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This manual is a concise, straightforward guide for learning how to perform high-quality urodynamic investigations. Experienced editors and contributors provide easy-to-follow practical information on pre-test assessment of urodynamic function, how to set up urodynamic equipment, and how to perform individual urodynamic techniques, including cystometry, videocystourethrography and ambulatory monitoring. The book covers modern equipment and its use, and outlines the new national standards in urodynamics, allowing readers to check their knowledge and standard operating procedures are adequate. It also gives valuable information on how to set up and run a urodynamics service. With clear illustrations and clinical case studies woven into the text, this is a must-have resource to facilitate training in urodynamics. It is also a refresher of the standards and protocols required for good urodynamic practice for gynaecologists and continence nurses.
This book is intended to help plug the gap in the present library
of urological texts, and should be a useful aid to revision and
preparation for the FRCS(Urol) intercollegiate examination and
probably other urological examinations. Based on the assumption
that the reader has a basic understanding of core urology, the text
primarily covers topics that may be encountered infrequently during
training, are currently considered controversial, or are likely to
spring to the mind of an examiner.
Cet ouvrage de reference reunit les principaux experts nationaux et parfois internationaux des differentes specialites de la reproduction. La premiere partie passe en revue les donnees fondamentales de la physiologie et retrace l'histoire de l'assistance medicale a la procreation. Sont abordes ensuite les aspects epidemiologiques et surtout medico-legaux. Un chapitre complet detaille le diagnostique, le pronostique et les traitements chirurgicaux. Les techniques les plus recentes d'assistance medicale a la procreation sont ensuite passees en revue, de meme que les procedes de cryopreservation. L'ouvrage fait enfin une large place aux considerations transversales (cancer, pathologies auto-immunes, implications ethiques, etc.) mais essentielles autour de la fertilite et de l'infertilite, et de son impact psychologique sur les couples.
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.
Qualifizierte Diagnostik des Urinsediments! Dieses Lehrbuch vermittelt umfassend in Theorie und Praxis die qualifizierte Diagnostik des Urinsediments. Es erklart die Grundlagen der Urinsedimentdiagnostik und gibt daruber hinaus auch versierten Untersuchern zahlreiche Tipps. Exzellente Digitalfotografien in der Hellfeld- und Phasenkontrast-Mikroskopie zeigen eindeutig alle morphologischen Merkmale und unterstutzen das sichere Erkennen und Differenzieren der Bestandteile des Urinsediments. Fur Nephrologen, Urologen, Gynakologen, Internisten, Allgemeinmediziner, Studierende der Medizin, MTLAs und medizinisches Fachpersonal. Die 3. Auflage wurde umfassend aktualisiert, einige Kapitel ganzlich erneuert und durch zahlreiche neue hochaufloesenden mikroskopischen Aufnahmen als auch durch Kurzvideos als Zusatzmaterial erweitert.
This book presents clinicopathological insights into common genitourinary diseases, especially those of neoplastic nature, and introduces experiential learning based on case presentations (case-based learning). One of the tasks that trainees face is converting the extensive amount of data into medical experience. Using successive microscopic images, the book gradually and analytically presents diagnostic procedures for the genitourinary system (kidney, urinary bladder, prostate gland and testis). Characteristic cases are presented for each organ, each ending with a clinical commentary and key messages. This form of presentation helps readers acquire the valuable skill of effective diagnostic thinking, focusing their attention on the essential microscopic findings and disregarding insubstantial findings. Although clinical applications are frequently based on pathological findings which therefore need to be clearly described and recorded, the importance of this in everyday medical practice is often ignored by medical students and downplayed by clinicians. Demonstrating how knowledge can be practically applied, the book is a valuable resource mainly for residents in pathology, urology and oncology but also for medical students with a special interest in histopathology.
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 seeks to provide a general medical audience with a picture of the current state of play with regards to the evaluation and treatment of patients with erectile dysfunction. The authors aim to cover everything from the primary care approach to addressing the issue, through the important psychological causes and consequences of erectile dysfunction, the new diagnostic techniques involved in assessing the problem, the complex interplay between vascular and neurological disorders, as well as problems relating to hormonal disruption and diabetes.
This text encompass an up-to-date, comprehensive review of the state-of-the-art for gland preserving therapies. Fully updated and revised, this text evaluates the scientific evidence for the evolving trend to treat intermediate risk, clinically localized prostate cancer in a focally ablative manner with novel gland-preserving, focal therapy methods. Various ablative devices such as high intensity focused ultrasound, irreversible electroporation, photodynamic therapy, cryotherapy and laser ablation, among others, is discussed in regard to their strengths and limitations as a therapeutic modality. Emphasis is placed on patient selection and outcomes utilizing both advanced imaging techniques and pathologic evaluation. Current and new approaches to image cancer foci within the prostate (multiparametric ultrasonography, multiparametric magnetic resonance image, etc) are presented along with various biopsy techniques, including robotics to map prostate cancer. Patient selection based on imaging and genomic classification, adjuvants to enhance therapy, treatment strategy, outcomes and patient centered concerns is discussed, providing an acceptable balance between cancer control and improved quality of life for patients. Written by experts in the field and lavishly illustrated with detailed line-art and photographs, Imaging and Focal Therapy of Early Prostate Cancer, Second Edition is designed as a comprehensive resource for urologists, radiation oncologists, medical oncologists, radiologists, uropathologists, molecular biologists, biomedical engineers, other clinicians -- residents, fellows, nurses and allied professionals -- and researchers with an interest in the diagnosis and novel treatment of prostate cancer. It will provide insight into the latest research and clinical applications of image-guided diagnosis and minimally invasive focal, gland-preserving treatment for prostate cancer.
This book provides information on a range of issues related to prostate cancer survivorship, including; psychosexual care, health related quality of life, treatment, follow-up care, new psychosexual pathways, and acute and chronic co-morbidities. The book also covers the needs and challenges in survivorship care, the requirements of care, the future of survivorship care, and role of patient conferences. This book aims to give oncologists, urologists, and specialist nurses help in how to manage patients in the prostate cancer survivorship phase. This guidance is based on real life experiences handling prostate cancer survivorship, and is developed further through utilising the views of both health care professionals and patients.
This book focuses on the state of the art in fully grasping precocious puberty and its consequences, incorporating advances in the areas of endocrinology, genetics, imaging and therapeutics to offer an indispensable tool for all physicians interested in the latest advances in this field. The authors present the latest findings on early puberty in girls and boys. The dynamic process of maturation is influenced by many signals and reshapes growing children's role within their environment. Readers will benefit from the educational value and level of depth of the individual chapters; written by respected experts and in a self-contained format, they can also be read separately to address specific interests.
This evidence-based, state of the art guide to the management of urological malignancies, including bladder cancer, prostate cancer, and testicular cancer, is designed to serve as an easy-to-consult reference that will assist in daily decision making and the delivery of optimal care for individual patients within a multidisciplinary setting. Readers will find up-to-date information on patient selection and the full range of treatment modalities, including modern radiotherapy techniques, systemic chemotherapy, surgical procedures (including robotic surgery and other minimally invasive approaches), hormonal therapies, immunotherapy, and focal therapies. With regard to radiotherapy, the coverage encompasses everything from delineation of tumor volumes and organs at risk based on CT simulation through to delivery of stereotactic body radiotherapy, intensity-modulated radiation therapy, tomotherapy, volumetric modulated arc therapy, and proton therapy. The authors are leading authorities with international reputations who have been selected for their expertise in the topic that they address. The book will be of value for all practicing urooncologists as well as other oncology fellows and residents interested in urooncology.
This atlas gathers the most frequent imaging findings concerning alterations that cause infertility in both males and in females. Also, it discusses how the images should be analyzed and described, to serve as a guide for the physicians who request and perform these imaging tests. Infertility is a highly prevalent condition - about 10% of couples are infertile with males and females equally affected. This book offers professionals dealing with infertility, including endocrinologists, gynecologists and urologists, a useful guide to the diagnostic imaging tests that are essential in treating these patients. The Atlas of Imaging in Infertility is a valuable resource for physicians from different specialties managing cases of infertility.
This text is designed to present a comprehensive and state-of the-art but practical approach to the diagnosis and management of bacterial infection associated renal disease. The chapters address the different types of glomerular, tubulointerstitial and vascular diseases, associated with bacterial infections, describe diagnostic pitfalls, provide differential diagnosis and discuss treatment and management. Easy to follow diagnostic algorithms and tables are included for practical usefulness. The text provides a large number of color microphotographs, illustrations and each chapter refers to the most important up to date literature in the area. All chapters are written by experts in the field and will include the most up-to-date clinical information. A comprehensive but user friendly resource on renal complications of bacterial infection, such as this book, is overdue, particularly now in the era of staphylococcus epidemic and emerging new resistant bacterial strains. Bacterial Infections and the Kidney will be an important resource for pathologists, nephrologists, general internists, infectious disease specialists, and urologists. Transplant surgeons may find the chapter on transplant pyelonephritis very useful.
This fully updated and revised second edition address specifically some of the significant advances made in our understanding of the pathophysiology of penile cancer including discussion of the suspected role of the human papilloma virus in penile carcinogenesis. Similarly, the molecular pathways implicated in precancerous and penile cancer will be discussed as these are the present targets of novel therapeutic approaches to this disease. The text details the recent national and international diagnostic and treatment guidelines that have been developed by both the National Comprehensive Cancer Network (c) and the European Urological Association establishing evidence based standards upon which the care of penile cancer should be based. The text also covers significant advances made in the diagnostic and therapeutic approach to both primary tumors and inguinal nodal metastases resulting from penile cancer such as penile sparing surgery and minimally invasive inguinal lymph node surgery. The text will similarly highlights the improvement in cancer specific outcome in the management of loco-regionally advanced (N2/3) penile cancer managed by upfront systemic chemotherapy followed by consolidative surgery in appropriately selected patients based on recent prospective phase II data. It also covers the role of radiotherapy in the management of penile cancer for both primary tumors and/or at sites of regional or distant metastases. Finally, some of the novel systemic approaches being devised in the management of advanced penile cancer along with some upcoming international trials soon to be opened which likely will re-define the present therapeutic approaches to penile cancer are discussed. The Second Edition of Penile Cancer: Diagnosis and Treatment will constitute a comprehensive review of the above mentioned subjects in addition to a few select topics of high clinical relevance, with the readership predominantly consisting of urologists, medical and surgical oncologists, and other healthcare professionals.
This text focuses exclusively on the anatomical, physiological, pathological, and technical aspects of post robotic prostatectomy urinary continence and erectile function. It provides a comprehensive insight into the mechanisms responsible for maintaining urinary continence and erectile function and elucidates the key concepts and techniques utilized to achieve early return of urinary continence and erectile function after robotic radical prostatectomy. Surgical techniques with pre and post-operative interventions known to improve urinary and sexual function are integrated. A step- by- step "evidence- based" description of surgical techniques utilized in achieving the goals of urinary continence and erectile function are the hallmark of this book. A state-of-the art exhaustive review of "tips and tricks" utilized to achieve the trifecta of cancer control, urinary continence and erectile function in different clinical scenarios like large prostates, post TURP, and salvage robotic prostatectomies complete the text and make it the most exclusive resource available for both the expert and the novice robotic surgeon looking to improve patient outcomes after robotic radical prostatectomy. All chapters are written by world renowned experts in their fields and include extensive illustrations and videos to make this the most interactive and visually appealing text available.
This book is a comprehensive guide to lower urinary tract dysfunction that draws extensively on actual urodynamic traces and patient cases to ensure that the imparted knowledge will be readily transferable to clinical practice. The impressive collection of clinical cases is used to illustrate basic concepts of lower urinary tract function and to document urodynamic findings and typical patterns in a wide range of commonly encountered conditions. In addition, attention is drawn to frequent pitfalls and artifacts. Readers will be able to assess their skill in reaching the correct diagnostic conclusion in each case, as in addition to the urodynamic trace a full set of information is provided on aspects such as patient history, physical examination, voiding diary, laboratory examination, imaging studies, and cystourethroscopy, thereby directly simulating real-life clinical practice. The presented cases are drawn from the large clinical database that Professor Seung-June Oh has prospectively accumulated during the past 16 years of clinical practice. The book will be invaluable for residents and other practitioners and will also be of interest for medical students.
This comprehensive book reviews our current state of knowledge about the pathogenesis of idiopathic nephrotic syndrome (INS), which comprises a heterogeneous group of diseases with distinct histological characteristics, such as minimal-change nephrotic syndrome (MCNS), focal segmental glomerulosclerosis (FSGS), and idiopathic membranous nephropathy (IMN). As the word "idiopathic" indicates, the pathogenesis of INS remains unclear. Historically, T-cell dysfunction has been thought to play an important part in the pathogenesis of MCNS, while circulating vascular permeabilities have been believed to induce proteinuria in FSGS. The book further describes recent advances in molecular biology, which have allowed us to speculate on the interactions between visceral glomerular epithelial cells (podocytes) and the relative significance of several molecules in the pathogenesis of INS, such as reactive oxygen species, nuclear factor-kappa B, CD80, angiopoietin-like 4, cardiotrophin-like cytokine-1, and M-type phospholipase A2 receptor. The normally rapid pace of scientific progress occasionally devolves into a state of chaos, and the pathogenetic research on INS is one such case. This volume will help researchers and scientists to collaborate, share resources, and expedite the design of protocols to evaluate the putative factors.
This is the first book to provide practical and accessible guidance for frontline nurses in the delivery of effective, compassionate care to patients with STIs. With a focus on these infections as a growing global-health problem, this book helps facilitate early identification, treatment, and prevention, including counseling and behavioral interventions. This guide reviews common sexually transmitted diseases in depth, providing epidemiology, risk factors, signs and symptoms, long-term sequelae, disease transmission, diagnosis, and recommended treatment. It focuses on nursing-specific interventions that include understanding a sensitive and appropriate patient history, interpreting a holistic consideration of patient lifestyle, and linking population-specific patient education and counseling. Written in quick-access Fast Facts format with bulleted information and concise paragraphs, each disease-related chapter provides a lifespan-specific section on pregnant women, adolescents and older adult patients, and nursing considerations for setting specific patient approaches. Links to government websites, such as updated screening guidelines, are incorporated throughout. Key Features: Provides expert guidance from an accomplished forensic nurse/nurse midwife Addresses the most common STIs to facilitate accurate differential diagnosis and management li>Considers to needs of special populations to provide individualized, culturally sensitive care Offers evidence-based patient information, prevention, and counseling guidance to maximize positive public health outcomes
This book represents the first interdisciplinary text on the emerging field of rehabilitative surgery, in which state of the art procedures from multiple surgical specialties are combined. It proposes a completely new framework for understanding, coordinating, and providing treatment for paralyzed or severely neurologically impaired patients and explains the potentially critical impact of surgery in creating a new baseline of functional status, thereby improving the patient's daily life. Every major aspect of reconstructive surgical treatment is considered, including anesthesia, orthopedic surgery, plastic surgery, neurosurgery, general surgery, vascular surgery, and otolaryngology. The most up-to-date and evidence-based surgeries are clearly described and evaluated, with coverage of treatment of pressure sores, placement of feeding tubes, and upper extremity interventions to improve function and hygiene. Cutting-edge protocols are presented for the surgical treatment of severe nerve injuries, spinal cord injuries, and stroke or cerebrovascular accidents, and a first description and evaluation of phrenic nerve repair to assist weaning of paralyzed patients from ventilators is provided. Both surgical and nonsurgical readers will find this book to be an ideal guide and reference.
Soon to be a feature film, "The Late Bloomer" is the revealing, harrowing and often funny memoir of a celebrity journalist and former hotshot hockey player who discovers that he has been biochemically infused with a female hormone. On the surface, Ken Baker seemed a model man. He was a nationally ranked hockey goalie; a Hollywood correspondent for" People;" a guest-lister at celebrity parties; and girls came on to him. Inside, though, he didn't feel like the man he was supposed to be. Although attracted to women, Ken had little sex drive and thus even less of a sex life. To his anguish, he repeatedly found himself unable to perform sexually. And, regardless of strenuous workouts, his body struggled to build muscle, earning him the nickname "Pear" from his macho teammates. Physically, matters turned bizarre when he discovered that he was lactating. The testosterone-driven culture in which Ken grew up made it agonizingly difficult for him to seek help. But in time he discovered something that lifted years of pain, frustration, and confusion: a brain tumor was causing his body to be flooded with massive amounts of a female hormone, which was disabling his masculinity. Five hours of surgery accomplished what years of therapy, rumination, and denial could not -- and allowed Ken Baker to finally feel -- and function -- like a man. Now Ken's story comes to the screen in the feature film, T"he Late Bloomer," starring Academy Award-winner J.K. Simmons and Jane Lynch.
Functional urology is that part of urological practice which deals with functional disorders of the lower urinary tract. Among the diseases that cause functional disorders are spina bifida, spinal cord injury, pelvic organ prolapse, and urethral strictures. This book on practical functional urology will help urologists, urogynecologists, and others to diagnose and treat these functional disorders. The theoretical background and scientific basis are summarized, but the emphasis is very much on clinical practice. Diagnosis and treatment are presented for a variety of conditions, including overactive bladder, detrusor underactivity, painful bladder syndrome/interstitial cystitis, prostatitis, stress urinary incontinence, pelvic organ prolapse, urinary tract infections, and urethral disorders. The content is based on the EAU guidelines, and for each disorder, helpful tips and tricks are highlighted.
This is the first textbook devoted entirely to percutaneous renal surgery. The text explains the basic anatomy, instruments, track dilation and creation, kidney access and surgical treatment of all complex stone scenarios. The book is written in simple sections and is extensively illustrated with more than 250 illustrations. All diagrams have been drawn by the author and reproduced by a professional graphic artist. The book describes the basic techniques, then progresses clinically through to more difficult clinical and surgical scenarios. In this way, it is akin to a "cook book" in style, that is easily referenced and readable. As percutaneous renal surgery is a team effort, the book contains descriptors for ward and theatre technicians and nurses, as well as equipment lists. The book also contains a "do it yourself" six-stage percutaneous renal surgery workshop program. This workshop can be performed in any department practising PCNL. Percutaneous Renal Surgery: A Practical Clinical Handbook represents a practical manual, suitable for medical students, nurses and technicians and is a unique manual for all urology trainees and urologists treating renal stone disease worldwide.
Qualitatssicherung fur die Diagnostik des Urinsediments! Als ideale Erganzung zum Buch "Das Urinsediment - Mikroskopie, Praanalytik, Auswertung und Befundung" erscheint nun das UEbungsbuch mit 140 Beispielen in Fragen und Antworten. Seit in Krafttreten der neuen Richtlinie der Bundesarztekammer unterliegt die mikroskopische Beurteilung des Urinsediments einer externen Qualitatsuberprufung 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 UEbungsbuch enthalt: ca. 140 Multiple Choice Fragen mit Abbildungen und die dazugehoerigen beschreibenden Antworten in einem separaten Loesungsteil eine Schnellloesungsubersicht zum kurzen Nachschlagen neue hochaufloesende und grosse Mikroskopie-Aufnahmen in bester Bildqualitat Phasenkontrast- und parallel dazu Hellfeldaufnahmen Erklarungen (praktische Tipps) zu den Loesungen und Verweise auf das Lehrbuch "Das Urinsediment" - Moeglichkeiten und Grenzen in der Erkennbarkeit morphologischer Bestandteile Fur alle, die das Urinsediment vorlaufig oder endgultig bewerten und befunden mussen wie Arzthelfer, Medizin-Technische Laborassistenten, Studenten der Medizin, Gynakologen, Nephrologen, Urologen, Labormediziner.
There is a clear need for a more comprehensive and inclusive body of information for supplementary and alternate treatment of urological conditions. To meet this need, our book will compile evidence-based information for clinicians, healthcare providers, and patients. As the first comprehensive educational guidebook focusing on alternative therapies for urological ailments, this book will be useful for healthcare providers as well as patients suffering from these conditions (including urinary tract infections, benign prostatic hyperplasia, kidney stones, incontinence, and pelvic pain) who are looking for alternative and supplementary remedies. Many physicians and patients are reluctant to use these remedies and this book will demystify this area in urology.
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