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The human prostate gland is of undoubted importance in reproductive physiology and is one of the commonest causes of clinical urological problems in the male patient. Despite the wealth of published lit erature relating to the prostate gland surprisingly little is understood about its neural innervation, the influence of pharmacological factors and its precise physiological functions. Indeed, benign disorders of the prostate gland including benign prostatic hyperplasia, bladder neck dyssynergia and inflammatory disorders of the prostate (prostatitis, prostatodynia) although well recognised clinically, are as yet poorly characterised and understood. It was not until the late 1960s that the subject of urodynamics, which for the first time allowed scientific assessment of the function of the lower urinary tract, was introduced. The first section of this book considers recent advances in our understanding of the innervation of the bladder and prostate gland and the changes in bladder function which accompany prostate medi ated bladder outflow obstruction. The clinical consequence of benign prostatic hyperplasia in many patients is bladder outflow obstruction and although the traditional treatment of these conditions is by the use of ablative surgery, in recent years a number of new modalities have been investigated and are reviewed in the second section of the book.
The Fourth Edition of Urodynamics Made Easy provides a concise and user-friendly guide to the principles and clinical practice of urodynamics as applied to the routine diagnosis and management of patients. The emphasis of this book is on the ethos behind the practice of urodynamics and how this needs to be integrated into the evaluation of all patients with lower urinary tract symptoms. It offers clear information presented in a visually appealing and easily accessible format. A great and simple teaching tool that will assist the novice as well as the more experienced practitioner Superbly illustrated in full colour. An invaluable and practical, yet comprehensive, resource for all those interested in growing their understanding of and expertise in pelvic floor diseases. This edition has been completely updated, especially in relation to the electronic urodynamic measuring devices now available. The clinical relevance has also been enhanced. Urodynamics made Easy provides an invaluable source of information to urologists, gynaecologists and urodynamic nurses, and will also be of interest to general surgeons, radiologists and general practitioners.
Benign prostatic enlargement (BPE) is one of the most common diseases in older men and it is caused by an histopathological condition called benign prostatic hyperplasia (BPH). Clinical manifestations of BPH include symptoms, signs and sequelae of bladder outlet obstruction caused by the enlarged prostate. Although no longer life-threatening, the prevalence of moderate-to-severe urinary symptoms in the community is high, increasing from 22% among men aging 50-59 years to 45% among those in the seventh decade of life. Male LUTS/BPH Made Easy is a full-color comprehensive reference on the management of lower urinary tract symptoms (LUTS) due to Benign Prostatic Enlargement (BPE). Aimed at urologists in residence and training, Male LUTS/BPH Made Easy, updates the reader on the most current treatments and assists in clinical decision making based on the latest evidence."
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