This brand new edition describes in detail the tests involved in urodynamic investigation and shows in which clinical areas these tests can help the management of patients. The authors concentrate on common clinical problems and on the presentation of symptom complexes rather than diagnosis, pointing out any limitations and possible artefacts of investigation. * The new edition takes into account the technological innovations that have taken place over the last 10 years, while retaining the original objectives of the first edition. * The subject is presented so simply that a clinician with no previous experience will learn how to use the appropriate equipment in the correct situation. * Urodynamic investigation is described in such detail that it can be accepted in its own right as a fundamental contribution to the management of many patients. After reading this book, clinicians will appreciate the value and limitations of the subject and will have obtained the necessary practical advice on which equipment to use in which situation.

This book comprehensively reviews the potential of focal therapy and discusses why the changing face of prostate cancer warrants a change in the way we treat men with the disease. It deals with the mechanisms by which disease can be localized within the gland and then the different technologies used for focal ablation. Bringing together eminent contributors in one accessible reference, this book introduces focal therapy to all urologists, oncologists, and radiologists who are involved in the treatment of men with prostate cancer.

Overactive Bladder: Practical Management provides urologists, gynecologists and other health practitioners with a comprehensive clinical guide to this very common problem, resulting in a perfect resource to consult time and time again. Beginning with an introductory section covering the definition and pathophysiolgy of OAB, it then moves on to cover evaluation, first-line management, second-line management and finally surgery. Well-illustrated throughout, each chapter begins with a key points box outlining the most important take-home messages. Also included are clear management algorithms to aid decision-making, 'Do's and Don't' boxes to help avoid errors made, key references to the top journal articles, and the very latest guidelines from the EAU, AUA and other major urology societies. Chapters are written by the top names in the field and the entire book is expertly edited by Jacques Corcos, John Heesakkers and Scott MacDiarmid. The result is a consistent, comprehensive and fully up to date approach to OAB, providing urologists managing patients with this condition with rapid access, specialist clinical guidance.

This concise, practical guide is structured to reflect the thought process of the practising pathologist. A key feature is the use of algorithms to aid in reaching the correct diagnosis, for both common and complex bladder tumors and tumor-like lesions. Its coverage of diagnostic criteria is in keeping with international standards and best practice, and the practical layout provides quick access to relevant information, integrating conventional histology, immunohistochemical markers and key clinical knowledge. Topics covered include the full spectrum of pathologic conditions that afflict the bladder and urothelium, as well as the pathology of the renal pelvis, ureter and the urethra. Accompanied by numerous images, this is an essential guide for trainee and practising surgical pathologists, urologists and oncologists.

The first Amirsys publication devoted solely to genitourinary cancers has finally arrived. In Specialty Imaging: Genitourinary Oncology, Dr. Akram Shaaban and team skillfully guide clinicians through the imaging appearances, staging, and treatment techniques for cancers of the kidney, bladder, adrenal glands, urethra, testicle, and prostate. The 130 pages of fast-reading, bulleted text are enriched with well over 450 vivid images, each of which identifies and explains clinically significant factors. The recently published Seventh Edition AJCC cancer staging tables are included to aid the staging discussions, providing definitions for TNM and AJCC prognostic groups for all genitourinary cancers. This is a must-have reference for radiologists, oncologists, and others whose work quality depends on an accurate understanding of genitourinary system cancers.

This highly acclaimed book offers help to the millions of adult Americans who deal with urinary incontinence. Based on a program developed at the National Institute on Aging in association with the Johns Hopkins School of Medicine, "Staying Dry" is the book that will put you back in charge.

Genitourinary medicine (GUM) is an expanding specialty which is primarily related to the treatment and prevention of sexually transmitted infections (STIs). A number of GUM departments also offer other sexual health services such as contraception, sexual dysfunction and health promotion. Services are provided by multidisciplinary teams which include doctors, nurses, health advisers (who carry out partner notification and counselling), receptionists, laboratory staff and secretarial support. evidence-based, practical information on the specialty, covering medico-legal, ethical, and procedural issues. The first section deals with routine management, special situations and clinical and laboratory processes. The second section covers genitourinary conditions in a disease-orientated style, including sexually transmitted diseases and other genitourinary problems. The third section on HIV provides a contemporary epidemiological overview of this infection, basic viral biology and pathogenesis, a disease-orientated description of conditions both directly related and opportunistic, and their management, and data on special situations such as pregnancy. medicine and infectious diseases, the book also appeals to general practitioners and interested medical students.

Das Harnblasenkarzinom gehoert weltweit zu den haufigsten Krebserkrankungen und wird meist erst im Endstadium erkannt. Gegenwartig verwendete diagnostische Verfahren sind invasiv, zeit- und kostenintensiv und verbunden mit dem Risiko weiterer Komplikationen. Die Entwicklung von nicht-invasiven Tumormarkern fur die Diagnose und Nachsorge von Harnblasenkarzinomen ist von grossem klinischen Interesse und koennte anhand von RNA-Markern im Patientenurin realisiert werden. Im ersten Schritt wurde daher das Transkriptom vom Urin gesunder Patienten mit dem von Harnblasenkarzinom-Patienten im fortgeschrittenen Tumorstadium verglichen und potentielle Tumormarker identifiziert. Anschliessend wurde der Fokus auf die Analyse von linearen und zirkularen RNA-Spezies des TRAM1- und S100A6-Genlokus gelegt und umfassende Studien zur Detektion und Verifizierung der Transkripte durchgefuhrt. Dabei empfahlen sich insbesondere S100A6-RNAs durch eine solide Nachweisbarkeit im Patientenurin und eine erhoehte Expression mit fortschreitendem Krankheitsstadium als Tumormarker fur das Harnblasenkarzinom. Zirkulare RNAs standen aufgrund ihrer vermuteten erhoehten Stabilitat in Koerperflussigkeiten und der bereits bekannten Tumor-biologischen Funktionen ebenfalls im Mittelpunkt der Untersuchungen. Ein besseres Verstandnis der vielfaltigen Funktionen von zirkularen Transkripten koennte zudem die Entwicklung von therapeutischen Strategien zur Behandlung von Blasentumoren vorantreiben.

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 provides an overview of research and practice dealing with the specific needs of gay and bisexual men living with prostate cancer, as well as the special psychosocial needs of their partners. The intention is twofold: to provide insight into the unique experiences and concerns of gay or bisexual men living with prostate cancer in order to inform and assist future research, clinical practice and supportive care, and policy; and to ensure that the needs of gay and bisexual men are recognized and advanced on the mainstream prostate cancer agenda. Featuring both cutting-edge research and powerful portraits of gay and bisexual men living with prostate cancer, this book will be indispensable for health care, oncology, and mental health practitioners who seek to address their specific experiences and challenges.

"Oxalate Metabolism in Relation to Urinary Stone" is the third monograph to appear in the "Bloomsbury Series". Edited by Alan Rose, the book describes the current clinical and biochemical features of oxalate metabolism. Its content and direction fulfil the goals of the Series emphasising the strong links between basic science and clinical medicine. London Jack Tinker 30 March 1988 Preface The first oxalate workshop was held in London in 1979 and the proceedings published privately by the Wellcome Foundation. At that time the importance of urinary oxalate as a risk factor more important for calcium oxalate stone formation than urinary calcium had been recognized. Nevertheless measurements of urinary oxalate still left a lot to be desired and in particular the non-enzymatic conversion of ascorbate to oxalate had not been rediscovered so that many measurements must have been wrong. Plasma oxalate was still difficult or impossible to measure by any reasonable, accessible methods and consequently there was still much argument and speculation about the handling of oxalate by the kidneys. A lot of work has been performed in the last eight years on oxalate metabolism and it therefore seemed to the organisers to be a good time to hold a second oxalate workshop.

Die systematische Integration der Patientenperspektive in medizinische Entscheidungsprozesse durch Patient-Reported Outcome Measures (PROMs) gewinnt weiter an Bedeutung. Dies gilt insbesondere fur Erkrankungen, die mit einem hohen Leidensdruck verbunden sind. Hierzu zahlt auch die Harninkontinenz - eine Erkrankung, die uberwiegend Frauen betrifft und mit vielfaltigen Einschrankungen assoziiert ist. Wichtige PROMs in der Harninkontinenzversorgung sind der Questionnaire for Urinary Incontinence Diagnosis (QUID), der bei der Abgrenzung zwischen Belastungs- und Dranginkontinenz - den beiden haufigsten Inkontinenzformen - unterstutzt, sowie der Incontinence Severity Index (ISI), der auf eine Beurteilung des Schweregrads fokussiert. Gegenstand dieses Buchs ist eine Studie unter 161 inkontinenten Frauen, in der QUID und ISI erstmals ins Deutsche ubersetzt und evaluiert wurden. Im Zentrum stand die Untersuchung klassischer psychometrischer Gutekriterien wie Sensitivitat, Spezifitat, Reliabilitat und Validitat. Im Ergebnis kann der Einsatz beider Frageboegen empfohlen werden. Die massige Spezifitat des QUID bei der Unterscheidung zwischen Belastungs- und Dranginkontinenz ist jedoch zu berucksichtigen.

The Oxford Handbook of Dialysis is a comprehensive and practical guide to all aspects of dialysis, the management of patients with end stage kidney disease, and all its complications. The fourth edition has been completely updated, and covers all aspects of dialysis from haemodialysis techniques and haemodiafitration, to the medical, nursing and psychosocial aspects of managing patients with end stage kidney failure. Renal transplantation, plasma exchange, palliative care, and drug dosing are discussed, along with end of life care, and complications of chronic kdney disease. This handbook is packed with practical guidance and management, presented in a compact and easy to use format. The Oxford Handbook of Dialysis is aimed at all health care professionals dealing with dialysis patients from nephrologists to dieticians, as well as pharmacists, nurses, and surgeons. There are specific chapters on nursing patients on haemodialysis and peritoneal dialysis, and detailed nutrition and drug prescribing chapters. The fourth edition includes new sections on renal replacement therapies in acute kidney injury, home dialysis, new peritoneal dialysis fluids, new drugs including new epoietins and phosphate binders, updated sections on nocturnal dialysis, dialysis monitoring, encapsulating peritoneal sclerosis, and sleep disorders. Easy to read, practical, and focussed, this handbook should have a home in every renal unit, dialysis centre, renal ward, and be close to hand for every nephrologist, renal trainee, or renal nurse.

Robotics is one of the hottest topics in medicine today, with an international interest that is exponentially growing. The introduction of robotic technology into modern operating theatres has provoked a revolutionary change in the basic surgical approach, with many advantages over traditional open surgical treatment, including faster recovery and a significantly lower risk of surgical trauma.

While the benefits of minimally invasive surgery are apparent, the expansion of laparoscopic surgery throughout the field has been relatively slow due to the steep learning curve and the level of practice and specialism required to perform such procedures. Although revolutionary upon conception, standard laparoscopy involves the surgeon working from monitors with no depth perception and also with a surgical motion that is counter-intuitive. The introduction of robotic technology however, has surpassed the traditional laparoscopic approach by providing full three dimensional vision, intuitive motion and wristed instrumentation with motion scaling.

These dramatic innovations have broadened the scope of surgeons that can now perform complex laparoscopy, and while still in its infancy, robotic assisted surgery has begun to infiltrate all fields of surgery. However, while the practical adoption of the techniques and procedures has increased over the last 5 years, the educational resources have not, leaving the only available learning tools as videos, case observation and proctorships.

There is therefore a severe market void for such a publication as this, with steadily growing sales around the world of robotic surgical systems. A compact book, overseen by such a respected figure and featuring contributions from the field leaders, is sure to be very successful within the next few years.

The Penis Book is the comprehensive guide to everything you need to know about the penis, for men and women alike. Written by Dr. Aaron Spitz - one of America's top urologists and a regular on The Doctors - the book is full of in-depth information, expert medical advice, and even humor to put the reader at ease. In addition to information on everything from sexually transmitted infections to the science of blood flow, Dr. Spitz presents an easy-to-follow five-step plan for holistic penis health, including advice on eating a plant-based diet, meditation, and heart-healthy workouts. This book will be the essential guide to caring for the penis in anyone's life.

Following on from the first book entitled 'Conservative treatment of Male Urinary Incontinence and Erectile Dysfunction' this book has been expanded to include seven new chapters and existing chapters have been extensively updated. It is written primarily for those specialist continence physiotherapists who are unsure of the treatment for male patients with lower urinary tract symptoms.

The classification of male urinary incontinence has been restructured in line with the International Continence Society standardisation of terminology. The subjective and objective physiotherapy assessment is covered chronologically, to enable the clinician to conduct a meaningful investigation and arrive at a logical diagnosis.

Managing urologic cancer by preserving, as opposed to removing, affected tissue, is rapidly becoming the favoured choice for urologists and oncologists. Discover all available options and how to achieve the best possible patient management with this expert guide to the area. The editor, Mark Schoenberg, is an internationally-renown expert in this exciting new area and has recruited an outstanding team featuring some of the leading urologists/oncologists in North America and Europe to assist him.

Senior investigators internationally have here collaborated to produce an international reference work. Each contributor provides critical and thought provoking concepts and ideas based on the latest developments in their field. The result is a must read and timely reference work for investigators who are interested in how spermatogenesis is currently understood and which are the most promising avenues for future research; an Introduction sets the context for the chapter and points out the relevance of the research for basic research scientists and clinicians.

Die historische Entwicklung der Fachdisziplin der Urologie ist spannend und interessant. Insbesondere, weil die Wurzeln des Faches u.a. in Deutschland und OEsterreich liegen. In diesem Essential werden wichtige Schlusselmomente aus der Urologie, Andrologie und benachbarter Gebiete zusammengetragen. Kurzweilig erhalt der Leser einen UEberblick zur historischen Entwicklung dieses medizinischen Fachgebietes. Neben den grossen Themenkomplexen wie der Steintherapie, Prostatachirurgie, Uro-Radiologie und Zystoskopie-Endoskopie finden auch spezielle Aspekte der Entwicklung der medizinischen Fachgesellschaft, der Urodynamik und der Transplantationsmedizin Berucksichtigung. Die Zielgruppen Urologen, angehende Facharzte der Urologie, interessierte Mediziner, Allgemeinarzte, Medizinhistoriker

For many years, the focus of fertility research and treatment has been the female. In reality, at least half of all infertility cases have a male factor as a major or contributing cause. Recent advances in the diagnosis and treatment of male infertility have enabled pregnancies in cases where the male partner was previously considered to be untreatable or even sterile. With contributions from world- renowned experts, this comprehensive overview of male infertility covers anatomy, evaluation, treatment and prevention. The elucidation of the molecular genetics underpinning spermatogenesis and the development of new sperm function tests have increased our understanding of male infertility and led to new treatments which are discussed and evaluated. This volume presents the latest scientific developments in a clinically useful and practical format. The book is packaged with a high-quality surgical atlas on CD- ROM. This text will be valuable for urologists and reproductive endocrinologists at all levels.

Many patients leave the doctor's office feeling frustrated and rushed, with unanswered questions. It's a common concern-that by expediting a patient's visit, doctors may miss important information for the sake of brevity. And for patients seeking to discuss alternative therapies outside of conventional medicine, they especially need time to discuss and confirm the truth of their personal research. In The Unfettered Urologist, readers will learn and benefit from the opinions, intuition, and common sense of Martha B. Boone, M.D. -a urologist with over thirty years of working experience and fifteen years of collegiate study. Those seeking detailed insight into the world of urology will learn what Dr. Boone always wanted to tell her patients, but could never pack into a fifteen minute office visit. The Unfettered Urologist explains: Common urology problems and options for readers to start treatment at home, with the confidence of an experienced specialist Inside information not available in medical texts or medical websites Important questions to facilitate office visits when needed When to save healthcare dollars for prevention and treatment (prior to seeing a doctor) The inner workings of the medical profession and thus be able to better utilize the system True stories of medical scenarios and real-life cases Healing techniques outside of conventional medicine that have worked in conjunction with traditional medicine In some cases, how to avoid invasive procedures Entertaining, informative, and packed with unexpected insight, The Unfettered Urologist leads readers through the health care system with humor and candor.

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.

To Pee or Not to Pee? provides women with the information they need to reduce and stop their bladder leak for good. Shelia Craig Whiteman PT DPT, CLT is a pelvic health physical therapist who has successfully treated hundreds of women with urinary incontinence. Within To Pee or Not to Pee?, she helps women discover the tools needed to stop leaking and start living life again without worry or embarrassment of leaking in public. In To Pee or Not to Pee?, women learn: How to identify their type of urinary incontinence to personalize their program for success How to find and effectively strengthen their pelvic muscles The right exercises to do to stop their type of leakage Simple lifestyle changes to help produce big results How to stop bladder leaks for good

Mind Over Bladder is a trusted and informative guidebook for bladder control, written with respect and humor by a nationally known urogynecologist, revised and expanded for the 21st century woman. Urinary Incontinence plagues millions of women worldwide, vastly more women than men. The reasons for this are many, including we have children, go through menopause and our anatomy is pretty different. Since these issues affect approximately 30-40% or greater of all women, can include issues with prolapsing organs (bladder, uterus, rectum) and can limit a woman's freedom and ability to live a full and active life, an actual guidebook seemed not only necessary but overdue. Mind Over Bladder answers this need. Informative, respectful and written with humor by a leading urogynecologist, Mind Over Bladder asks and answers the question of "What is incontinence and what can I do about it?". This unique approach begins at the beginning takes women through basic bladder and pelvic plumbing to getting a diagnosis and formulating a treatment plan. Mind Over Bladder arms women with information and practical solutions to help lead better, drier and happier lives.

Nocturia is the most bothersome and prevalent lower urinary tract symptom in the world. It has a multifactorial aetiology ranging from medical causes to surgical causes, which means a thorough history and clinical examination is required before treatment from the appropriate specialist. Part of the Oxford Urology Library, this pocketbook covers all the clinically relevant aspects of a demanding subject with up-to-date information from experts in Urology. With chapters covering the definition, epidemiology, assessment and treatment of nocturia, this title is an invaluable and easy-to-read reference.