Urologi

The numbers are staggering, and nobody wants to talk aboutit. More than half the men in this country are affected atsome point in their lives by erectile dysfunction. Too manymen will be diagnosed with prostate cancer or have difficultytrying to pee.Women are not far behind with persistent problems beingsexually aroused, achieving orgasm or dealing with pain duringsex. Mix it all together and you end up with a lack of desire.Throw in plumbing problems like incontinence for both sexesand now you see the need to almost laugh and cry at the sametime. But, don't do that or you might leak!Although this is no laughing matter, urology will be themost entertaining conversation you will have with your closestfriends. Throw in this book and you will laugh out loud, whileat the same time getting the answers to how things down thereget fixed. Find the answers to get your plumbing working againand regain your quality of life.Regardless of your sexual orientation this book focuses onthe function of penises and vaginas and how they can affectyour quality of life.In the end, we are all connected on the inside by our plumbingand all that goes with it. This reality with our human plumbingshould give us all a healthy perspective on humanity. Urology isa basic reminder to work harder at being kind to everyone, nomatter how different we think we may be. Urological strugglesare an equalizer for the human race.The author has been married to her reconstructive urologisthusband, "The Doctor" for almost 20 years. He has one of thebusiest medical practices in town that has helped her to easilycreate a "Top 10 Type" list of the most prevalent urologicalproblems for both men and women.As the Doctor's wife, the author translates medical urologicalsituations in a sensitive and humorous way.This book is gentle enough for every man to read, funnyenough for every woman to enjoy, and educational enough togive a copy to everyone you know. The Doctor's wife makes it safeand accepting to talk about all things urological and encouragesyou to embrace your plumbing.

I numeri sono sconcertanti e nessuno vuole parlarne. Più dellametà degli uomini in questo paese vengono colpiti, a un certopunto della loro vita, dalla disfunzione erettile. A un gran numerodi uomini verrà diagnosticato il cancro alla prostata o avrannodifficoltà a fare pipì.Le donne poi non sono così distanti, alle prese con problemipersistenti della libido sessuale, del raggiungimento dell'orgasmoe nella gestione del dolore durante il sesso. Mescolate il tutto efinirete col perdere il desiderio sessuale.Aggiungici poi anche i problemi urinari come l'incontinenzaper entrambi i sessi e ti verrà quasi voglia di ridere e piangere allostesso tempo! Attento però, perché rischieresti di fartela addosso!Anche se non c'è niente da ridere, l'Urologia diventerà laconversazione più divertente che avrete con i vostri amici piùcari. Leggendo questo libro riderete di gusto, ottenendo allo stessotempo varie opzioni su come si risolvono i problemi là sotto.Troverai le risposte per far funzionare di nuovo il tuo apparatourinario e riproduttivo, riacquistando una buona qualità di vita.Indipendentemente dal vostro orientamento sessuale, questolibro si concentra sulla funzione dei peni e delle vagine e su comepossono incidere nella vostra vita quotidiana.Alla fine, siamo tutti collegati all'interno, dal nostro "impiantoidraulico" e da ciò che ne consegue.Tutto l'insieme che riguardal'apparato genitale, dovrebbe dare a tutti noi, una visione diversasulla salute umana. L'Urologia è un promemoria fondamentaleper ricordarci di lavorare più duramente per poter essere gentili con tutti, senza fare distinzioni. L'affrontare i problemi urologiciinfatti accomuna tutta la razza umana.L'autrice è sposata da quasi 20 anni con il marito "Dottor Dick", urologo esperto in Medicina ricostruttiva. Possiede uno deglistudi medici più frequentati della città, e l'ha aiutata a creare, inmodo semplice, una lista dei "Top 10" problemi urologici piùdiffusi, sia per gli uomini che per le donne.In qualità di moglie del Dottor Dick, l'autrice racconta lesituazioni urologiche mediche in modo sensibile ma allo stessotempo divertente.Questo libro è abbastanza delicato da leggere, per ogni uomo, piuttosto divertente per ogni donna e abbastanza educativo perdarne una copia a tutti quelli che conosci.La moglie del Dottor Dick lo rende affidabile e accetta diparlare di tutte le condizioni urologiche, incoraggiandoti adapprezzare tutto il tuo impianto idraulico.

The numbers are staggering, and nobody wants to talk about it. We are not talking about your money or being broke. It's bigger than that! More than half the men in this country are affected at some point in their lives by erectile dysfunction. Too many men will be diagnosed with prostate cancer or have difficulty trying to pee. You can add Viagra, Cialis, and penile implants to the conversation and now it just got better! This new frontier approach known as men's health is the new best practice for getting your sex life back on track.Women are not far behind with persistent problems being sexually aroused, achieving orgasm or dealing with vagina issues such as pain during sex. Hormone cures and keto diets seem to be the new fitness approach, while integrating mindfulness and Kegel exercises. The reality of pelvic pain is real and there are solutions to improving pelvic health. Mixing meditation, awareness, emotions, and sex is a new frontier to solving the mystery behind lack of desire. The approaches available today are right up there with paleo diets, apple cider vinegar, and the truth about wheat, carbs and sugar and what they can do to the human body.It matters what you eat and drink and the kind of doctor you seek out when your plumbing breaks down and you start to leak. It doesn't hurt to continue with the affirmations or a purpose driven life, while trying to practice tapping on steroids. Your personal journey towards finding plumbing solutions for incontinence for both men and women are more than a mindset or willpower instinct. Who knew the joy of being able to pee on command? You no longer to live in fear of leaking out in public because your pelvic floor and bladder failed you.Urology issues will make you laugh and cry at the same time. But, don't do that or you might leak!Although this is no laughing matter, urology and your plumbing is the most entertaining conversation you will have with your closest friends. Throw in this book and you will laugh out loud, while at the same time getting the answers to how things down there get fixed. The Dick Doctor's wife shares the secrets inside everyone's pants to help you find the answers to get your plumbing in good working order.In the end, we are all connected on the inside by our plumbing and all that goes with it. This reality with our human plumbing and the connection it has to our mind and body should give us all a healthy perspective on humanity. Urology is a basic reminder to work harder at being kind to everyone, no matter how different we think we may be. Urological struggles are an equalizer for the human race.The author has been married to her reconstructive urologist husband, "The Dick Doctor" for almost 20 years. He has one of the busiest medical practices in town that has helped her to easily create a "Top 10 Type" list of the most prevalent urological problems for both men and women.As the Dick Doctor's wife, the author translates medical urological situations in a sensitive and humorous way.This book is gentle enough for every man to read, funny enough for every woman to enjoy, and educational enough to give a copy to everyone you know. The Dick Doctor's wife makes it safe and accepting to talk about all things urological and encourages you to embrace your plumbing.

Este libro es un esfuerzo de equipo para actualizar el manejo de los problemas de Urología aguda. Es una colección de soluciones para casos frecuentes en Urología de Urgencia. Proporciona una orientación clara e ilustraciones que le ayudarán en su trabajo clinico diario. Se han añadido capítulos sobre Urosepsis, control del dolor agudo en Urología y urgencias reno-vasculares. Está diseñado para ser fácil de usar y práctico. Esperamos que haga su vida más fácil y le ayude a aprender las tareas necesarias para proporcionar buena atención de emergencia en la especialidad. Toda la información superflua o controversias se han omitido deliberadamente. Dr. Jorge Clavijo

Selected as a Doody’s Core Title for 2023! The standard-setting text in oncology for 40 years, DeVita, Hellman and Rosenberg’s Cancer: Principles and Practice of Oncology, 12th Edition, provides authoritative guidance and strategies for managing every type of cancer by stage and presentation. Drs. Vincent T. DeVita, Jr., Theodore S. Lawrence, and Steven A. Rosenberg oversee an outstanding team of expert contributing authors who keep you up to date and fully informed in this fast-changing field. This award-winning reference is also continually updated on Health Library and VitalSource platforms for the life of the edition.

Prostate cancer will afflict one-in-six men, chiefly in their mid-sixties onward. Fortunately, ninety percent are caught early in stage 1, where it is quite curable. However, the remaining ten percent will account for over 30,000 men dying each year from advanced or metastatic stage 4 disease. Traditional medical help is important, but is only designed to extend life by a few months to a few years. Enter the importance of "spiritual therapy." Enter our need to explore, learn, memorize, and declare aloud the many Scriptures related to healing, strength, and vitality. This book will address both the medical "conventional" and "alternative" means to treat advanced prostate cancer as well as the important "spiritual strategies" for healing as described in the Scriptures. The Scriptural-based declarations are actually applicable to any type of cancer or dreaded disease, since it is God's will that we be healthy, strong, and whole. At age sixty-six, Dr. Moraczewski was diagnosed unexpectedly with metastatic prostate cancer, which spread to his lymph nodes, lungs, and bones. As a medical doctor for over forty-five years, it was a sobering and frustrating diagnosis for him to accept. He was now a "cancer patient," seeing a life of disease from the other side of the exam table. Like many before, he was told at the first visit, "You have two years to live. Get your life in order." But by following many of the strategies listed herein, both medical and spiritual, he has now surpassed the four-year mark, stable and doing well. The cancer journey has not been quick or easy, with many days and nights of pain and discouragement, but his strong faith along with encouragement from his wife, family, colleagues, and pastors has helped to make him well and strong along the way.

This book provides a unique insight and background of a uro-oncology nurse¿s career from a personal and professional perspective, one that encapsulates the ever changing dynamics in the nursing profession over 40 years - 1970¿s to current, 2022. In writing this book, the objective is to devise a beneficial point of reference, one that is conducive to enlightening individuals within the healthcare profession and the wider context, on the art of reflection and acknowledging its benefits in terms of exploring their feelings and understanding their meaning. Reflection is a highly beneficial tool. In this context, the process enables the author to reflect constructively on her nursing career and practice, to highlight the positive as well as the negative aspects within that practice, and illustrate how the experiences gained have contributed to her development, personally and professionally, throughout that journey. Reflection includes deliberate reflection on experience, emotions, actions and responses and acknowledging how essential these have been to informing the author¿s existing knowledge base and in ensuring a higher level of learning and understanding. In the continued quest to deliver optimal healthcare, the objective of reflection is in enabling healthcare individuals e.g. nursing students, newly qualified nurses or those considering change of nursing speciality, to better understand their patients from a holistic standpoint (physical, psychological, psycho-social, spiritual, cultural and economic) and ultimately, improving the individual patient¿s overall experience ¿ cancer or otherwise, as well as improving and enhancing practice outcomes. The importance of reflection and its contribution to increasing the healthcare professional¿s self-awareness ¿ emotional, personal and professional, is also well underlined. Various Modules and Case Studieswithin the book are used to explain and highlight key issues, and to enhance content and visual acuity.

This conference and monograph were the result of many collective efforts. The whole concept was formulated one early Wednesday morning at our weekly research meeting at Children's Hospital in our division of urology. We have been most fortunate to have a close collaboration with Bob Levin, Ed Macarak, and Pam Howard who have helped steer the course of our division's growing interest in basic science. At our weekly meetings our laboratory fellow will summarize their current work. Other ongoing areas of investigation in our labs and elsewhere are discussed. We have always made an effort to try and understand what other groups are doing who are working in the area of bladder smooth muscle research. It occurred to us that the best way to really know what everyone working in this field was doing would be to sponsor a 2-day meeting where we could all gather to discuss our ongoing work. A major limitation of the annual meeting of the American Urologic Association or the urology section of the American Academy of Pediatrics is that the scientfic sessions are limited as these are meant to be primarily clinical meetings (as they should be). For this reason the idea of a meeting devoted solely to research about the urinary bladder had great appeal. In addition to allowing for longer presentations than the standard 5 to 7 minutes, every effort would be made to encourage a dialogue amongst the presenters and the audience.

Male Reproductive Function gives an up-to-date review on the physiology and disease processes associated with the male reproductive system. The first few chapters describe the regulation of the functions of the testis and the integration of its components: germ cells, Sertoli cells and Leydig cells. This is followed by a description of puberty and aging, and the disorders or dysfunction that may be associated with these physiological processes. Discussions on the current methods for the diagnosis and treatment of male hypogonadism, male infertility and male sexual dysfunction follow, with detailed descriptions of types of androgen replacement and the benefits and risks of such treatment. The book concludes with the development of male contraception and the possible influence of the environment on the male reproductive system. Male Reproductive Function represents a conglomeration of the efforts of experts in andrology from all over the world, both in basic cellular/molecular biology as well as in clinical science and practice. This book is suitable for endocrinologists, urologists, general internists, gynecologists and other students in the field of male reproduction.

A vast number of children in the United States are evaluated and treated for urologic conditions by urologists practicing general urology due to the relatively few fellowship-trained pediatric urologists. Pediatric Urology: A General Urologist's Guide is written specifically for general urologists as a concise and comprehensive reference of the more common pediatric urologic conditions. Other health practitioners (i.e. pediatrician, family practitioner, residents, medical students, and mid-level providers) will also find this book a key reference. Written by well-respected pediatric urologists, this volume will assist the health care provider to rapidly review the essential aspects of the physical examination, evaluation, diagnostic testing, and management while the patient is still in the office. The chapters are arranged into four sections to allow for easier access to the information: office urology, genitalia, urinary tract, and miscellaneous topics. Furthermore, the first chapter of the book will be dedicated to facts and figures (ex. normal penile and renal lengths based on age, dosing of common medications, and grading system for vesicoureteral reflux) that serves as a single source for this information. Pediatric Urology: A General Urologist's Guide offers the reader the essential information to assist them in the care of children.

This book is exclusively devoted to the often-challenging diagnosis, management and treatment of patients with non-neurogenic bladder dysfunction. A unique team of experts in the field report on the state of the art and the latest trends concerning overactive and underactive bladder dysfunctions, while also discussing detrusor overactivity impaired contractility.Given its scope, the book will benefit all urologists, and offers a valuable tool for professionals and physicians who care and deal with patients with non-neurogenic bladder dysfunctions.

This book is designed to familiarize general urologists with the care of transgender and gender non-conforming individuals. Written by experts in reconstructive urology, it characterizes the process of gender affirmation and explains the surgical anatomy of both feminizing and masculinizing gender-affirming procedures including vaginoplasty, orchiectomy, hysterectomy, vaginectomy, phalloplasty, metoidioplasty, and prosthetics. Guiding the clinician in identification of immediate and long-term risks of gender-affirming surgery, it instructs clinicians in endocrinological care, options for fertility preservation, evaluation of malignancies after hormonal therapy, appropriate postsurgical follow-up, and the management of common complications involving urethral stricture, fistula, neo-vaginal stenosis, and incontinence. Urological Care for the Transgender Patient: A Comprehensive Guide is a necessary tool to prepare urological clinics and clinicians in serving the growing population of transgender patients presenting at various stages of their transformation.

This book is a basic, practical guide to performing and interpreting state-of-the-art prostate MRI, utilizing the latest guidelines in the field. Prostate MRI has become one of the fastest growing examinations in the radiology practice, and this demand has continuously increased within the past decade. Since it is relatively new, MRI of the prostate is predominantly being performed at academic institutions, however there is a growing demand within the lower-tier health care institutions to offer this examination to their patients. This is an ideal guide for radiologists who want to enhance or initiate prostate MRI service for their referring clinicians and as a manual for technologists and those who are in training. Prostate cancer is the second leading cause of cancer death in men, exceeded only by lung cancer. The best predictor of disease outcome lies with correct diagnosis, which requires precise imaging and diagnostic procedures aided by prostate MRI. Urologists, medical oncologists and radiation oncologists all agree that multi-parametric prostate MRI is essential for evaluation of prostate cancer. However, the technical aspects of prostate MR imaging are not as straightforward as for the other imaging modalities and constantly evolving. Its small size presents a real challenge to the radiologist, who needs to do the T2 and diffusion weighted images and perform a dynamic contrast enhanced sequence correctly. These images may also need to be analyzed on an independent workstation. Due to the absence of a current reference manual, when a radiologist wants to establish a prostate imaging service, he/she needs to attend dedicated prostate MR workshops or dive into the literature search alone, only to get more confused about what to do and how to do it.With this book, expert authors were asked to give clear guidance to those who want to enhance or initiate their prostate imaging service. With this much-needed, concise, practical guidance, radiologists can perform and interpret multi-parametric prostate MRI in a standardized fashion, in concordance with PI-RADS v2.1 that can be applicable to all available hardware platforms (GE, Philips, Siemens, Toshiba). Additionally, they can perform post-processing for possible targeted biopsy and interpret post-therapy and PET studies. The book discusses imaging protocols (planning and prescription) and sequence parameters with representative images for each MRI sequence. This handbook-style practical manual can be used in the radiology reading room by those interpreting the MR exam as a reference as well as at the MRI scanner by the technologists as a guide. Coverage of basic prostate anatomy, pathology, Urologists¿ point of view, MRI guided radiation treatment planning and molecular imaging is also included. Throughout the book, authors will discuss basics, pitfalls, and provide tips in image acquisition and interpretation, alongside several case examples.

This book provides a concise overview of the latest controversies and advances in men¿s health. It covers the male anatomy, physiology, and the metabolic syndromes that most commonly affect males. A range of benign and malignant conditions affecting the prostate, testes, rectum and colon are detailed. Chapters feature an easy-to-follow format and feature learning objectives to highlight the key concepts in each chapter aiding the reader to develop a thorough understanding of fundamental aspects in men¿s health.Men¿s Health and Wellbeing features insightful reviews of controversies and recent developments in men¿s health, and is a valuable resource for all trainee and practicing medical professionals who treat these patients.

This open access illustrated guide focuses on Female Genital Mutilation/Cutting (FGM/C) in children and adolescents.FGM/C comprises all procedures that involve partial or total removal of the external female genitalia or injury to the female genital organs for nonmedical reasons. It is mainly carried out during childhood, before the age of 15. The signs of FGM/C can be subtle, and the examiner must be trained with a wide range of normal genitalia both before and after puberty, FGM/C types and subtypes, complications and differential diagnosis. This volume is a reference containing iconographic material of both pre and post pubertal genitals with and without genital cutting.This book will guide health care professionals in making the correct diagnosis, outline the clinical management, enhance patient¿provider communication, and will enable accurate recording and reporting to governments where required.

This heavily revised third edition concisely covers the latest evidence-based treatment strategies for urinary incontinence and prolapse. Chapters cover methodologies relevant to continence procedures, prolapse management, and potential complications. New topics discussed include Colpocleisis, principles associated with managing Mesh complications and the Mirabegron mechanism.Urogynecology: Evidence-Based Clinical Practice 3rd Edition is a vital how-to guide, which is ideal for junior registrars assigned to work in a urogynecology department, as well as for those with no previous formal urogynecological training seeking to develop their understanding of the subject.

"Although it is common to exercise many parts of the body to stay fit, very little attention is paid to exercising the pelvic floor. Perhaps we can prevent ending our lives in diapers if we devote some time to keeping the pelvic floor muscles fit." The AuthorsPelvic floor disorders affect some 200 million people worldwide and can cause debilitating symptoms in men, women, and children.For over 17 years, Fitness for the Pelvic Floor has been an essential guide for physical therapists and patients alike, with its practical approach to navigating pelvic floor dysfunction.The 2nd edition features new concepts for clinical applications by renowned physical therapist, Beate Carrière, and significantly benefits from contributions by co-author Dawn-Marie Ickes, an expert in integrative health and wellness, who adds new topics targeted at physical therapy students.Key highlights:- Clinical pearls that aid therapists in their evaluation of pelvic floor disorders- Anatomical and physiological content as well as definitions of essential terminology- Easy-to-follow exercise routines that focus on activating and/or relaxing pelvic floor muscles- Over 50 instructive videos depicting various breathing and corrective functional exercises that have proven to be the most efficacious treatment methods for many patients This is an essential resource for physical therapy professionals, patients seeking to reduce or eliminate symptoms of urinary urgency or pain in the lower abdomen and pelvic cavity, as well as individuals looking to improve their overall pelvic health.This print book includes complimentary access to a digital copy on https://medone.thieme.com.Publisher's Note: Products purchased from Third Party sellers are not guaranteed by the publisher for quality, authenticity, or access to any online entitlements included with the product.

The first edition of The Paris System for Reporting Urinary Cytology introduced a completely new paradigm for detecting bladder cancer by urine cytology. This system concentrated on defining morphological characteristics of the most clinically significant form of bladder cancer, High Grade Urothelial Carcinoma. This new approach has been widely accepted throughout the world, and has become part of the daily practice of cytology. Considering that the first edition of The Paris System (TPS) introduced a new model of urinary cytodiagnosis, verification and expansion of initial material and data were anticipated. Based on evolving knowledge and readership requests, the group of highly experienced authors have created a new edition of TPS. This second edition includes areas and issues not originally covered. A new chapter on urine cytology of the upper tract, a rarely addressed topic, has been introduced. Furthermore, the issue of cellular degeneration is discussed in the criteria of all diagnostic categories. Examples of standardized reports are included in each chapter. Most importantly, a separate chapter presents data defining the risk of malignancy (ROM) for each diagnostic category to inform clinical management. New high quality images augment those of the first edition to better illustrate diagnostic clues and potential pitfalls. In addition to chapters on diagnostic criteria, current concepts of pathogenesis of bladder cancer, specimen adequacy and preparation, and ancillary tests are covered in separate chapters. A bonus to the volume is a comprehensive history of urine as the earliest diagnostic sample of human disease, richly illustrated with artworks from major museums. Written by internationally recognized authorities, this comprehensive and evidence-based guide to urine cytology is supported by the newest data confirming the original concept and significance of diagnostic criteria defining High Grade UrothelialCarcinoma. TPS is an essential tool for anyone who is practicing urinary cytology, including cytotechnologists, pathologists-in-training and practicing pathologists. This book should find a place in every cytology laboratory throughout the world. The Concept has been endorsed by the American Society of Cytopathology, and the International Academy of Cytology.