By Roger S. Kirby MD FRCS(Urol) FEBU
It is a condensed model of the author's profitable Atlas of Prostatic Disease. The emphasis is on a succinct description of prostatic ailment in a mostly illustrative structure. The e-book covers the explanations, analysis and staging of prostate melanoma, benign prostatic hyperplasia and prostatitis. The sections on remedy were more suitable by way of the addition of algorithms to summarize the decision-making strategy.
Men's wellbeing and fitness is now a tremendous public overall healthiness factor and prostatic disorder may have a big influence at the caliber of lifetime of many males. This ebook will supply a handy precis for urologists, fundamental care physicians and nurse practitioners
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Prime urologists and specialist experts assessment and summarize for relations practitioners the most recent considering how top to judge, diagnose, and deal with all of the most typically encountered urological stipulations. themes mentioned diversity from urinary tract infections in young children and adults to the assessment and therapy of hematuria, kidney stones, benign prostatic hyperplasia (BPH), interstitial cystitis, and prostatitis.
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Extra resources for An illustrated pocketbook of prostatic diseases
Increase in severity of symptoms, reduced urinary flow rates and larger prostate volumes are all associated with an increased risk of acute urinary retention (modified with permission from Jacobsen et al. 34) Significantly, men with larger prostates and (since PSA provides a reflection of total prostate epithelial cell volume) higher PSA values are more likely to develop complications of benign prostatic hyperplasia such as acute urinary retention or require benign prostatic hyperplasia-related surgery.
Figure 47 Collagen deposition has occurred between the smooth muscle cell bundles of the bladder detrusor muscle. This phenomenon is seen as part of the bladder response to the gradual development of obstruction (Masson trichrome) 48 AN ILLUSTRATED POCKETBOOK OF PROSTATIC DISEASES Figure 48 Secondary effects of obstructive benign prostatic hyperplasia include bladder wall hypertrophy with diverticula and bladder stone formation. The development of ureteric dilatation and bilateral hydronephrosis is less frequently seen Progressive development of benign prostatic hyperplasia As suggested by Berry and colleagues30 on the basis of autopsy studies, benign prostatic hyperplasia is generally a gradually progressive disease that commences in men who are around 40 years of age.
It should be recalled, however, that many factors other than benign prostatic hyperplasia can affect bladder function as men age (Figure 46). Figure 44 A retrograde urethrogram showing a stricture of the bulbar urethra. e. transitional zone enlargement with concomitant increase in overall gland volume), lower urinary tract symptoms, and bladder outflow obstruction Figure 46 Although benign prostatic hyperplasia is the most common cause of lower urinary tract symptoms (LUTS), many other factors play a role AN ILLUSTRATED POCKETBOOK OF PROSTATIC DISEASES 47 Although bladder wall hypertrophy, which develops in response to the increased effort required during voiding, is associated with an increase in size and strength of detrusor smooth muscle bundles, there is also infiltration by collagen (Figure 47) and a relative depletion of parasympathetic nerve endings.
An illustrated pocketbook of prostatic diseases by Roger S. Kirby MD FRCS(Urol) FEBU