In the course of a lifetime, more than half of all women will experience some form of debilitating pelvic disease or discomfort, including chronic urinary tract infections, various kinds of incontinence, pelvic floor prolapse, and interstitial cystitis. Surprisingly, until recently there has been only scant attention paid to this very common group of disorders, considering the vast population of sufferers. What s more, doctors have long tended to dismiss many symptoms of urinary tract disorders as an inevitable consequence of the aging process or, worse still, as indicators of underlying psychological disease.

In this concise, clearly written, and sympathetic new book, Elizabeth Kavaler suggests that a new approach to UT disorders is long overdue. One of the surprisingly small number of female urologists practicing in the U.S., Dr. Kavaler explains what these diseases are and what patients can do to get themselves diagnosed and treated properly. But more than that, she extends an expert, sympathetic, and skilled hand to those who ve been distressed, isolated, and embarrassed for too long. "

Upper Urinary Tract Urothelial Carcinoma was at one time felt to be a somewhat rare entity. With the success of various treatments for bladder urothelial carcinoma, the incidence of this disease in the uretere and kidney is rising. Many medical subspecialists encounter these complex patients and a multimodality treatment plan is often required for care.

The aim of this book is to provide a selection of representative MCQs together with a detailed explanation of each answer covering the topic in depth. Each chapter has been written by experienced Urological surgeons who have already been successful in passing the examination. The scope of this book will be an invaluable addition to individuals sitting the FEBU and similar exams in the USA, Australia and Asian countries. Established consultants may also find the text useful as a 'refresher' in areas outside their subspecialist interest.

This gold standard text has kept its readers abreast of rapid advancements in reproductive medicine and surgery since 1983. Continuing this tradition, this fifth edition has been fully updated and revised to provide clear, didactic advice on best practice for a variety of clinical situations faced by practitioners across many specialties - including urologists, gynecologists, reproductive endocrinologists, medical endocrinologists and many in internal medicine and family practice who see men with suboptimal fertility and reproductive problems. Completely restructured to include pedagogical features such as easily accessible key concepts that cement understanding and real-world use. Covering everything from foundations of anatomy and embryology, through clinical evaluation, diagnostic approaches, treatment and fertility care in context within the healthcare system and society, thrilling advances and future directions are also included. This new edition is an essential reference for all who are working in this young and rapidly evolving field.

This study guide takes each chapter of Clinical Pediatric Urology: Fifth Edition-without doubt the most well-respected and authoritative book on the subject in the world-and, in the format of a Q & A style, poses the most common questions in that particular area, which those taking the ABU examinations are likely to be tested on. With a foreword from Stephen Docimo, this study guide provides crucial information to a host of urologists in the U.S., Canada, and Europe. This text is a "what you need to know" guide to the kind of issues facing pediatric urologists today. The Kelalis-King-Belman Textbook of Clinical Pediatric Urology Study Guide: contains questions and answers for each chapter of the world's foremost book on pediatric urology correlates with what the ABU will be testing all pediatric urologists in U.S. and Canada on, starting in the summer of 2008, i.e., all areas of pediatric urology contains multiple choice questionnaires at the end of each section

This book offers a comprehensive and inclusive insight into the history of prostate cancer and its sufferers. Until recently, little practical help could be offered for men afflicted with the devastating diseases of the genitourinary organs. This is despite complaints of painful urination from aging men being found in ancient medical manuscripts, despite the anatomical discoveries of the European Renaissance and despite the experimental surgical researches of the eighteen and nineteenth centuries. As diseases of the prostate, including prostate cancer, came to be better understood in the early twentieth century, therapeutic nihilism continued as curative radical surgeries and radiotherapy failed. The therapeutic 'turn' came with hormonal therapies, itself a product of the explosive growth of U.S. biomedicine from the 1940s onwards. By the 1990s, prostate cancer screening had become a somewhat ubiquitous but controversial feature of the medical encounter for American men as they aged, which greatly influenced the treatment pathways and identity of the male patient: as victim, as hero, and ultimately, as consumer.

This book reveals the ever-present challenges of patient care at the forefront of medical knowledge. Syphilis and gonorrhoea played upon the public imagination in Victorian and Edwardian England, inspiring fascination and fear. Seemingly inextricable from the other great 'social evil', prostitution, these diseases represented contamination, both physical and moral. They infiltrated respectable homes and brought terrible suffering and stigma to those afflicted. Medicine, Knowledge and Venereal Diseases takes us back to an age before penicillin and the NHS, when developments in pathology, symptomology and aetiology were transforming clinical practice. This is the first book to examine systematically how doctors, nurses and midwives grappled with new ideas and laboratory-based technologies in their fight against venereal diseases in voluntary hospitals, general practice and Poor Law institutions. It opens up new perspectives on what made competent and safe medical professionals; how these standards changed over time; and how changing attitudes and expectations affected the medical authority and autonomy of different professional groups.

Ideal not only for the beginners in the field, but also for urologists looking to expand their knowledge, this clearly presented book adopts a useful step-by-step format to present established laparoscopic procedures. Easy and quick to use, the text includes a wealth of illustrations with important instructions, as well as tips and tricks described by experienced laparoscopic surgeons.

Radical prostatectomy involves the surgical removal of the entire prostate gland and the seminal vesicles. Recently the open operation has been challenged by laparoscopic and robotic techniques. However, making the transition to this new technology is not an easy option. Avoiding surgical complications such as incontinence and ensuring continued erectile function following the procedure requires good surgical technique by whatever means. The editors and their distinguished team of contributors from around the world offer the reader their guidance based on personal experience and best surgical practice. Radical Prostatectomy is required reading for all those performing radical prostatectomy by open, laparoscopic or robotic techniques.

The successful practice of reproductive medicine requires the coordinated efforts of many medical professionals. Male Reproductive Dysfunction: Pathophysiology and Treatment describes the most significant advances towards the improved overall understanding of male reproductive dysfunction and provides practical strategies for the assessment and management of these conditions. The book discusses normal anatomy and physiology of the male reproductive system. It examines psychological and social influences, and the pathophysiology that can affect the male reproductive system from infancy through adulthood. It provides clear guidelines and algorithms for the assessment of male hypogonadism and infertility, from relevant history and physical exam findings to the proper interpretation of laboratory results. The book examines imaging technology and the currently available treatment strategies for male hypogonadism and infertility. Additional topics include immunological factors, the preservation of fertility in males with cancer, and the treatment of men with spinal cord injury and other neurologically disabling diseases.

Overactive bladder (OAB) affects millions of men and women daily. Given the symptoms of sleep loss, depression, and a lower quality of life than even those with diabetes mellitus, effective and beneficial treatment is a must for these people. Drs Kreder and Dmochowski, both recognized experts on voiding dysfunction and urodynamics, have assembled a distinguished team of experts from around the globe to share with the reader, whether qualified or in-training, their perspectives based both on best practice and personal experience in evaluating and managing the overactive bladder. This seminal work should guide the reader in daily practice.

Developed by an authoritative and multidisciplinary team of contributors well-recognized for their dedication to the care of urogenital pain patients, this source addresses the latest clinical guidelines for the management of urogenital pain and covers the mechanisms and clinical treatment of pain syndromes of the urogenital area in both the male and female patient. There is a strong introduction covering the science and theory behind the pain syndromes, as well as the importance of multidisciplinary assessment and care. The pain syndromes are discussed using the site of perceived pain approach, with an emphasis on multi-system involvement. Old terms such as vulvodynia, orchialgia, and prostatodynia are avoided where possible and the most up-to-date data on classification is used where possible. Also included are chapters considering the pain syndromes, and other chapters provide an in-depth overview of treatment options in their own right, such as the role of psychological treatment options, neuropathic analgesics, and neuromodulation.

With increasing emphasis on the early diagnosis and management of urologic tumours, it is imperative that the practising urologist comprehend the relevance of the morphology for the clinical diagnostic and therapy. Moreover, the clinician should be fully informed of the importance of modern morphological methods for the diagnosis and management of urological tumours. Not only is this highly illustrated text a necessary adjunct in the attending urologist's armamentarium, it will also satisfy the needs of residents in pathology or even of pathologists, who are not daily faced with urological tumours. The structure of the chapters follows a uniform schema: short introduction with the definition of the tumour/ tumours, clinical history epidemiology, aetiology, gross morphology, microscopy, tumour genetics, importance of ancillary methods for the diagnosis, differential diagnosis, principles of grading and staging, morphological prognostic factors, and clinical course. The tables showcase the latest WHO histological classification of the tumours of the single organs, the integral (or complete) form of the latest TNM staging version, and the principles of the international accepted grading systems (kidney, bladder, prostate, penis ). A short chapter is devoted to handling procedures for surgical specimens and biopsies by clinicians.

Divided into eleven detailed sections, this reference displays the expertise and research of specialists from leading urology centers around the world and offers authoritative chapters on the entire spectrum of urologic laparoscopy. The chapters cover methods in patient selection, peri-operative management, and complication avoidance; step-by-step descriptions of specific techniques; and the pros and cons of each procedure for a clear grasp of the many principles and practices currently utilized in the field.
Placed alongside the Atlas of Laparoscopic Urology with DVDs, this set will likely become the standard reference text in the field of urologic laparoscopic surgery.

Providing a detailed coverage that is impossible in broader-based textbooks, "Urogenital Ultrasound, Second Edition", is a comprehensive study of genitourinary ultrasound that has been completely revised to keep up-to-date with this rapidly changing field. Reflecting the obviously visual nature of ultrasound imaging, "Urogenital Ultrasound, Second Edition" contains more than 1,000 images, including those from more technically advanced ultrasound machines than were in the first edition. Aiding the reader in recognizing various disease states and recommending effective therapeutic or surgical measures, this new edition also covers all recent developments, explained in a pragmatic style that is easily read and understood.

Written by over 250 of the world's leading urologists and uro-oncologists from the USA, Canada, UK, Austria, Belgium, Finland, France, Germany, Ireland, Italy, the Netherlands and Singapore, who tackle prostate cancer on a daily basis, this comprehensive and fully up-to-date illustrated text reference covers the etiology, pathophysiology, diagnosis, management and treatment of early and advanced prostate cancer. advanced non-surgical procedures, Prostate Cancer: Principles and Practice focuses on the following key areas: * the pathology and etiology of prostate cancer assessing the prostate, whether qualified or in training.

The only guide to focus primarily on current molecular methods of diagnosis and early stage evaluation, this reference presents the latest techniques and technologies for dementia identification and evaluation, including neuropathological strategies, neuropsychological tests, biomarkers, CT, MRI, functional MRI, PET, and SPECT. Offering practical care and examination guidelines, each chapter provides findings that are particularly relevant for the assessment of disorders such as Alzheimer's disease, dementia with Lewy bodies, vascular dementia, and fronto-temporal dementia.

A dedicated guide to the basics of urology available in a handy, useable format. A straightforward presentation of practical knowledge and bedside skills. Written by residents and attending physicians at the world famous Brady Institute of Urology at Johns Hopkins University Hospital and marketed using the name of the Brady Institute of Urology. While comprehensive textbooks are essential to the practice of urology, equally important are readily accessible manuals that students, residents, trainees and even experienced urologists can carry with them in their pockets or on PDAs. Filling a gap in the market for a definitive pocket urology reference guide, this easy-to-use text covers the key topics in the field, with an emphasis on the straightforward presentation of practical knowledge and bedside skills. Written by residents and attending physicians at the world famous Brady Institute of Urology at Johns Hopkins University Hospital, this is a much-needed, highly useful handbook for those in the field.

Bladder cancer is the fifth most common cancer of American men and the eighth most common cancer of American women, with sixty thousand new cases of the disease diagnosed each year in the US alone. Disease prevalence is high in western nations due to the predominance of the chronic relapsing form of cancer that occurs in these countries (USA prevalence estimated to be 600,000; NCI-SEER database), and this single fact makes bladder cancer one of the most expensive cancers to treat. expertise of an international community of experts in the area. All aspects of disease biology, diagnosis and treatment are addressed. Appropriate for scholars and students of medicine at all levels, it promises to become a key text in the field.

Formulated by members of the International Scientific Committee of Radionuclides in Nephro-urology (ISCORN), Functional Imaging in Nephro-urology is not a textbook on uronephrology or radionuclides in nephro-urology, or even a book on new techniques in imaging. What the editor and authors provide here is a unique opportunity to evaluate the strategic management techniques (both diagnosis and follow-up) of a number of uronephrological entities.
Demonstrating the experience of the authors in using various imaging modalities, and detailing the benefits and controversies which are associated with their clinical applications, this text presents management strategies based on the patient, the choice of modality, and cost implications.
Detailed, well-referenced and highly illustrated, this is an important book for radiologists, nephrologists and urologists working with children and adults, specialists in renal nuclear medicine, and pediatricians.

Contents:
1. Introduction 2. Ultrasound Principles and Anatomy of the Prostate 3. Effect of Radiology on Prostate Histopathology and Assessment of Residual Cancer 4. What Should You Ask Your Pathologist When Contemplating Minimally Invasive Therapy 5. Detailed Mapping of Prostate Carcinoma Foci: Implications for Prostate Brachytherapy 6. Treatment Decisions: Surgery vs. Brachtherapy a Urologist's Perspective 7. Treatment Decisions: a Patient's Perspective on Prostate Brachytherapy 8. Principles of Prostate Brachytherapy Isotope Decisions 9. Use of Artificial Neural Networks in the Clinical Staging of Prostate Cancer: Implications for Prostate Brachytherapy 10. What Do Whole Mount Radical Prostatectomy Specimens Teach Us About Extracapsular Disease. Implications for Prostate Brachytherapy 11. Can Permanent Implants Address Extracapsular Disease, Can Extraprostatic Extension be Treated by Prostate Brachytherapy? An Analysis Based on Postimplant Dosimetry 12. Evaluating the Role of Neoadjuvant Deprivation for Patients Undergoing Prostate Brachytherapy 13. Impact of Hormonal Therapy on Pubic Arch Interference 14. Pre Implantation Urologic Considerations 15. Selection of Equipment for Prostate Brachytherapy 16. Advances Beyond Biplanar Ultrasound for Permanent Prostate Implants 17. What to Look for When Choosing Treatment Planning Software for Prostate Brachytherapy 18. A Comprehensive Review of Prostate Cancer Brachytherapy: Defining an Optimal Technique 19. Planning an Implant: Preplanning Versus Intraoperative Planning 20. Point Kernels and Superposition Methods for Scatter Dose Calculations in Brachytherapy 21. Treatment Planning for High Dose-rate Prostate Brachytherapy 22. High Dose-rate Afterloading Iridium-192 Prostate Brachytherapy 23. Use of Conformal High-dose Rate Brachytherapy for Management of Patients with Prostate Cancer: Optimizing Dose Escalation 24. The Role of High Dose Rate Prostate Brachytherapy in the Management of Prostate Cancer, Treatment Planning and Results from Memorial Sloan-Kettering Cancer Center 25. Modified Uniform Seed Loading for Prostate Brachytherapy: Rationale, Design and Evaluation 26. Treatment Planning and the Seattle Prostate Institute Approach to Treatment Planning for Permanent Implants. 27. Surgical Tips: Improving Ultrasound Imaging During Interstitial Implant 28. Intraoperative Technique 29. Intraoperative Technique Using Pd-103 30. Intraoperative Technique with Biplane Ultrasound and Fluoroscopic Guidance for Optimal Seed Placement 31. Performing a Prostate Implant Under Local Anaesthesia 32. A Prospective Multi-center Study of Transperineal Prostatic Block for Transurethral Needle Ablation (TUNA) of the Prostate 33. Improvement of Transperineal Implant Dosimetry by Intraoperative Cystoscopic Confirmation of Prostate Anatomy Nursing Management of Prostate Brachytherapy Patients 34. Management of Patients Receiving Transperineal Palladium-103 Prostate Implants 35. Prevention of Perineal Hematoma Using the Perineal Pressure Application Device (PPAD) After Prostate Brachytherapy 36. The Role of a Needle Manipulator/ruler in 1125/Pd 103 Preloaded Needle Implants of the Prostate 37. Defining a Quality Prostate Implant 38. Options for a Suboptimal Permanent Prostate Implant 39. Long-term Results. Radiation Oncologist's Perspective 40. Biochemical Outcome After Radical Prostatectomy, External Beam Radiotherapy or 125I Prostate Brachytherapy for Low and Intermediate Risk Prostate Cancer Patients 41. Acute and Chronic Toxicity After IMRT/HDR for Patients S/P TURP, Large Glands, High IPS Scores: Patient Selection, OR Technique, Treatment Planning, Inpatient Management, Catheter Movement and QOL Assessment Long-term Results. A Urologist's Perspective 42. The Intermediate Risk Disease Patient: Is There an Advantage for External Beam Radiotherapy and Implant? 43. Experimental Evaluation of the Rtog Recommendation for Permanent Prostate Brachytherapy Implants 53. Dosimetric Analysis of Urinary Morbidity Following Prostate Brachytherapy (125i vs. 103pd) Combined with External Beam Radiation Therapy 54. Lessons from the Learning Curve Erectile Function Following Prostate Brachytherapy 55. Rectal Complications after Permanent Seed Implants Sexual Dysfunction after Permanent Implant 56. Management of Voiding Dysfunction Following Implantation 57. Transient Elevation of Serum Prostate

Excerpted from the Textbook of the Neurogenic Bladder, Essential Guide to the Neurogenic Bladder provides information on two topics essential to the practicing clinician: evaluation and treatment. Giving the reader easy access to the diagnostic armamentarium, this well-illustrated text provides the examining physician with excellent guidelines for conducting thorough, efficient, and beneficial examinations of both adults and children using a variety of instruments and tests. Both surgical and non-surgical treatment options are written by experts from around the globe and should invariably help the reader to choose the best treatments for optimal results.