In recent years, many have come to believe that Western medicine has lost contact with 'holistic' conceptions of health as encompassing physical, emotional, intellectual, social and spiritual dimensions. 'Spiritual' may imply religious or faith-based values or experience, but also non-material factors such as an appreciation of natural beauty, art, music, moral values or beliefs from which a person draws meaning and a sense of transcendence. Equally, many people are unaware of a spiritual dimension to life and health until illness or trauma strikes. However, coming to terms with life events, deriving meaning from them and incorporating them into their life philosophy may then be experienced as a deep spiritual crisis, with ramifications in their wider health, and implications for the health professionals who treat them. This book considers the meaning of holistic health care, and explores the spiritual dimension of health through the narratives of fictional and non-fictional patients. It discusses how to discern when a patient's distress has a spiritual dimension, the implications of this for health professionals, and ways in which spiritual factors can be addressed and discussed within healthcare. 'When it comes to questions about meaning and purpose, such as what is the point of all this?A", or why is this happening to me?A", when we meet patients in the depths of despair at the prospect of imminent death, when we ourselves feel hopeless and overwhelmed in the face of an avalanche of human suffering, then we begin to struggle. We do not know what we could do, nor even what we should do. Our professional training doesn't help. We are stuck. With this beautiful book, Mabel Aghadiuno comes to our rescue.' - Christopher Dowrick in his Foreword

This is the first revision book to be published specifically for candidates sitting the FRCS(Urol) examination, which tests the required standard of a recognised Urology specialist. It provides a selection of common clinical scenarios together with a guide to answering the FRCS(Urol) questions. Each chapter is written by Consultant Urological Surgeons or Senior Urology Trainees who have already been successful in passing the examination. This second edition responds to continual changes in practice: The chapters on urological cancers including prostate cancer, bladder cancer and renal cancer have important updates due to emergence of new evidence and changes in NICE, EAU and AUA guidelines. Substantial revisions to other sections such as paediatric urology, female urology, urinary stone disease, benign prostatic hyperplasia and uro-technology to meet standards of current best practice. Adds an extra chapter on the TNM classification of urological cancers. The book remains an invaluable revision tool for the FRCS(Urol) and will also be useful for individuals sitting the FEBU and equivalent postgraduate urological examinations in the USA, Australia and Asia. Established consultants will also find value in the text as a 'refresher' in areas outside their subspecialist interest.

This is the first revision book to be published specifically for candidates sitting the FRCS(Urol) examination, which tests the required standard of a recognised Urology specialist. It provides a selection of common clinical scenarios together with a guide to answering the FRCS(Urol) questions. Each chapter is written by Consultant Urological Surgeons or Senior Urology Trainees who have already been successful in passing the examination. This second edition responds to continual changes in practice: The chapters on urological cancers including prostate cancer, bladder cancer and renal cancer have important updates due to emergence of new evidence and changes in NICE, EAU and AUA guidelines. Substantial revisions to other sections such as paediatric urology, female urology, urinary stone disease, benign prostatic hyperplasia and uro-technology to meet standards of current best practice. Adds an extra chapter on the TNM classification of urological cancers. The book remains an invaluable revision tool for the FRCS(Urol) and will also be useful for individuals sitting the FEBU and equivalent postgraduate urological examinations in the USA, Australia and Asia. Established consultants will also find value in the text as a 'refresher' in areas outside their subspecialist interest.