This eagerly awaited book offers a unique, comprehensive scientific study of the anatomy of the organ of female sexual pleasure. The authors use macroscopic and microscopic research to guide the reader from the glans, the visible part of the clitoris, where they explore the impressive sensory corpuscles, to the hidden roots of the bulbo-clitoral organ. They show its complexity, its exact location within the external genitalia and its intimate relationship with the urethro-vaginal pyramid. They also remind us that throughout history there has been a failure to understand this organ, and explain that this misunderstanding remains the cause of persistent excisions, criminal mutilating practices that have not yet been eradicated. Using extensive iconography, they demonstrate throughout this book that the bulbo-clitoral organ is an exceptional natural treasure that every woman possesses and that every man should know well.

This comprehensive, multidisciplinary guide provides an up-to-date presentation of fertility preservation techniques with male cancer patients and other challenging conditions. Divided into four thematic sections, part one provides an overview of the pathophysiologic processes interrelating cancer and its treatment with infertility and discusses different methods of sperm preservation and fertility outcomes in cancer patients. Part two then explores male fertility preservation in various non-cancerous conditions, such as immunosuppressed, hypogonadal and transgender patients. The fundamental principles of cryobiology and sperm optimization are covered in part three, which also offers essential building blocks for scientists to develop a sperm banking service and implement high standards of practice. The final section describes the current practices of male fertility preservation along with its psychological impact on patients, and extends beyond to future innovative methods-tissue preservation, xenografting and artificial gametes-being researched and implemented in this field. Fertility preservation among cancer patients and survivors is an evolving practice, which involves focused research and timely collaboration of professionals from related fields. The Complete Guide to Male Fertility Preservation is unique and original in its design and will appeal to a larger audience of andrologists, reproductive endocrinologists, urologists, embryologists, and all other clinicians practicing reproductive medicine and oncology.

The authors aim to provide essential information on various clinical cases on urological cancers. The main messages are well referenced and the texts phrasing is written in a simple and user-friendly style. The book also contains summarizing tables and high quality original pictures. Several expert panels (American Urologists Association, European Association of Urologists, Association Francaise des Urologues, etc) are proposing guidelines aiming at providing detailed recommendations to the Urologists facing difficult urological scenarios and no significant discordance exist between them since they are all based on the existing published studies dealing with different aspects of the urological cancers.

Despite the wide prevalence of urogynaecological problems, in clinical practice, there is a paucity of specialists that are skilled in the management of these conditions. The recognition of the need for a specialist to deal with these specific problems has led to the recent evolution of urogynaecology as a subspecialty. This book, Principles and Practice of Urogynaecology aims to equip the practicing professionals - Gynaecologists, Urogynaecologists and Urologists, with up-to-date information on the principles that guide the evaluation and management of pelvic organ prolapse and other common urogynaecological problems. With an emphasis on evidence based medicine, the book aims to deliver guidance on management of common urogynaecological problems and provides information on the latest cutting-edge surgical techniques. Written by global experts in the field of urogynaecology, the book focuses initially on pelvic floor anatomy and function, moving seamlessly to the evaluation and management of clinically relevant pelvic floor problems. A detailed discussion on management of mesh related complications is a highlight.

This pocket guide is an easy-to-use, practically oriented resource that provides reliable information and advice on the technical aspects of urodynamic techniques, the interpretation of tracings, quality control, and the most common pitfalls. Individual sections focus on uroflowmetry, multichannel urodynamics, interpretation of pressure/flow tracings, urethral function studies, pelvic floor electromyography, videourodynamics, and urodynamics of the upper urinary tract. Despite recent criticisms, there is general agreement that urodynamic investigation represents a necessary step before any surgical approach to incontinence and obstruction. Nevertheless, recently published guidelines fail to provide specific directions on performance and interpretation of urodynamics, and knowledge of the basic rules and formal urodynamics training are too often lacking. Readers will find that this guide enables them to retrieve key information quickly and to feel more confident in their practice of urodynamics.

This monograph covers all aspects of the radiologic diagnosis of urinary tract diverticula, including calyceal, ureteral, bladder, and urethral diverticula. Characteristic and subtle diagnostic features are identified with the aid of numerous high-quality ultrasound, X-ray, and magnetic resonance images, the vast majority of which are drawn from the author's personal clinical practice. In addition, issues relating to terminology, classification, statistics, etiology, pathogenesis, clinical presentation, and differential diagnosis are discussed. The text is complemented by two helpful appendices that document the latest recommendations of the European Society of Urogenital Radiology regarding use of contrast media and the European Medicines Agency on minimizing the risk of nephrogenic systemic fibrosis when using gadolinium- containing contrast agents. This book will be of value for specialists in radiology and urology and also trainees and medical students.

Prostate cancer is the most common neoplasm in men and its management is very complex, in terms of both diagnosis and treatment. In recent years the value of multidisciplinary management within a prostate cancer unit has been increasingly recognized. Such a multidisciplinary approach within a specialized unit involves a variety of specialists, including urologists, oncologists, radiotherapists, radiologists and pathologists. This book describes in detail the advantages of multidisciplinary management of prostate cancer. It opens by explaining the nature of the required multidisciplinary team and the potential benefits of the prostate cancer unit as a structure for the delivery of specialist multidisciplinary care. Epidemiological aspects favoring multidisciplinary management are described and each element of care within the context of the prostate cancer unit is then discussed; also has been described the role of advanced imaging (Multiparametric MRI) in the management of PCa. Early diagnosis, risk classification, treatment decision making, surgery, radiotherapy, medical therapies and health care support are all fully considered. This book will be informative and enlightening for all who are involved in the management of patients with prostate cancer. "

"Ureteroscopy: Indications, Instrumentation& Technique" provides a comprehensive and state-of-the-art review of ureteroscopy and will serve as a valuable resource for urologists throughout the world. The volume provides evidence based outcomes to support the expanding indications for ureteroscopy as well as a strong emphasis on appropriate patient selection. The book also provides detailed recommendations for the step-by-step approach to ureteroscopy from both an instrumentation and techniques perspective. The work is extensively illustrated with endoscopic images and accompanied by a web site of video clips which further highlight the clinical application of available endoscopic techniques. The text also includes highly practical presentations of complex endourologic case presentations with expert analysis and editorial commentary. Example cases would include common but challenging cases of ureteroscopy for transitional cell cancer, horseshoe kidneys, hutch diverticulum, and pregnancy.

"Ureteroscopy: Indications, Instrumentation& Technique" provides a unique and valuable resource in the field of ureteroscopy and will include basic instructions for those currently in training or those who have yet to adapt intrarenal ureteroscopy into their surgical armamentarium. Advanced ureteroscopic approaches are also covered for those wishing to enrich their current clinical expertise. "

Premature ejaculation (PE) is a common male sexual complaint, with a self-reported prevalence of 20 30% in observational studies. Over the past 10 20 years, our understanding of PE has evolved from the initial premise that it is a psychological disorder to the current recognition of an underlying biological and probably genetic predisposition in many cases. This new understanding has been accompanied by novel approaches to the assessment and treatment of patients with PE.

"Premature Ejaculation" is the first truly contemporary reference volume on the subject. It covers a broad range of aspects relevant to PE, including past and current definitions of the condition, the etiology of PE, its epidemiology, the impact of PE on both the patient and his partner, and the treatment of PE using pharmacotherapy and/or psychotherapy/cognitive behavioral therapy. The book is well illustrated and referenced, and the primary focus throughout is on evidence-based medicine.

This timely and authoritative volume will be of great value to sexual health physicians, andrologists, endocrinologists, urologists, psychiatrists, sexologists, psychologists, and other interested healthcare professionals."

This book is aimed to bring the reader into the heart of the action of any health professional consulted for a patient with a neurogenic bladder (NB). Extensive textbooks of the NB exist but there is a lack of an actual practical guide for diagnosis and management of patients suffering from NB. This book provides a single source of information on consultation in neurourology. The text covers both urinary incontinence and retention resulting from NB dysfunction. The book also discusses complications of NB which include urinary tract infections, hydronephrosis, renal failure or autonomic dysreflexia. Sections address these clinical issues faced by physicians. This book provides a useful guide with comprehensive and practical instructions for all practitioners dealing with NB in their day-to-day clinical practice. It will serve as a valuable resource for those with a special interest in NB. The book reviews new data about diagnostic and management options. It also provides a concise yet comprehensive summary of the current NB guidelines from different societies. All chapters include the most up to date scientific and clinical information with the relevant level of clinical evidence and grade of recommendation.

This book systematically reviews and discusses recent studies and articles on the immunology of female genital tract tissue. The scope is broad, encompassing innate immune responses, adaptive (humoral and cell-mediated) immunity, the immunology of menstruation, the immunology of viral and bacterial infections, the immunology of normal and abnormal pregnancy, and immunological infertility. Throughout, tables and illustrations are judiciously used to facilitate understanding. Immunology of the Female Genital Tract will serve as an invaluable source of up-to-date information for all with an interest in this subject.

This comprehensive, up-to-date text, which brings together the key practical elements of the rapidly evolving field of sperm DNA and chromatin abnormalities, is divided thematically into five main sections. Part I discusses human sperm chromatin structure and nuclear architecture, while part II presents laboratory evaluation of sperm DNA damage, including SCSA, SCD, TUNEL and Comet assays, and cytochemical tests. Biological and clinical factors in the etiology of sperm DNA damage are discussed in part III, including oxidative stress, abortive apoptosis, cancer, and environmental and lifestyle factors. Part IV presents clinical studies on the utility of sperm DNA damage tests, both with natural and ART-assisted pregnancies, and debates the clinical utility of such tests. Finally, part V discusses current treatment options, such as antioxidant therapy, varicocelectomy, advanced sperm processing techniques and the use of testicular sperm. We are now beginning to better understand the unique organization of the sperm chromatin, as well as the nature and etiology of sperm DNA damage. Written and edited by worldwide experts in andrology, A Clinician's Guide to Sperm DNA and Chromatin Damage is an excellent resource for reproductive medicine and REI specialists, urologists, reproductive biologists and any professional working with the infertile male.

Offering comprehensive coverage of this fast-changing field for more than 20 years, Urologic Surgical Pathology is an expert guide to all common and rare entities in the genitourinary system. The 4th Edition keeps you fully up to date with discussions of newly recognized tumors and terminologies, the latest classification schemes, current grading approaches, molecular alterations, and commonly used ancillary diagnostic techniques. With its clinical focus on day-to-day urological pathology sign-out and an emphasis on clinicopathologic and radiographic-pathologic correlations, this thoroughly revised uropathology reference is an excellent resource for diagnostic decision making. Includes expanded coverage of differential diagnosis for all tumor types encountered in urological surgical pathology practice. Incorporates the latest TNM staging and WHO classification systems, as well as new diagnostic biomarkers and their utility in differential diagnosis, newly described variants and new histologic entities. Discusses advances in molecular diagnostic testing, its capabilities, and its limitations, including targeted therapy/personalized medicine. Covers new developments in immunohistochemistry and the latest diagnostic tumor markers. Features more than 1,600 high-quality images - all in color - including gross pictures, histopathologic and cytopathologic images, special stains, other ancillaries, drawings, and illustrations. Helps you find information quickly with a consistent chapter format; an abundance of tables, diagrams and flowcharts; boxed lists of types and causes of diseases; differential diagnosis; characteristic features of diseases; complications; classifications; and staging. 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.

The Oxford Handbook of Genitourinary Medicine, HIV, and Sexual Health returns for a third edition, fully updated to encompass the changes in the British Association for Sexual Health and HIV, British HIV Association, and Faculty of Sexual & Reproductive Healthcare guidelines and recommendations. Developments in sexual healthcare provision, including identifying child sexual exploitation, legal obligations in regard to female genital mutilation, and gender diversity, are covered in new chapters and topics. HIV management is covered in greater detail, including PrEP for prophylaxis, drug interactions during treatment, and antiretroviral toxicity, with expanded topics on managing pregnancy with HIV. More colour plates are included, to feature a greater number of common dermatological presentations in genitourinary medicine and HIV to better aid diagnosis. Maintaining the concise yet comprehensive style of the Oxford Handbook series, The Oxford Handbook of Genitourinary Medicine, HIV, and Sexual Health provides a wealth of detailed, evidence-based, and clinically focused information on all aspects of the discipline, from STI diagnosis and management to medico-legal issues. This Handbook is a key single reference work for healthcare professionals, sexual health specialists, trainee doctors, and nurses with an interest in the field, making it an indispensable resource to keep on hand at all times.

"...This represents a new refreshing and logical approach to the whole anatomy and function of the pelvic floor. The Integral Theory over the years has been debated and discussed at various scientific meetings but this is the first time that the Theory has been condensed into an exciting and readable format with excellent illustrations and diagrams. I think it is an important publication which has been long overdue..." Comment on first edition from a prominent British urogynaecologist In this 3rd edition, multimedia in the accompanying DVD is used to more fully explain how lax suspensory ligaments may cause multiple pelvic floor dysfunctions, how to diagnose which structures are causing the problem, and how to perform 'simulated' or 'virtual' operations. New insights into the pathogenesis of pelvic organ prolapse, pelvic pain, vulvodynia and interstitial cystitis are presented. The tensioned minisling as used for cystocoele, uterine prolapse, rectocoele, stress incontinence and other symptoms is described in the book and demonstrated in the DVD.

This text provides a comprehensive resource and step-by-step guide to the office based procedures that would commonly occur in an andrology practice. The main purpose of the text is to serve as a "How-to" guide for urology providers and staff to help with either initial training or as a refresher prior to performing the procedures. Written by experts in the field, each chapter begins with information on necessary equipment and shows a series of images (photos and illustrations) on key points during the procedure, including tips and tricks of the trade. Atlas of Office Based Andrology Procedures provides a valuable resource for urologists, nurse practitioners, and physician assistants in practice, residents and fellows in urological training, as well as nurses and medical assistants who help with these procedures.

This book is a comprehensive guide to extracorporeal stone wave lithotripsy (ESWL) that includes a step-by-step approach for treating every possible kidney stone position. The book has an easy to read structure that will help readers understand ESWL quickly. Written by leading experts who have used ESWL to treat over 23000 patients, this book brings together years of practical knowledge and expertise in one concise volume. The book aims to utilise this knowledge and allow people to independently carry out kidney stone treatment on patients. Diagrams and illustrations show the methods and techniques needed in ESWL, as well as the potential complications.

Written and edited by leading, internationally recognized clinicians and scientists in reproductive medicine and related fields, this unique text is a practical and comprehensive review of the clinical and scientific significance of unexplained male and female infertility and its management. The book is divided into thematic sections to ensure the most useful presentation of topics, opening with definitions and epidemiology of unexplained infertility, including discussion of the WHO's cutoff values for human semen characteristics and its ramifications. Sections covering male and female reproductive pathophysiology follow respectively, covering biological, genetic and environmental causative factors, with a subsequent section on evaluative techniques for male and female patients. Expectant, medical and surgical treatment strategies comprise the fifth section of the book, where active interventions and outcomes of each treatment modality are carefully considered. The final section discusses assisted reproductive techniques to manage unexplained infertility, such as intrauterine insemination and in vitro fertilization, as well as future perspectives. Thoughtful and enlightening, Unexplained Infertility: Pathophysiology, Evaluation and Treatment will be an invaluable resource for all clinicians and scientists working in the fields of reproductive medicine and infertility.

Today, the arsenal of high-precision or targeted radiotherapy includes a variety of techniques and approaches that, like the pieces of a puzzle, need to be put together to provide the prostate cancer patient with high-level optimized radiation treatment. This book examines in detail the role of these innovative radiation techniques in the management of prostate cancer. In addition, a variety of current controversies regarding treatment are carefully explored, including whether prophylactic treatment of the pelvic lymphatics is essential, the magnitude of the effect of dose escalation, whether a benefit accrues from hypofractionation, and what evidence exists for the superiority of protons or heavy ions. "Radiotherapy in Prostate Cancer: Innovative Techniques and Current Controversies" is intended for both radiation oncologists and urologists with an interest in the up-to-date capabilities of modern radiation oncology for the treatment of prostate cancer.

Uroradiology is an up-to-date, image-oriented reference in the style of a teaching file that has been designed specifically to be of value in clinical practice. All aspects of the imaging of urologic diseases are covered, and case studies illustrate the findings obtained with the relevant imaging modalities in both common and uncommon conditions. Most chapters focus on a particular clinical problem, but normal findings, congenital anomalies, and interventions are also discussed and illustrated. In this second edition, the range and quality of the illustrations have been enhanced, and many schematic drawings have been added to help readers memorize characteristic imaging findings through pattern recognition. The accompanying text is concise and informative. Besides serving as an outstanding aid to differential diagnosis, this book will provide a user-friendly review tool for certification or recertification in radiology.

This book clarifies and explains perineal anatomy and the pathophysiology of anal incontinence as well as applied pharmacology. It also institutes the new recommended classification of perineal tears, and describes anal sphincter repair techniques. The emphasis is on correct post-operative management, management of pregnancy following previous anal sphincter injury, and prevention of anal sphincter tears. The book will interest students, colorectal surgeons, physiotherapists, midwives, continence advisors, labour wards and lawyers.

With the increased incidence of HPV-related genital diseases, including premalignant and malignant penile lesions, urologists and practitioners in general face numerous difficult challenges when attempting to diagnose genital lesions correctly. Despite the importance of genital lesions in the male, there are few books on the subject in the English medical literature. "Male Genital Lesions" will serve as an invaluable aid to the differential diagnosis of sexually transmitted infections, benign dermatological genital lesions, and premalignant and malignant genital disorders. More than 700 high-definition full-color figures of common disease presentations are included, with legends describing real clinical cases. The illustrations are supported by a concise, up-to-date text that describes etiology, pathology, clinical manifestations, laboratory tests, and treatment options for the individual diseases.

The Urinary System, 2nd Edition provides a concise and highly visual approach to the basic sciences and clinical pathology of the kidney, bladder, and ureters. This volume in The Netter Collection of Medical Illustrations (the CIBA "Green Books") has been expanded and revised by Drs. Christopher Rehbeck Kelly and Jaime Landman to capture current clinical perspectives in nephrology and urology - from normal anatomy, histology, physiology, and development to glomerular and tubular diseases, infections, urological surgeries, and cancers. It also features hundreds of radiologic and pathologic images to supplement the classic Netter illustrations, as well as new illustrations created Get complete, integrated visual guidance on the kidney, ureters, and bladder in a single source, from basic sciences and normal anatomy and function through pathologic conditions. Adeptly navigate current controversies and timely topics in clinical medicine with guidance from expert editors, authors, and the input of an international advisory board. Gain a rich, comprehensive clinical view of the urinary system by seeing classic Netter anatomic illustrations side by side with cutting-edge radiologic images, pathology slides, and the latest molecular biology findings. Visualize the timely topics in nephrology and urology, including HIV-associated nephropathy, hepatorenal syndrome, laparoscopic and robotic surgeries, and tumor cryoblation. See current clinical concepts captured in the visually rich Netter artistic tradition via contributions from Carlos Machado, MD, and other artists working in the Netter style. A reliable and effective reference on the urinary system with the visual support of Netter

This book aims to provide a guide for urodynamic investigation in individuals who have suffered spinal cord injuries. It is universally acknowledged that this type of investigation is valuable and most international guidelines consider it mandatory in patients with neurogenic bladder dysfunction. The book offers an evidence based knowledge of applicability, clinical value, and limitation, and will give the reader strong diagnostic outcomes that will benefit patients suffering from spinal cord injuries. What is presented in this book is based on expert opinions acquired over decades of urodynamic testing that have taken place in different parts of the world.