Every year, in the United States and the third world combined, 13.3 million boys and 2 million girls are circumcised. Whether because of perceived medical, cultural, or religious necessity, most of these parents feel they have no alternative but to allow their children to undergo this surgery. Sparking intense debate, the circumcision of children is a highly controversial and complex phenomenon that touches a variety of sociological areas, such as religious beliefs, identity issues, medical conceptualizations, fear, and superstition. The contributors to this volume comprise an international panel of experts in the fields of medicine, psychology, law, ethics, sociology, anthropology, history, theology, and politics. In 18 chapters they discuss the history of circumcision; document the physical and psychological consequences of circumcision; present the latest anatomical discoveries about the male prepuce; analyze the role of circumcision in various traditions; reveal the medical industry's investment in the practice; describe current legislative efforts to protect children from circumcision; and outline effective, culturally sensitive methods that are being implemented today to safeguard the human rights of at-risk children. For its insights into this troubling aspect of culture, Understanding Circumcision: A Multi-Disciplinary Approach to a Multi-Dimensional Problem is a critically important contribution to the growing body of literature on this subject.

In 1996, the National Bladder Foundation (NBF) was founded by a dedicated group of physicians and researchers propeIled by the urgent need to find better treatments for bladder disease. Committed to increasing bladder disease research and to supporting its research community, the NBF coordinates and sponsors the International Bladder Symposium (IBS) in Washington, DC. Now considered to be a premier scientific assembly, the IBS brings together international leaders in bladder disease research to present and discuss their findings. It is the only international conference where all areas of bladder disease research are exclusively covered and where bladder disease researchers are provided with a unique opportunity to share their results and theories. IBS participants contributed the research papers included in this publication in 2000 and 2001. AIl substantial areas of bladder disease research are addressed, including oncology and ceIlular biology, neurophysiology, neurogenic bladder and incontinence, immunology, inflammation and infection, muscle, matrix and obstruction, and new frontiers and therapies of the bladder. Assembled in one publication, these papers and their findings demonstrate the high scientific caliber of the dedicated researchers in this field and the potential for significant discoveries in treatment options in the next decade.

This is a reference manual for daily use in the Reproductive Medicine or Andrology laboratory, which goes beyond the literature available in the scientific journals by compiling insights into a detailed and applied clinical approach. All established practitioners in Reproductive Medicine will find much of practical relevance about the latest insights into sperm selection and analysis.

This book provides a systematic review of the management and treatment of this disease. The concise and highly structured chapters feature essential background knowledge and commentary on recent advances within each step of a range of patient pathways. Management of Muscle Invasive Bladder Cancer provides a framework for patients' care based on the research, as well as practically and clinically oriented guidelines. This book is relevant to trainees and practicing urologists and oncologists, in addition to medical professionals involved in the treatment of bladder cancer.

Unique case-based format facilitates understanding of difficult clinical scenarios Focuses on tips and tricks to help prevent common mistakes Key pictures show a range of colorectal pediatric situations

* Focuses on the technical aspects of surgery to ensure improved surgical technique * Easy to read, understand and apply the information * Fully illustrated with over 300 colour illustrations *Clear step-by-step techniques, to provide further insights into clinical practice*

Premature Ejaculation presents a unique and innovative therapeutic program for the successful treatment of premature ejaculation. This descriptive and well-structured program is fundamentally different from traditional sex therapy and contemporary sexual medicine. Centred on the management of sexual excitement, it enables couples to prolong the length of intercourse without having to interrupt their lovemaking or resort to medication. The program's sexological approach also empowers couples with the skills and knowledge to strengthen their sex life leading to a healthier and happier relationship. Combining theory and practical instruction, Francois de Carufel's book promotes a better understanding of premature ejaculation. It offers a new perspective on the causes of this dysfunction and provides practitioners and therapists with concrete ways to assist men and women in improving their sex life. Premature Ejaculation will be of interest and value to health professionals and graduate students in all fields dealing with sexual difficulties, including psychology, social work, medicine, physical therapy, nursing and counselling.

Premature Ejaculation presents a unique and innovative therapeutic program for the successful treatment of premature ejaculation. This descriptive and well-structured program is fundamentally different from traditional sex therapy and contemporary sexual medicine. Centred on the management of sexual excitement, it enables couples to prolong the length of intercourse without having to interrupt their lovemaking or resort to medication. The program's sexological approach also empowers couples with the skills and knowledge to strengthen their sex life leading to a healthier and happier relationship. Combining theory and practical instruction, Francois de Carufel's book promotes a better understanding of premature ejaculation. It offers a new perspective on the causes of this dysfunction and provides practitioners and therapists with concrete ways to assist men and women in improving their sex life. Premature Ejaculation will be of interest and value to health professionals and graduate students in all fields dealing with sexual difficulties, including psychology, social work, medicine, physical therapy, nursing and counselling.

This integrative book is like having a wise supervisor in the room with you. Stop "fixing" your clients--engage them in their own healing through the Four-Dimensional Wheel of Sexual Experience. Gina Ogden guides you in helping your clients explore the full range of their sexual issues and challenges-including couple communication, erectile dysfunction, vaginismus, low desire, affairs, trauma, religious proscriptions, pornography use, and more. Part I offers strategies that correspond to the core knowledge areas required for certification as a sexuality professional, while Part II puts these innovative approaches into action through following five case examples from seasoned practitioners. The numerous user-friendly elements, such as quizzes, worksheets, and "hot tips," will help you see the larger picture of an issue, become fluent with a diversity of sexual identities and behaviors, and expand your ability to offer safe, ethical, evidence-based therapy.

1. Einleitung 2. 2.1. Der Stand der anatomischen Wissenschaft an der Schwelle zum 16. Jahrhundert 2.2.1 Biographie 2.2.2. Leonardos urologisch-anatomische Zeichnungen 3. Das 16. Jahrhundert 3.1 Andreas Vesal 3.1.1. Biographie 3.1.2. Vesals Abb. zum Urogenitalsystem 3.1.3. Vesals Konsil uber die Behandlung einer Nierensteinerkrankung 3.2 Charles Estienne 3.2.1. Charles Estienne - Biographie 3.2.2. Die Darstellung des Urogenitaltraktes bei Charles Estienne und Estienne la Riviere 3.3 Bartholomaeus Eustachi 3.3.1 Biographie 3.3.2 Eustachis urologisch-anatomische Graphik 4. Das 17. Jahrhundert 4.1 Regnier de Graaf 4.1.1 Biographie 4.1.2 De Graafs urologisch-anatomische Abbildungen 4.2 Godefridus Bidloo 4.2.1 Biographie 4.2.2 Bidloos urologisch-anatomische Abbildungen von 1685 5. Das 18. Jahrhundert 5.1. Giovanni Domenico Santorini 5.1.1. Biographie 5.1.2. Santorinis Darstellungen zum Plexus venosus vesicoprostaticus 5.2. William Cheselden 5.2.1. Biographie 5.2.2. Cheseldens Darstellungen zum Urogenitaltrakt 5.3. Weitere urologisch-anatomische Abbildungen aus dem 18. Jahrhundert 5.3.1. Urologisch-anatomische Buntkupferdrucke 6. Das 19. Jahrhundert 6.1. Justus Christian Loder 6.1.1. Biographie 6.1.2. Loders Darstellungen zum Urogenitaltrakt 6.2. Antonio Scarpa 6.2.1. Biographie 6.2.2. Scarpas Darstellungen zum mannlichen Urogenitaltrakt 6.3. Martin Munz 6.3.1 Biographie 6.3.2. Die Lithographischen Darstellungen von Martin Munz zumUrogenitaltrakt 6.4. Marc Jean Bourgery 6.4.1. Biographie 6.4.2. Farblithographische Darstellungen des Urogenitaltraktes im Atlas von Marc Jean Bourgery 7. Die Urologie an der Schwelle zum 20. Jahrhundert 7.1. Gustav Simon 7.1.1. Biographie 7.1.2. Die erste wissenschaftlich geplante Exstirpation einer Niere durch Gustav Simon 7.2. Henry Morris 7.2.1. Biographie 7.2.2. Die erste operative Entfernung einer Nebenniere aufgrund eines Tumorleidens durch Henry Morris 1885 7.3. Bernhard Bardenheuer 7.3.1. Biographie 7.3.2. Die erste totale Blasenexstirpation aufgrund eines Tumorleidens ohne Harnleiterneuimplantation durch Bernhard Bardenheuer 1887 7.4. Karl Pawlik 7.4.1 Biographie 7.4.2. Die erste totale Blasenexstirpation mit Harnleiterneueinpflanzung bei einer Frau durch Karl Pawlik 1889 7.5. Hugh Hampton Young 7.5.1 Biographie 7.5.2. Die erste perineale radikale Prostatavesikulektomie aufgrund eines Proststakarzinoms durch H. H.Young 1904 7.6. Friedrich Voelcker 7.6.1 Biographie 7.6.2. Die Erstbeschreibung der totalen Samenblasenexstirpation auf ischiorektalem Weg durch Friedrich Voelcker 1912 8. Schlussbetrachtung

A working knowledge of the basic sciences that underpin mechanisms of disease and the body's response is widely recognised to be a critical part of urological training. This book is aimed at trainees to ensure they are up to date with this breadth of knowledge and it provides succinct summaries which are ideal for revising the basic sciences component of final assessments and examinations. The chapters cover anatomy and physiology, the basic principles of immunology and oncology and particular diseases. It is a compendium of "need to know" facts and is aimed at both FRCS (Urol) candidates and a wider gloabl surgical audience looking for an up to date summary.

Essentials of Pediatric Urology provides surgical trainees with an up to date and comprehensive account of the urological disorders of childhood . In addition, this popular textbook makes a valuable practical contribution to clinical decision making by Adult Urologists and General Pediatric Surgeons who treat conditions of the genitourinary systems in children. This established resource fulfils a unique role as the only international textbook of Pediatric Urology written primarily for trainees and those practising adult Urology, Pediatric Surgery, and Pediatric Urology. The third edition continues to meet this need as well as providing a ready source of reference for non-specialists including Pediatricians and Nurses.

Spermatogenesis involves the coordination of a number of signaling pathways, which culminate into production of sperm. Its failure results in male factor infertility, which can be due to hormonal, environmental, genetic or other unknown factors. This book includes chapters on most of the signaling pathways known to contribute to spermatogenesis. Latest research in germ cell signaling like the role of small RNAs in spermatogenesis is also discussed. This book aims to serve as a reference for both clinicians and researchers, explaining possible causes of infertility and exploring various treatment methods for management through the basic understanding of the role of molecular signaling. Key Features Discusses the signaling pathways that contribute to successful spermatogenesis Covers comprehensive information about Spermatogenesis at one place Explores the vital aspects of male fertility and infertility Explains the epigenetic regulation of germ cell development and fertility Highlights the translational opportunities in molecular signaling in testis

This book effectively summarizes our knowledge of recent advances in prostate cancer. It focuses on our state-of-the-art understanding of risk factors, prevention, detection, prognosis and treatment of prostate cancer and identifies basic science findings that are being translated into clinical practice. In addition, the book singles out key areas of research that have potential for clinical translation. Both basic scientists and clinicians will be invited to provide up-to-date reviews in each area of prostate cancer. During the last decade the pace of clinical discovery and the scientific advances in prostate cancer have been very rapid. For instance, currently there are more than 100 drugs in the pharmaceutical pipeline that have the potential for clinical management of prostate cancer. Therefore, it has been very difficult for clinicians and basic scientists to keep pace with the field as a whole. Recently, some of these discoveries are already having an impact on clinical practice. For example, the discovery of the androgen receptor gene amplification in prostate cancer has led to the development of a "super-antiandrogen," which is being tested in clinical trials. Also, recent knowledge of androgen synthesis in prostate cancer cells has led to clinical trials with steroid-metabolism inhibitors. Finally, robotic surgery has also dramatically changed clinical practice. Thus, this important book serves to provide readers with a one-stop overview of the field of prostate cancer research and its translation into the clinical arena.

Urological Emergencies: A Practical Approach, Second Edition provides a concise, evidence based review of common urgent and emergent urological conditions in children and adults. Descriptions of the appropriate diagnostic and therapeutic considerations on topics of traumatic, infectious, obstructive, hemorrhagic, iatrogenic, vascular and congenital urological emergencies in adults and children are provided. The text is organized by pathophysiology rather than organ system, allowing the reader to develop approaches to the care of patients with acute urological conditions based on mechanism of disease. Relevant pathophysiological background and epidemiology are reviewed, necessary diagnostic testing recommended, and detailed medical, surgical and endourological management approaches have been provided. All chapters incorporate published guidelines and best practice recommendations from appropriate organizations including the American Urological Association, the Centers for Disease Control and Prevention, and various International Consultations on Urological Diseases. New or significantly revised chapters in each of the subsections address innovations in trauma care and prevention, new strategies in management of kidney stones, and special care needs of children with acute urological problems. Urological Emergencies: A Practical Approach, Second Edition is of great value to practicing urologists, urology residents, emergency medicine trainees and practitioners, and primary care providers including MD's, PA's, and NP's without immediate access to urological consultation.

* Focuses on the technical aspects of surgery to ensure improved surgical technique * Easy to read, understand and apply the information * Fully illustrated with over 300 colour illustrations *Clear step-by-step techniques, to provide further insights into clinical practice*

Translational Urinomics provides an overview of urine analysis using proteomics, metabolomics, transcriptomics or any combination thereof for the diagnosis and prognosis of diseases related to the urinary system and the kidneys. The text approaches urine biomarkers from a new perspective, incorporating up-to-date studies of mass-spectrometry-based biomarker discovery as well as the latest advances in personalized medicine. The integration of technology-driven techniques, such as OMICS also provides a unique opportunity for improved diagnostics accuracy of urinary-related diseases. For nephrologists and urologists looking for new approaches to well-known problems, this edited volume serves as a valuable guide.

Covering the entire spectrum of this fast-changing field, Diagnostic Imaging: Genitourinary, fourth edition, is an invaluable resource for general radiologists and trainees-anyone who requires an easily accessible, highly visual reference on today's genitourinary (GU) imaging. Drs. Ghaneh Fananapazir, Bryan R. Foster, and their team of highly regarded experts provide up-to-date information on recent advances in technology and the understanding of GU diseases and disorders to help you make informed decisions at the point of care. The text is lavishly illustrated, delineated, and referenced, making it a useful learning tool as well as a handy reference for daily practice. Serves as a one-stop resource for key concepts and information on GU imaging, including a wealth of new material and content updates throughout Features more than 2,500 images (state-of-the-art cross-sectional imaging, full-color medical illustrations, radiologic images, clinical photographs, H&E stains, and gross pathology photographs), plus 500 additional images and video clips online Features updates from cover to cover including updated Bosniak 2019 criteria, PI-RADS v2.1 terminology, updated cancer staging chapters, new interventional techniques, new contrast agent guidelines, and new chapters on transgender imaging Contains a new 10-chapter section on kidney transplant, including post-transplant procedures Covers key procedures such as renal biopsy; percutaneous genitourinary interventions; kidney ablation/embolization; and venous sampling and venography Covers all aspects of GU imaging, including typical and variant findings; GU anatomy, physiology, imaging protocols, and work-ups; and new developments in diagnostic criteria and terminology Uses bulleted, succinct text and highly templated chapters for quick comprehension of essential information at the point of care Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices

"Imaging and Technology: Principles and Clinical Applications"is a practical and user-friendly consolidated source book for urologists, and urologists in training, regarding the basic science of imaging modalities used on a day-to-day basis in urological practice. Similarly, the intention is to provide an introduction to the technology that is used in the practice of urological surgery and the management of urological patients in the clinical setting. This knowledge level is appropriate for certification for independent consultant practice in urology in the UK. The book is also valuable to urologists and urological trainees outside of the UK and in other surgical specialities."

Chronic Prostatitis is a common and debilitating condition affecting 5-12% of men worldwide. The most common form is category III, or Chronic Pelvic Pain Syndrome. Cutting-edge clinical research has led to advancements in the diagnosis and treatment of prostatitis, a group of conditions that is at once extremely common, poorly understood, inadequately treated and under-researched. In Chronic Prostatitis/Chronic Pelvic Pain Syndrome, the author provides todaya (TM)s most current information covering the four categories of prostatitis (acute, chronic bacterial, CPPS and asymptomatic inflammation). A diverse international group of contributors that includes urologists (academic, primary care and front line private practice), scientists, psychologists, and pain specialists from the National Institutes of Health provide the reader with novel approaches to helping their patients. The chapters in this important new work cover general evaluation of the prostatitis patient, the approach to acute prostatitis, chronic bacterial prostatitis and chronic pelvic pain syndrome, evidence behind individual therapies and ancillary topics such as erectile dysfunction, infertility, the link between chronic prostatitis and prostate cancer, male interstitial cystitis and the potential etiologic role of calcifying nanoparticles. Chronic Prostatitis/Chronic Pelvic Pain Syndrome offers novel approaches to diagnosing this condition as well as providing ways in which to ease the suffering of the patient with prostatitis.

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.

Modern science has shown that the widely held beliefs of clinicians about urinary tract infection (UTI) are wrong. A large body of meticulous, rigorous data, from different centres around the world makes this point. How can it be that doctors continue to practise in contradiction of what we now know? A few clinicians are now changing their approach with gratifying results so it is timely to encourage others to do likewise. Clinical guidelines have achieved such influence that most doctors feel compelled to follow them and may face censure if they do not. Regrettably the guidelines are mistaken and contradict the known science. The inertia of bureaucracy and the fear of antimicrobial resistance (AMR) do not help to encourage reflection. However, things are changing and the future should see new and better informed advice. It is a tragedy that these circumstances are leading to widespread suffering amongst many women, some men and children who experience untreated or inadequately treated infection that may plague them for years. This situation has to change. This book sets out the truth about this neglected field and explains the many errors that haunt the topic. The style makes the message accessible to all clinicians. The story is convincing, because the clinical stories that illustrate the text will be so familiar to practising clinicians, who have been baffled by their experiences. Above all, this book will help you and your patients by detailing an accessible, practical approach to resolving this difficult clinical problem in common practice. The scope of the book will cover: the history of the medicine of urinary tract infection (UTI); the urinary microbiome and what the microbes are really up to; the battles between the pathogens and the innate immune system; the truth about the tests and the criteria used to define UTI; antimicrobial resistance and the importance of Darwinian evolution; the science and ground-breaking research on UTIs; the use of antibiotics; successful treatment; supportive and other related treatments; ethics; the future; and, above all, the experiences of the patients.

This definitive manual provides a quick reference on pediatric urologic problems for medical students and physicians in training. Presented in two clearly outlined sections, part one introduces, in 12 chapters, the common forms of presentation of urological conditions in children, with emphasis on anamnesis, differential diagnosis and the appropriate use of diagnostic tools. Treatment modalities are also briefly discussed.

Part two consists of 11 chapters that discuss the common pediatric urological conditions. The emphasis for part two is the provision of practical and up-to-date information in a standardized, easy-to-read format. There is extensive cross-referencing between parts one and two. Finally, an appendix presents practical information such as renal length, grading of reflux, etc.

This book provides comprehensive coverage of the anatomical and physiological aspects of complex colorectal and pelvic malformations. Also described are the surgical protocols for this specialized field within pediatric surgery. The benefits of high-level collaboration between surgical services when treating these anomalies are explained, as are treatment algorithms and care of complications. Includes evaluation and management of the newborn Describes surgical interventions of the newborn, and when a primary repair versus a staged approach is required Explains the value of laparoscopy and deciding in which cases to use it Looks at the importance of a transition program to adulthood Pediatric surgeons worldwide and the teams in which they work will benefit from this well illustrated and comprehensive work.

Pelvic floor disorders affect a large proportion of women worldwide. This book is a highly practical guide highlighting all the varying forms of such problems. Included are chapters on the pathophysiology of the female pelvic floor, the evaluation and diagnosis of problems, the practical management of symptoms, and the complications that can arise from surgical and medical treatment.