modern medical practice and in the lives of ordinary people. Widely considered as the most reliable way to diagnose diseases and pregnancies it was taught at the best universities. Leading physicians prided themselves on their mastery in this field. Countless medical writings were dedicated to uroscopy and artists represented it in hundreds of illustrations and paintings. Based on a wide range of textual and visual sources, such as autobiographies, court records, medical treatises and genre painting, this book offers the first comprehensive study of the place of uroscopy in early modern medicine, culture and society and of the - gradually changing - ways in which medical practitioners, lay persons and, last but not least, artists perceived and used it.

The editors of this comprehensive third edition of the Textbook of the Neurogenic Bladder have assembled an impressive team of world specialists to develop an essential resource for physicians, continence specialists, and other health care professionals involved in the diagnosis and management of patients who have lost normal bladder function. The book provides a succinct update on epidemiology and briefly covers lower urinary tract anatomy and physiology. This is followed by a discussion on the pathophysiology of various types of dysfunctions and a clinical section that focuses on evaluation and treatment. Different types of treatments from behavioral to surgical are reviewed, including the most recent and sophisticated pharmacotherapy and tissue engineering approaches. A special section is devoted to myelomeningocele, a congenital condition with lifelong repercussions on voiding. Other topics such as complications, sexual function, fertility, maternity aspects, and prognostic factors round off the book. Each topic is covered in detail by several authors for a better overall understanding. A selection of reports and guidelines in relation to neurogenic bladder dysfunction is also included. This revised edition builds on the strong reputation of its predecessors. It is an essential reference tool for urologists, nurses, and technicians involved in the care of patients with neurogenic bladder dysfunction.

Highly Commended, BMA Medical Book Awards 2014 Despite the development of penicillin and other treatments, the incidence of sexually transmitted diseases (STDs) worldwide continues to rise. In Genital and Perianal Diseases, A Colour Handbook, the authors discuss the diagnosis and treatment of the main cutaneous conditions of the anogenital region, with a special focus on those diseases considered to be sexually transmitted diseases (STDs). Through succinct text and more than 240 top-quality illustrations, this volume combines the advantages of an atlas and a concise textbook. This work is of value to a wide range of health professionals including dermatologists, infectious and venereal disease specialists, urologists, gynecologists, emergency physicians, nurse practitioners, general practitioners, and pediatricians.

Erectile dysfunction (ED) affects 20-30 million American men, most of whom are over 50 years of age. In a UK-based study, 32% of British men had difficulty obtaining an erection, 20% with maintaining an erection. In recent years the physiology and pathophysiology of ED have changed our understanding of what ED is from a purely psychological-based disorder to a multifactorial one, with neurological, endocrinological, psychological factors and the role of the vascular system. Recently identified risk factors include diabetes, cardiovascular disease, spinal cord injury, smoking, depression, atherosclerosis, hypertension, pelvic surgery and trauma, pharmacological medications, arthritis, peripheral vascular disease, substance abuse, endocrine abnormalities and peptic ulcer disease. Many ED patients have a combination of these risk factors, thus exacerbating ED further. The treatment of ED was revolutionized in 1998 with the introduction of sildenafil. Beside these oral treatments, newer injectable agents are being investigated as are topical preparations. However, not all patients are tolerant of oral agents, many patients still require penile reconstruction with penile implants, an option with low complications and morbidity. There are options for all patients and this excellent, updated text, edited by some of the world's leading authorities - Culley Carson, Roger Kirby and Irwin Goldstein - discusses them all.

Medical problems of the male genitals are extremely common and male health is assuming a new importance as men are increasingly recognising the need to look after their bodies. The rates of sexually transmitted infections are rising rapidly in many countries, including a dramatic increase in HIV infection and the recent resurgence of syphilis.Patients with genital disease often present to their general practitioner, sexual health clinics, dermatology departments and urology clinics, and this quick reference guide aids easy diagnosis.Fully illustrated, with colour photographs, this is the ideal volume for anyone dealing with men with genital rashes, skin lesions and sexually transmitted diseases. It covers, in detail, the broad area of male genital disease encompassing dermatology and genito-urinary medicine.

The problems a transplant patient faces do not stop once the surgery is over; in addition to problems with the transplant itself, the host body reacts in a number of different ways to the arrival of a new organ and the immuno suppression required to sustain it. This pioneering text from an internationally known expert on the kidney details the problems that a patient faces with a kidney transplant and looks at how the physician can treat these; it will be an essential resource for all those involved in the initial and continuing treatment of kidney transplant patients.

Although impotence may be the most widely recognized manifestation of male sexual dysfunction, many other forms of sexual disorders do not involve the erectile mechanism, from deficiencies of desire to disturbances in ejaculatory function to the failure of detumescence. With such a myriad-and often co-existing-number of disorders, the successful treatment of male sexual dysfunction requires not only a thorough understanding of the underlying physiology and pathophysiology, but also the coordinated efforts of multiple specialties, including endocrinology, andrology, urology, radiology, sex therapy, and even sometimes psychiatry, cardiology, or oncology. Male Sexual Dysfunction: Pathophysiology and Treatment presents the collective expertise of more than 60 international authorities in a single landmark text. From foundations in the anatomy of the male genital tract to the latest neuroimaging data, readers will appreciate the comprehensive information detailing the tremendous advances made in the delineation of sexual function and its disorders as well as the expert descriptions of practical and cost-effective medical, surgical, and psychological strategies for the treatment of all forms of male sexual dysfunction.

As prostate cancer is the most common type of cancer found in men, the clinical and surgical commitments to treating it are enormous, as well as to be expected given the aging male population. Urologic cryotherapy is one such method for those with organ-confined or minimally-spread prostate cancer. The benefits it offers both patient and surgeon are hugely significant: it is minimally invasive, has a favourable success rate and complication rates, is followed by a short period of recuperation, is repeatable if necessary, and costs considerably less than a radical prostatectomy. Presenting their adroit surgical and extensive teaching experience with urologic cryoablation in the treatment of renal and prostate cancers, Drs. Daniel Ruskstalis and Aaron Katz, along with a superb team of U.S. contributors, share their mastery of this revolutionary technique with the reader, whether qualified or in-training. An important, accessible guide to a ground-breaking advance in the treatment of prostate cancer, Handbook of Urologic Cryoablation is requisite reading for those urologic surgeons wishing to perform cryoablation effectively and efficiently for the patient's benefit.

Circa jeder 3. Patient in der Urologie ist ein Tumorpatient. In der Uroonkologie sind es meist altere, an Prostatakrebs erkrankte Manner, die nicht gelernt haben, uber Ihre Gefuhle zu sprechen. Aber auch jungere Manner leiden, besonders unter begleitenden sexuellen Funktionsstoerungen. In diesem Praxisbuch werden die Grundlagen der psychosozialen Uroonkologie erlautert wie auch die Diagnostik und Therapie. Es schildert die Besonderheiten der mannlichen Patientengruppe, stellt die wichtigsten Tumorentitaten kurz dar und richtet den Blick auch auf psychische Komorbiditaten. Intensiv werden Patientenangste, z. B. Progredienzangst, Sexualitat, Tod thematisiert und Sie erhalten zahlreiche Tipps, wie Sie ein Patientengesprach fuhren und Hilfen anbieten koennen. Hinweise und UEbersichten fur den Arbeitsalltag zur Diagnostik und Therapie und Praxistipps zum Umgang mit der meist alteren, mannlichen Patientengruppe erleichtern die Gesprachsfuhrung und erweitern das Hilfsangebot fur den Patienten. Das Buch basiert auf der Fachexpertise eines renommierten Autorenteams und spiegelt den aktuellen Stand der Wissenschaft wider. Es erfolgen viele Verweise und Erlauterungen zur S3-Leitlinie "Psychoonkologische Diagnostik, Beratung und Behandlung von erwachsenen Krebspatienten". Fur Urologen, Onkologen, Psychotherapeuten und jeden Arzt, der urologische Tumorpatienten behandelt, und diesen wertvollen Baustein in der Krebstherapie professionell nutzt - fur mehr Lebensqualitat des Patienten.

Ureteroceles: Contemporary Diagnosis and Management provides an evidence-based review of current diagnosis and management options for patients with ureteroceles. With the advent of antenatal ultrasound screening, ureteroceles are presenting earlier, often in asymptomatic patients, proving the need for active surveillance. With no fixed protocols and guidelines currently in the field, this important reference brings together recent techniques, such as in utero puncture, endoscopic laser fenestration, and laparoscopic clipping of the upper moiety ureter. Case studies illustrate various diagnostic and management options. This important reference provides all the necessary resources for ureterocele diagnosis and management needed by urology researchers, pediatric urologists, and general surgeons.

Transurethral resection is a surgery used to treat urinary problems due to an enlarged prostate. The procedure involves cutting away a section of the prostate. This book is an introductory guide to transurethral resection techniques for postgraduate medical students. Divided into fourteen sections the text begins with discussion on the history of uroendoscopy, and endoscopes and resection instruments. The following chapters cover endoscopic anatomy, anaesthesia and patient preparation, and different surgical techniques for transurethral resection. The book concludes with advice on post-operative care and potential complications and their management. The text is enhanced by clinical photographs, diagrams and tables. Key points Introductory guide to transurethral resection for postgraduates Provides detail on instruments, anaesthesia and different surgical techniques Discusses post-operative care and management of complications Includes clinical photographs, diagrams and tables to enhance learning

The leading textbook on the subject. A completely rewritten and up-to-date Fourth Edition, formerly edited by W. Drukker, F. M. Parsons and J. F. Maher.

Written by an international team of expert urologists and gynecologists, this book has become the standard reference work on female urology and urogynecology. Starting with the subject's history and epidemiology across the world, this expansive textbook covers the basic structure and function of the lower urinary tract in the female; the diagnostic evaluation of incontinence and prolapse; the treatment of incontinence, prolapse, and related conditions; the different forms of associated disorders, including urinary tract infections and lower bowel disorders; other considerations that include care in the community and medico-legal aspects; and guidelines from the International Continence Society.

Mit allen MAglichkeiten einer multimedialen Rechnerumgebung wird didaktisch sinnvoll aufgearbeitetes medizinisches Wissen vermittelt, unterstA1/4tzt mit Texten und Audiosequenzen, die sich auf wesentliche Tatsachen beschrAnken. Die Inhalte werden mit qualitativ hochwertigen Skizzen und Graphiken, die komplizierte medizinische ZusammenhAnge verdeutlichen, visualisiert. Die interaktive, fensterbasierende BenutzeroberflAche erlaubt beliebig hAufige Wiederholungen und nutzerdefinierte Verzweigungen. Der Nutzer erhAlt sofort Antwortkorrekturen und RA1/4ckmeldungen und kann den Stand seines Wissens schnell ermitteln. Von besonderem Interesse und besonderer QualitAt sind die nahtlos in die Lernprogramme integrierten Videosequenzen, die die Untersuchungen, die Laborarbeit und die Operationen aus der ersten Reihe zeigen.

Female Pelvic Surgery: A Comprehensive Guide provides a comprehensive, state-of-the-art surgical review of this field and will serve as a valuable resource for clinicians and surgeons. The text reviews the basic indications for treatment and details the many surgical approaches to the management of all pelvic floor disorders. In addition to step-by-step description in text, the volume provides illustrations/photographs of surgical techniques. Integration of surgical videos demonstrating the major repairs described in each section augment the textbook and serve as the ultimate format for the education of clinicians and surgeons. Female Pelvic Surgery: A Comprehensive Guide provides a concise and comprehensive review of all the surgical approaches to female pelvic surgery and thus it will serve as an extremely useful resource for physicians dealing with and interested in the treatment of pelvic floor disorders.

This volume is a useful handbook for medical doctors involved in the diagnosis and treatment of neuro-urological problems. The first section reviews the relevant neuro-anatomy and neuro-physiology and provides a practical overview of specific neuro-urological pathologic conditions. The second section discusses the various clinical entities that can be encountered and focuses on the neuro-urological consequences. The third section is devoted to the different diagnostic possibilities. Section 4 deals with major clinical problems in this area: urinary (incontinence, retention and voiding dysfunction as well as upper urinary tract problems), anorectal (faecal incontinence and constipation) and sexual (erectile dysfunction and ejaculatory failure) dysfunctions. The final section presents the specific management of patients with neuro-urological problems. Throughout, the text is accompanied by numerous illustrated case reports and discussions as well as tips and tricks.

Les tumeurs urothA(c)liales sont une prA(c)occupation quotidienne des urologues, anatomopathologistes et oncologues. L'approche de cet ouvrage est essentiellement pratique, centrA(c)e sur la prise en charge clinique et thA(c)rapeutique des tumeurs urothA(c)liales superficielles et infiltrantes atteignant le haut appareil urinaire, la vessie et l'uretA]re.