This book provides a state of the art overview of all aspects of testicular descent and cryptorchidism, including the mechanisms of descent and the causes, consequences, diagnosis, and treatment of undescended testis. The advances in understanding that have been achieved over the past two decades are clearly explained, covering the latest genetic information on the causes of normal and abnormal testicular descent, the role of INSL3 in transabdominal migration, and the evidence that a neurotransmitter released from the genitofemoral nerve mediates androgenic control of inguinoscrotal descent. Exciting changes in the management of both congenital and acquired cryptorchidism, such as the widespread use of laparoscopy for impalpable testes inside the abdominal cavity, are fully described. Evidence for the benefits of orchidopexy within the first year of life is reviewed, and an individual chapter is also devoted to hormonal treatment. Throughout the book due attention is given to ongoing controversies and divergences of opinion. This new edition of Descent of the Testis will be a timely update and valuable reference for all who are involved in research into testicular descent and management of cryptorchidism.

In the last few years, there has been a significant volume of research published in the field of urinary dysfunction. Urinary incontinence can affect both men and women of all age-groups with varying degrees of severity. It is becoming an increasingly dominant health care issue with enormous economic burden and places considerable impact on the overall quality of life, impairing several areas with physical, social, emotional and sexual limitations. This up-to-date and exhaustively written textbook addresses a very difficult, underestimated, and probably inadequately considered clinical subject. This book provides comprehensive information on urinary incontinence and is primarily intended for medical practitioners, residents and medical students for daily practice. However the general public will find this book easy to read and provides ample information that is useful in understanding urinary incontinence.

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.

Hormonal therapy offers a potentially powerful approach to the treatment of sexual disorders in men. However the interplay of different hormones within different bodily systems is carefully balanced; judicious judgement is required in the therapeutic use of hormones to minimize unwelcome side effects.

A better understanding of how hormones work will help the physician to better tailor therapies for improved sexual responses in men. "Hormonal Therapy for Male Sexual Dysfunction" will provide the rationale for hormonal therapy in male sexual disorders, explaining the language of sexual endocrinology and its application in clinical practice.

The aim of this book is to provide a clinical 'in the office' or 'at the bedside' guide to effective patient care for sexual medicine physicians, urologists, gynecologists and other health-care providers in practice and in training. The tone will be practical, not academic. The working assumption is that readers want to know what (and what not) might or should be done, without over emphasis on the why. That said, it is important to review the crucial basic science necessary for effective diagnosis and management, and to provide reminders in the context of the practical chapters.

It will not be heavily referenced, in line with a more practical approach. This allows for smoother reading (and also relieves the burden of comprehensive citing from authors). Key evidence (clinical trials, Cochrane or other meta analyses) should be summarized in 'Evidence at a Glance' boxes and key references such as reviews, major papers can be provided in the 'selected bibliography' at the end of each chapter.

Practical guidance will be provided through:

- the use of algorithms and guidelines where they are appropriate

- 'Tips and Tricks' boxes - hints on improving outcomes perhaps via practical technique, patient questioning etc

- 'Caution' warning boxes - hints on avoiding problems, perhaps via contraindications

- 'Science Revisited' - quick reminder of the basic science principles necessary for understanding

Incontinence affects four out of 10 women, about one out of 10 men, and about 17% of children below age 15. The most common reason for admitting a family member to a nursing home is the family's inability to cope with incontinence. It is estimated that in the US incontinence costs 26 billion dollars a year. While it is common to exercise many parts of the body to stay fit, very little attention is paid to exercising the pelvic floor. Many exercises exist for the general fitness of the body, strengthening of the arms and legs and the abdominal and back muscles. Finding fun exercises for the pelvic floor involves searching through a great deal of literature; finding exercises suitable for men, women, and children that are fun and effective appears to be impossible. This book should provide therapists with treatment ideas and encourage patients to ask for help. It focuses on exercises and discusses other treatment options.

The sixth edition of The Kelalis-King-Belman Textbook of Clinical Pediatric Urology presents state-of-the-art knowledge and common-sense practice in all areas of clinical pediatric urology in a single, easily accessible volume. Clinical in orientation and practical in presentation, it covers every disorder and disease, diagnostic method, and appropriate treatment in pediatric urology from the embryo onwards. Widely acknowledged as the leading reference in the field, the book is essential reading for all practitioners who deal with urological disorders of childhood, whether trainees, residents or experienced specialists. The book begins with chapters on evaluating the patient and general principles of pediatric urology, including the use of advanced diagnostic imaging techniques and the increasing importance of minimally invasive surgical techniques. It then proceeds through the entire urinary tract from adrenal gland to external genitalia, discussing anatomy, normal and abnormal development, anomalies and diseases and their treatment. Each chapter includes the latest developments in technology and medical and surgical techniques, and is accompanied by high-quality clinical photographs, scans and medical artwork. Tables, graphs, and charts lend further support to the detailed and comprehensive text. An additional feature is the inclusion of high-quality operative videos, integrated in the accompanying eBook, allowing the reader to visualize the key procedures described in the text.

The Oxford Specialist Handbook of Urological Surgery is a comprehensive textbook of urological surgical technique, designed specifically for the trainee urological surgeon, whether he or she intends to be an office-based urologist, or a specialist urology surgeon. It provides an in-depth description of all aspects of urological surgery, with a step-by-step approach on how to perform urological operations. The reader is taken through simple procedures such as cystoscopy, J stent insertion and bladder biopsy, through to more complex surgery such as cystectomy and PCNL. It describes indications for surgery, diagnostic work-up, surgical technique, routine post-operative care together with the approach to management of complications of urological surgery. The trainee urologist will find it an invaluable source of information, particulary as a last minute reminder of how to perform a particular operation.

Overactive Bladder Syndrome (OAB) is a clinical entity characterised by urgency, with or without increased urinary frequency and/or urgency incontinence. It is a chronic condition with a high prevalence that increases with age, thus being a growing health problem especially in developed countries due to increased life expectancy. Patients with this disorder are often reluctant to seek advice due to embarassment, fear of social exclusion or the belief that symptoms are an expected consequence of ageing. Costs associated with treatments, use of pads/diapers and general economic burden are expected to increase in the future. OAB has a negative impact on quality of life (QoL) in varying degrees, depending upon the severity of symptoms and the presence of urgency incontinence. It has been linked to increased risk of fractures, institutionalisation and depression in older populations particularly prone to the development of OAB. This books discusses the prevalence, risk factors and management options available for OAB.

This book presents the work and development of endourology and the contribution of East Asian Society of Endourology. This book is intended to familiarize the modern urologists with the common endourology, laparoscopic and robotic urologic procedures and the development of technology, techniques and training. The book is the collection of papers and presentations in Congress of East Asia Society of Endourology. Recognized experts in the field of endourology have contributed to share their experiences and opinions. It consists of latest update and advancement of surgical techniques, technology in minimal invasive surgery. The development of endoscopic, laparoscopic and robotic urological operations is reviewed. A whole session is dedicated to training in endourology are included. Detail descriptions of perioperative preparation, step-by-step surgical procedures and tips/tricks will be emphasized in the corresponding chapters, supplemented by photographs and illustrations. In the first session, techniques on kidney, bladder and prostate surgeries are discussed. In the second session, is dedicated to the advances of new technologies in endourology. The third session covers the important areas of endourology training and the development of endourology. This book is most suitable for urology residents and young fellows who are keen to start their endourological training. It also provides up-to-date information on current topics of endourology for practicing urologists and experienced endourologists.

This monograph addresses an innovative autologous muscle-derived stem cell therapy for urinary incontinence in women. It provides a detailed overview of studies and research projects on the use of stem cells for the treatment of urinary incontinence. It provides updated information about this condition for the era of regenerative medicine, making it a valuable resource for both students and physicians.

Eureka - an innovative series for students that fully integrates core science, clinical medicine and surgery. With its engaging and authoritative text, featuring insightful clinical cases, graphic narratives, SBAs and a wealth of other learning tools, Eureka has everything students need to succeed in medicine and pass their exams. Eureka - content that reflects today's medical degree courses with their emphasis on: relevance and application of core science to clinical practice skills required to examine and communicate with patients integrated care across primary and acute care settings Eureka - 15 clinical titles, 5 science titles: Clinical titles - disease-based, clinical cases, system-specific core science Science titles - bedrock biomedical principles, clinical cases Series features across titles: Engaging clinical cases show how skilled clinician would work through a presentation, and put diseases and biomedical principles into patient context Innovative graphic narratives bring clinical cases to life, show how to approach difficult scenarios and convey the experience of being a patient Starter questions - stimulating answers to intriguing questions make learning fun Boxes highlight tips, tricks and key learning points General Surgery & Urology First principles chapter clearly explains key concepts such as assessment of the patient fitness for surgery, patient consent and pain management Clinical essentials chapter provides an overview of the symptoms and signs of surgical disease, investigations and management options Disease-based chapters briefly describe, by system, relevant structure and function, history and examination and main surgical presentations, each chapter introduced by engaging clinical cases that feature unique graphic narratives Emergencies chapter covers the principles of immediate care in situations such as acute appendicitis Self-Assessment - 80 multiple choice questions in clinical SBA format, in line with current exam format

This text comprehensively covers the nutritional and medical management and prevention of kidney stones. Sections address types of stones, nutritional risks, medical and pharmaceutical managements, prevention of recurrence, and special consideration of stone risks among specific diseases such as obesity with gastric bypass, chronic kidney disease, and gastric intestinal disorders. Diagnosis of kidney stones, urinalysis and biochemical indices, dietary assessment, and medical nutrition therapy for specific types of kidney stones are also included. In addition, case studies are provided in the appendix. Cutting edge research is also highlighted in regards to pharmaceutical treatments and epidemiological findings in nutrition and kidney stones. Nutrition in Medical Management of Kidney Stones will be a practical resource for health professionals in the fields of nutrition, nephrology, urology, and general medicine, as well as medical students, resident physicians, and allied health clinicians whose research, practice, and education includes nutrition and kidney stones.

Male Lower Urinary Tract Symptoms and Benign Prostatic Hyperplasia provides urologists of all levels with a practical, highly clinical guide to the variety of different symptoms and problems concerning the male lower urinary tract, including benign prostatic hyperplasia, one of the conditions that urologists most regularly encounter. Evidence-based throughout and written by the world's leading experts in the topic, it comprehensively reviews the very latest in diagnostics and imaging, patient phenotyping, genetic studies, medical and surgical therapies, and lifestyle management in order to help clinicians best manage their patients. Highlights include chapters on: * Alpha-Adrenergic Antagonists for Lower Urinary Symptoms Secondary to Benign Prostatic Hyperplasia * Phosphodiesterase Type 5 inhibitors for Male LUTS * Combination Medical Therapy for Male LUTS * Open Simple Prostatectomy * Minimally Invasive Therapies * Monopolar and Bipolar Transurethral Resection of the Prostate * GreenLight Laser Therapy Containing pitfall boxes and key points throughout to aid quick and easy understanding of the key information, this excellent book is an essential read for the modern-day urologist.

The Fourth Edition of Urodynamics Made Easy provides a concise and user-friendly guide to the principles and clinical practice of urodynamics as applied to the routine diagnosis and management of patients. The emphasis of this book is on the ethos behind the practice of urodynamics and how this needs to be integrated into the evaluation of all patients with lower urinary tract symptoms. It offers clear information presented in a visually appealing and easily accessible format. A great and simple teaching tool that will assist the novice as well as the more experienced practitioner Superbly illustrated in full colour. An invaluable and practical, yet comprehensive, resource for all those interested in growing their understanding of and expertise in pelvic floor diseases. This edition has been completely updated, especially in relation to the electronic urodynamic measuring devices now available. The clinical relevance has also been enhanced. Urodynamics made Easy provides an invaluable source of information to urologists, gynaecologists and urodynamic nurses, and will also be of interest to general surgeons, radiologists and general practitioners.

Qualit tssicherung f r die Diagnostik des Urinsediments! Als ideale Erg nzung zum Buch "Das Urinsediment - Mikroskopie, Pr analytik, Auswertung und Befundung" erscheint nun das bungsbuch mit 140 Beispielen in Fragen und Antworten. Seit in Krafttreten der neuen Richtlinie der Bundes rztekammer unterliegt die mikroskopische Beurteilung des Urinsediments einer externen Qualit ts berpr fung bzw. Ringversuchen. Als verpflichtende Untersuchung im Rahmen der Schwangerschaftsuntersuchung stellt das Urinsediment und dessen Begutachtung einen wichtigen Teil der Diagnostik dar. Kenntnisse im Befunden des Sediments unter dem Mikroskop werden daher immer wichtiger. Das bungsbuch enth lt: ca. 140 Multiple Choice Fragen mit Abbildungen und die dazugeh rigen beschreibenden Antworten in einem separaten L sungsteil eine Schnelll sungs bersicht zum kurzen Nachschlagen neue hochaufl sende und gro e Mikroskopie-Aufnahmen in bester Bildqualit t Phasenkontrast- und parallel dazu Hellfeldaufnahmen Erkl rungen (praktische Tipps) zu den L sungen und Verweise auf das Lehrbuch "Das Urinsediment" - M glichkeiten und Grenzen in der Erkennbarkeit morphologischer Bestandteile F r alle, die das Urinsediment vorl ufig oder endg ltig bewerten und befunden m ssen wie Arzthelfer, Medizin-Technische Laborassistenten, Studenten der Medizin, Gyn kologen, Nephrologen, Urologen, Labormediziner.

"Prostate Pathology" concentrates on the salient H&E histopathology of each entity discussed with brief descriptors of the clinical features, differential diagnosis, and relevant literature references for each entity. The book features a bulleted format with H&E illustrations to match histopathologic criteria. Helpful ancillary tests, in particular, appropriate immunohistochemical panels are also summarized. Prostate Pathology provides a synopsis of all common prostate entities and covers non-neoplastic conditions, including description of normal structures, premalignant conditions and prostate carcinoma, and mesenchymal, hemotopoietic and secondary tumors. The book provides a handy summary and quick reference guide for pathology residents and will serve as a "portable refresher course" or MOC review tool for the more experienced pathologist.

"Prostate Pathology" features: High-yield diagnostic summary and review in surgical pathology for residents, fellows, practicing surgical pathologists preparing for recertification Well illustrated with over 200 high quality color images Concise, bullet-point format for quick reference and easy review Key references included directing reader to recent literature and further detail

This book is intended for urologists and pathologists who practice in an office setting. In this setting, bladder and prostate diseases are most commonly encountered. Therefore, bladder and prostate biopsy and urine cytology specimens are frequently obtained by urologists, which require pathologists assistance to interpret. In the office setting, communication between urologists and pathologists becomes feasible, which is paramount for accurate diagnosis and better patient management. For this purpose, this book includes clinically relevant information for pathologists, concise pathology terminology, and diagnostic tests for urologists. This book describes the common clinical and pathological entities, and is written in a bullet format for easy and quick reference. For visual review, over 150 diagrams, histologic images, and other images are included. The first and second chapters describe bladder and prostate diseases, focusing on clinical-pathological correlation. Therefore, this book is also useful for pathology and urology residents in training, in preparation for board examination(s), or as a refresher reference for recertification. The third chapter is dedicated to office-based pathology laboratory services, which outlines laboratory instrumentation, procedures, and regulatory requirements. This information is useful for urologists and pathologists who are involved in the management of an office-based pathology laboratory. Finally, I greatly appreciate Josephine Wu DDS, Esq. and Miao Cui MD, MS, who contributed to this excellent third chapter.

Practical Tips in Urology is a compact, illustrated reference which provides the reader with practical tips and advice in managing day-to-day urological issues encountered in a clinical setting. This book draws on practical experience and offers useful information that is often lacking in didactic textbooks of urology and in journal articles. Practical Tips in Urology provides tips in dealing with urological emergencies, elective surgery and common outpatient consultation problems, among other things. Written by experts in the field, Practical Tips in Urology is key reading for all practicing urologists and residents in training.

Acute kidney injury (AKI), defined as an abrupt decrease in renal function over a period of hours to days, is a common complication among hospitalised patients with different acute diseases. Its incidence has been increasing in recent years and is reported to be very high especially in the acute settings. Since clinical signs and symptoms of acute renal damage are not specific, it is difficult to promptly distinguish AKI at the time of patient presentation. Currently the diagnosis of AKI requires serial assessment of laboratory tests over a period of several days, and is based mainly on the evaluation of serum creatinine (sCr) and decrease in urine output as supported by Risk, Injury, Failure, Loss, and End-Stage Kidney Disease (RIFLE) criteria, Acute Kidney Injury Network (AKIN) criteria, and the recent Kidney Disease: Improving Global Outcomes (KDIGO) practice guidelines for AKI. Such a need for repeated sCr evaluations and monitoring of urinary output for too long time after admission could therefore result in a diagnostic delay. With delays in diagnosis, clinicians miss opportunities to start appropriate treatment to minimise damage, and patients incur more severe AKI with subsequent greater risk of developing progression of renal damage leading to chronic kidney disease (CKD), dialysis and increased risk of severe cardiovascular diseases and death.

This state-of-the-art laboratory manual includes 20 clinical protocols used daily for the investigation of the infertile male, presented with easy to understand, step-by-step methodology. The protocols are arranged from routine to advanced laboratory procedures common to clinical practice, including computer-assisted semen analysis, sperm preparation for IUI by density gradient and swim-up, sperm cryopreservation, and sperm DNA fragmentation test by TUNEL method, among others. The methodology in each protocol follows best practice guidelines made clearer by professionally hand-drawn illustrations covering most of the important steps and equipment. The authors, hailing from the world-renowned Andrology Center at Cleveland Clinic, have over 50 years of combined first-hand experience in managing very busy diagnostic and research facilities in male infertility and andrology. The book will be an indispensable resource for thousands of laboratory technologists, clinicians and reproductive professionals (andrologists, embryologist, etc.) engaged in the diagnosis and management of infertile men around the world.

This book offers gynecologists and urogynecologists a pocket guide to urodynamic testing in women with lower urinary tract symptoms. In female urology, the main indications for urodynamics are urinary incontinence, pelvic organ prolapse, urgency-frequency syndrome (also known as overactive bladder), emptying disorders and painful bladder. By collecting quantitative measurements while reproducing the patient's voiding symptoms where appropriate and possible, urodynamics helps to identify the cause of symptoms, supports management and facilitates prognoses. However, despite the undeniable advantages, the role of urodynamics in female urology is hotly debated. The book starts by describing the physiological background and methodological considerations for urodynamic best practice in the preclinical setting. It then explains how to perform urodynamics correctly - so-called "good urodynamic practice" - to increase the readers' confidence and ability to perform and interpret urodynamic investigations. Lastly, it reviews the advantages and disadvantages of urodynamic testing in each of the key clinical female urology conditions. A separate chapter focuses on the peculiarities of diagnosis and management for female patients with neurogenic bladder. This guide offers a valuable tool for gynecologists, urologists and urogynecologists, as well as a ready source of information for all physicians involved in diagnosing and treating lower urinary tract disorders in women.

Provides a go-to source for reference, study, and teaching. Describes in detail the surgical steps of the major adult and pediatric reconstructive laparoscopic and robotic cases. Serves as a gold standard reference for those wishing to embark on such procedures. Robotic and Laparoscopic Reconstructive Surgery In Children and Adults is a unique volume focusing on the union between adult and pediatric urologic surgical techniques. The breadth of this wonderful convergence is most clearly and consistently demonstrated when minimally invasive reconstructive techniques are utilized. This volume describes in detail the surgical steps of the major adult and pediatric reconstructive laparoscopic and robotic cases. It includes detailed drawings, step-wise explanation, and access to video clips provided by experts who have performed these procedures. Pediatric urologists, adult urologists, fellows, and urology residents will find this volume to be a comprehensive, yet concise, reference for most all robotic and laparoscopic procedures that may be performed within this vast discipline. Content Level Professional/practitioner Keywords bladder surgery - laparoscopic urology - minimally invasive urology - orchiopexy - reconstructive urology - renal surgery - robotic urology - uteral surgery Related subjects Surgery - Urology

Already established as a classic comprehensive reference for the whole team at the IVF clinic, this new edition has been extensively revised, with the addition of several important new contributions on laboratory ( including advanced sperm selection techniques for ICSI, human embryo biopsy procedures, oocyte activation, managing an oocyte bank, artificial gametes, and epigenetics) as well as on clinical topics (including GnRH agonist triggering, segmentation of IVF treatment, uterus transplantation, and risk and safety management). As previously, methods, protocols, and techniques of choice are presented by eminent contributors internationally.

Organised according to presenting signs, with discussion of appropriate investigations Outlines strengths and weaknesses of different imaging modalities and discusses appropriate choice of technique in each instance Reviews differential diagnoses and corroborative tests

This succinct yet comprehensive volume describes current and emerging concepts in molecular pathology of bladder cancer. Divided into two distinct sections, the first part focuses on the general principles of molecular findings in bladder cancer, while the second part focuses on the molecular changes associated with specific histologic subtypes. The volume also addresses such topics as molecular alterations in non-invasive and invasive disease, including bladder cancer variants as appropriate, emerging molecular classifiers of bladder cancer, and molecular associations to outcome and treatment. Written by experts in the field, Precision Molecular Pathology of Bladder Cancer is a valuable resource for those in the urologic community, including urologic pathologists, urologists, urologic oncologists and radiation oncologists, who treat and manage bladder cancer.