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.

With collaboration of Consulting Editor, Dr. Samir Taneja, Dr. Comiter has created a very current clinical look at surgery for female pelvic reconstruction. He secured expert authors from top institutions to contribute reviews on the following topics: Injection of Periurethral Bulking agents; Synthetic Midurethral Sling; Autologous Fascial Sling; Burch Colposuspension; Management of the Eroded Midurethral sling; Surgery for Apical Vaginal Prolapse After Hysterectomy: Transvaginal Suture-Based Repair; Surgery for Apical Vaginal Prolapse After Hysterectomy: Transvaginal Mesh-Based Repair; Surgery for Apical Vaginal Prolapse After Hysterectomy: Abdominal Sacrocolpopexy; Surgery for Posterior Compartment Vaginal Prolapse: Suture-Based repair; Surgery for Posterior Compartment Vaginal Prolapse: Graft Augmented Repair; Surgery for Anterior Compartment Prolapse: Suture-Based Repair; Surgery for Anterior Compartment Prolapse: Graft-Augmented repair; Vaginal Approach to Vesicovaginal Fistula; and Abdominal Approach to Vesicovaginal Fistula. Readers will come away with the most current clinical information they need to improve surgical outcomes in female patients.

Scrotoscopic Surgery presents a systematic approach to the theory, procedures and clinical application of scrotoscopic techniques for the improved treatment of scrotal diseases. Currently, open operations remain the most common choices to treat scrotal content diseases, such as epididymal cyst and hydrocele. However, open surgeries also bring disadvantages, including discomfort, damage and complications. To solve these problems, this book presents best practices for scrotoscopic surgery, providing practitioners with tactics that will help them ensure the best outcomes for patients.

Prostate Cancer: A Case Report discusses the prevention, treatment modalities, and side effects of the medications used to treat prostate cancer. The book presents the most appropriate information, allowing patient empowerment to make informed decisions on their choice of treatments. Through the analysis of a real case report, the book also discusses the main complication associated with prostate cancer-bone metastasis-and provides information on treatment modalities for lung and liver metastasis. Diet, physical activities and the management of stress are also discussed, as is palliative care and the use of palliative sedation when other treatment modalities have failed. Cannabis, the pros and cons of euthanasia, and concerns raised by society are also covered. Esteemed author Dr. Plourde has more than 12 years' experience working on drug safety, especially for biologic products involved in the treatment of various cancers. For more than 4 years he has suffered from prostate cancer with metastasis to the lungs and bones. During this time he has learned a lot on prostate cancer from the medical literature and from discussions with various specialists. The case report presented in this book represents his own medical history. Prostate Cancer: A Case Report provides the most relevant and up to date information on the various aspects involved in the screening, diagnosis and treatment of prostate cancer.

Lower Urinary Tract Symptoms and Benign Prostatic Hyperplasia: From Research to Bedside offers full acknowledgment of the basic research of lower urinary tract symptoms (LUTS) and benign prostatic hyperplasia (BPH), also connecting the clinical and practice management of the disease. It provides a full comprehension of LUTS and BPH from several aspects, allowing for a schematic interpretation of the disease and subsequent medical management. Going beyond the guidelines in the field, this title enhances the knowledge of BPH onset, allowing for the advancement of research, beneficial clinical implication and treatment. Perfect for researchers, urologists, pathologists and endocrinologists, this must-have reference provides what is needed to understand LUTS and BPH in one easy to reference place.

Dr. Holzbeierlein has created an issue devoted to the current knowledge and best practice of Bladder Cancer and Upper Tract Urothelial Cell Carcinoma. Top expert authors have written clinical reviews on the following topics: Current Staging Strategies for Muscle Invasive Bladder Cancer and Upper Tract Urothelial Cell Carcinoma; Neoadjuvant Chemotherapy for MIBC and Upper Tract UCC; Bladder Preservation Therapy for MIBC; Pre-Operative and Intraoperative Optimization of the Cystectomy Patient; Robotic Cystectomy; Robotic Nephroureterectomy; Organ Sparing Cystectomy; Lymphadenectomy for MIBC and Upper Tract UCC; ERAS Pathways; Follow-up Management of Cystectomy Patients; Quality of Life after Cystectomy; Endoscopic Approaches to Upper Tract UCC; Adjuvant Therapy in MIBC and Upper Tract UCC; and Immunotherapy in MIBC and Upper Tract UCC. The urologist will have the clinical information he or she needs to treat these patients so as to optimize outcomes.

Despite its universality in human female ageing, the menopause and its biology are not completely understood. New biologic mechanisms by which sex hormones may be detrimental or confer protection are continually being discovered. We are now starting to understand that the role of the oestrogen receptor is not identical in all tissues. Important nongenomic effects for sex hormones have also been described. Hormone replacement therapy (HRT) has produced effects on health risks: some are reduced, some are increased, and the rest remain uncertain. HRT is being used by an increasing number of women to alleviate climacteric symptoms in the perimenopausal period and to prevent osteoporosis and cardiovascular disease later. Positive effects on Alzheimer's disease and dementia on the one hand, and an increase in venous thrombosis on the other, are currently being reported by several groups. Both the preventive benefits and the risk of breast cancer seem to be linked to long-term and current use. HRT requires further testing through specific clinical trials, currently underway in the United States, before confident recommendations may be made about the full range of benefits and risks.

The Guest Editors have assembled expert authors to provide clinical reviews on the current knowledge about the impact of neurologic disease on the urinary tract. Specific articles are devoted to the following topics: The Cost of Care in Neurogenic Lower Urinary Tract Dysfunction; How to Measure Quality of Life Concerns in Patients with Neurogenic Lower Urinary tract Dysfunction; Long-term Complications of the Neurogenic Bladder; Surveillance Strategies for Patients with Neurogenic Bladder; Establishing a Multi-disciplinary Approach to the Management of Neurologic Disease affecting the Urinary Tract; Evaluation and Lifetime Management of the Urinary Tract in Patients with Myelomeningocele; Contemporary Treatment of Post-Stroke Lower Urinary Tract Dysfunction; Parkinson's Disease and its Effect on the Lower Urinary Tract: Evaluation of Complications and Treatment Strategies; Management of the Neurogenic Bladder in Patients with Multiple Sclerosis; Identifying the High-Risk Neurogenic Bladder after Spinal cord Injury; Peripheral and Sacral Neuromodulation in the Treatment of Neurogenic Lower Urinary Tract Dysfunction; Disease-specific Outcomes of Botulinum; Toxin Injections for Neurogenic Detrusor Overactivity; Surgical Management of Neurogenic Lower Urinary Tract Dysfunction; Tissue Engineering Strategies for Neurogenic Lower Urinary Tract Dysfunction; Mending Gaps in Knowledge: Collaboratives in Neurogenic Bladder Research. Readers will be able to employ this clinical information in the treatment and management of their neurologic patients.

The Guest Editors have secured the top urologists to provide current clinical reviews on the latest advances in the management of small renal masses. Articles are devoted to the following topics: hereditary yndromes; trends in renal surgery; humor anatomic complexity; risk assessment; renal biopsy; active surveillance; ablation; surgical techniques; renal ischemia; lymph node dissection; complications; neoadjuvant targeted therapy for renal surgery; salvage surgery; and post-operative surveillance. Readers will come away with a succinct overview of the most clinically relevant articles and be able to immediately implement the clinical information in their practice.

From the simple to the complex, Complications of Urologic Surgery, 5th Edition, by Drs. Samir S. Taneja and Ojas Shah, offers concise, to-the-point information on prevention and management strategies that help you provide the best patient care. Covering both office-based complications as well as common and uncommon surgical complications arising from open and minimally invasive urologic surgery, this updated, full-color volume is an invaluable resource for exam study or for convenient reference in everyday practice. Contains hundreds of self-assessment questions, case studies, and minimally invasive surgery videos on Expert Consult, as well as review questions and illustrated case studies throughout the book. Contains 14 new chapters including Management of Urine Leak, Urologic Surgery in the Pregnant Female, Complications of Gender Assignment Surgery, Urologic Surgery in the Previously Radiated Field, Complications of Robotic Pelvic Floor Reconstruction, and Complications of Robotic Cystectomy. Keeps you up to date with current preoperative management concerns including complications with effusion, hydrothorax, hemothorax, diaphragm injury, pneumonia, and air embolus. Features more than 180 superb new illustrations, graphs, and tables for easier understanding of complex concepts. Reviews new anticoagulant drugs and their risks and benefits. Provides thoroughly updated content on oncology, endourology, and pediatric surgeries - all areas experiencing tremendous changes since the previous edition. Expert ConsultT eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, Q&As, and references from the book on a variety of devices.

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.

* 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*

This book focuses on the current basic science research of hypospadias and genital development. Congenital anomalies of the genitalia are the second most common birth abnormality besides congenital heart defects. Genital anomalies come in many varieties with the most common abnormality being hypospadias. The etiology of hypospadias remains unknown and the incidence is doubling in western countries with no definable explanation. It therefore seems especially germane to study this common congenital anomaly with a baseline incidence of 1/125-250 newborn males.

The Editor has assembled top experts to write authoritative reviews on the latest advances in the diagnosis and treatment of penile, urethral, and scrotal cancers. The issue stresses contrasting approaches and includes articles devoted to the following topics: radiation in primary urethral cancers; the role of node dissection; role of HPV in penile pre-neoplastic and carcinogenesis; advances in penile-sparing surgical approaches in the management of primary penile tumors; minimally invasive approaches to evaluating inguinal nodes in penile cancer patients; multimodal therapy in the management of advanced penile cancer; management of urethral cancer recurrences; Preneoplastic and primary scrotal cancer; and Advances in surgical reconstructive techniques in the management of penile, urethral, and scrotal cancer. The state-of-the article clinical and surgical details in this issue will keep urologists and other healthcare professionals current on the clinical management of these cancers.

This issue of Radiologic Clinics of North America focuses on Genitourinary Imaging, and is edited by Dr. Andrew B. Rosenkrantz. Articles will include: Renal Stone Imaging; Imaging of Solid Renal Masses; Imaging of Cystic Renal Masses; Practical Adrenal Imaging; Dual-energy CT in Genitourinary Imaging; Imaging Genitourinary Trauma; Upper and Lower Tract Urothelial Imaging; Pediatric Genitourinary Imaging; Prostate MR Imaging; The Evidence For and Against Corticosteroid Prophylaxis in At-Risk Patients; Image-guided Renal Interventions; Diffusion-Weighted Genitourinary Imaging; and more!

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 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.

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.

This issue of Surgical Clinics of North America, guest edited by Drs. Lisa T. Beaule and Moritz H. Hansen, is devoted to Practical Urology for the General Surgeon. They have assembled expert authors to review the following topics: Surgical Management of Acute Urologic Emergencies; Surgical Management of Urologic Trauma and Iatrogenic Injuries; Diagnosis and Management of Voiding Dysfunction; Surgical Management of Urinary Retention; Surgical Management of Female Voiding Dysfunction; Surgical Management of Male Voiding Dysfunction; Diagnosis and Management of Hematuria; Diagnosis and Management of Nephrolithiasis; Surgery of Urologic Implants; Surgical Pediatric Urology; Use of Bowel in Urologic Reconstructive Surgery; Diagnosis and Surgical Management of Uro-enteric Fistulae; Diagnosis and Surgical Management of Pelvic, Inguinal, and Testicular Pain; Robotic Surgery of the Kidney, Bladder and Prostate, and more!

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.

Percutaneous Surgery of the Upper Urinary Tract: Handbook of Endourology contains five focused, review-oriented volumes that are ideal for students and clinicians looking for a comprehensive review rather than a whole course. Each volume is easily accessible through eBook format. Topics covered review both the endourological diagnosis and treatment of prostate, urethral, urinary bladder, upper urinary tract, and renal pathology. All chapters describe the most recent techniques, review the latest results, and analyze the most modern technologies. In the past ten years, the field of endourology has expanded beyond the urinary tract to include all urologic minimally invasive surgical procedures. Recent advancements in robotic and laparoscopic bladder surgery make this one of the fastest moving fields in medicine. As current textbooks are too time-consuming for busy urologists or trainees who also need to learn other areas of urology, this collection provides quick references and over 4000 images that are appropriate for fellows as well as those teaching in the field.

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.

In this issue of Urologic Clinics of North America, guest editors Drs. Michael L. Blute and Steven L. Chang bring their considerable expertise to the topic of Renal Cancer: Old and New Paradigms. Recent significant advances in the management of renal cancer have expanded beyond simply eliminating disease to preserving and optimizing quality of life. In this issue, top experts highlight historical perspectives as well as current status and future treatments of renal cancer. Contains 13 practice-oriented topics on biomarkers for the detection and surveillance of renal cancer; the changing role of renal mass biopsy; renal cysts: an oncological conundrum; the surgical management of renal cancer with inferior vena caval thrombus; integrating surgery in the multidisciplinary care of advanced renal cancer; and more. Provides in-depth clinical reviews on renal cancer, offering actionable insights for clinical practice. Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.

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

The neurology of sex and bladder disorders requires specialized knowledge and represents a challenge for clinical neurologists focused on the neurological condition. Sex and bladder disorders are often related to more general neurological disorders like Parkinson Disease and MS and often the sex and bladder disorders are passed to specialists in urology. This focused yet comprehensive overview provides complete tutorial reference to the science, diagnosis and treatment of sex and bladder disorders from a neurologic perspective.
*Comprehensive coverage of the neurology of sex and bladder disorders
*Details the latest techniques for the study, diagnosis and treatment of sex and bladder dysfunction from a neurological perspective
*A focused reference for clinical practitioners and the clinical neurology and neurology research communities