Kirjahaku

The Oxford Specialist Handbook of Urological Surgery returns fully updated for a second edition to guide the reader step-by-step through all types of urological operations. Including both background information on key urological problems and alternative surgical options, this Handbook is designed to guide the trainee through all aspects of urological surgery, from gaining clear and accurate consent to examining risks and complications of procedures. With each chapter written by subspecialty experts, this Handbook is packed with tips and tricks that offer practical and theatre-based advice gleaned over years of theatre experience to aid the reader. It also includes helpful pointers on aspects of surgery including patient positioning, indications and contraindications, types of incisions, and choice of ideal instrument, alongside aftercare and follow-up for the patient. Fully updated in accordance with new European guidelines and NICE clinical guidance, with extra topics on technological developments including robotic assisted surgery and a brand new chapter on female urology and incontinence, the Oxford Specialist Handbook of Urological Surgery is an essential resource for all urological trainees and junior doctors.

From challenges presented in everyday clinical practice to the complex cases without simple answers, Challenging Cases in Urological Surgery is an effective reference and revision aid for trainees and consultants alike. As part of the Challenging Cases series, cases are examined from a multidisciplinary approach considering all aspects of diagnostic, practical and evidence-based skills to provide a comprehensive and detailed demonstration of clinical investigation within real-world scenarios. With contributions from over 40 experienced and renowned consultants from the UK, the opinions within the 'Expert Commentary' includes an insight into real world case management and problem solving in complex cases. Using the most up-to-date evidence and clinical presentations highlighted in the UK ISCP curriculum, this book features the use of 'Clinical Tips', 'Evidence Base' and 'Future Advances' text boxes to highlight critical information in an easy-to-read format for efficient and effective learning. This book is split into 15 comprehensive sections; these include Urinary Tract Infection, Bladder Cancer, Male Infertility and Sexual Dysfunction and Emergency Urology and Trauma among other key areas in the field of Urology. Each chapter is a case-based guide which provides readers with practical yet clinically relevant advice on management of urological surgery cases. With every-day clinical observations, controversial topics and challenging cases, this book is a highly valuable resource for all those interested in urological surgery, trainees in the field and those sitting postgraduate urology examinations.

Offering a comprehensive guide, the Oxford Textbook of Urological Surgery is a practical resource mapped to the curriculum for urological training as approved by the General Medical Council (GMC), making it particularly useful in preparation for the Intercollegiate Examination. Presented in a clear and accessible way, this evidence based volume covers all major areas, including functional urology, stone disease, infection, andrology, nephrology, transplantation, uroradiology, and paediatric urology. This highly illustrated full colour textbook has an innovative and user-friendly style, including over 500 photographs, clinical images, and line drawings. Bringing together the expertise of over 100 specialist contributors in the field, the Oxford Textbook of Urological Surgery is a highly valuable source of information, and will become the standard reference text for all who study urological disease and its treatment.

The title of this book is a challenge. Anyone with the least knowledge of present day urology will know that there are many very controversial aspects of this subject. Urology is not alone in this unsettled environment for there are similar debates in almost all other aspects of surgery. In addition to the rapid changes in technology, an important part of the explanation for these controversies is simply that more surgeons are prepared to admit that no area of their work is so established that it does not bear further scrutiny and assessment. Argument can be tedious but debate is healthy. This book aims to present material that is debatable: experienced practitioners of each topic explain why an opinion or preference can be sustained. The purist might wish to have these opinions resolved by a well-planned clinical trial, but experience of clinical trials shows that they do not always produce results that are easily translated into a positive change in clinical practice. Would the reader be persuaded more by a statistically significant difference or by an experienced clinician who has reached certain conclusions? Both are risky, but since surgical techniques are often not easily converted into appropriate studies or trials the Editors have obtained the best opinion on each controversy and innovation. The media adore controversy for its own sake. The medical profession accepts controversy but knows that few events in medicine are absolute and few procedures can be done only by one method.

The introduction of lasers into operative medicine and advances in fiberoptic technology have made a significant contribution to minimally invasive surgery. This book was written to raise awareness of the capabilities and advant­ ages of lasers in urological surgery and to make this tech­ nology more widely accessible. The book reflects the cumulative experience of 25 years of laser research and clinical application, starting in 1972 with studies on laser­ tissue interactions, endoscopic studies with fiberoptic "sutures;' and the first clinical use of lasers in 1975 and 1976. These early efforts were followed by the develop­ ment oflaser lithotripsy in the early 1980 s and a Lubeck­ based research program leading to the development of a "smart" laser lithotriptor (Lithognost) in the late 1980s. There have been recent advances in the field of photo­ dynamic diagnosis based on the use of locally adminis­ tered photo sensitizers, a development that will redefine the role of the Nd:YAG laser in the treatment of bladder cancer. Perhaps the most interesting concept is the inter­ stitiallaser therapy of prostatic hyperplasia and, perhaps one day, certain forms of prostatic cancer. We have also developed a technique, first described in 1986, for the laser treatment of schistosomal bladder lesions. I dedicate this book to the many pioneers oflaser medi­ cine and to all the colleagues and research assistants who accompanied me on this journey. I cannot name them all; their names can be found in more than 300 publications.