oxford-handbook-of-urology

Oxford Handbook of Urology

By: John Reynard, Simon Brewster, Suzanne Biers

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Paperback : 816 pages
Publisher : Oxford University Press, USA (4/6/2013)
ISBN - 10 : 0199696136
ISBN - 13 : 9780199696130
Product Dimensions : 4.00 (w) x 7.10 (h) x 1.20 (d)
Subjects : Urology

About the author :

John Reynard is a consultant urological surgeon based in Oxford. He also provides a specialist neurourological service for patients with spinal cord injury at the National Spinal Injuries Centre at Stoke Mandeville Hospital. He has published widely in the field of neurourology. He teaches medical students from the University of Oxford Clinical Medical on a variety of topics and has written several books on urological subjects for both medical students and trainee surgeons.

Mr Simon F Brewster Bsc MD FRCS (Urol.) is Consultant Urological Surgeon and Clinical Director at the Churchill Hospital, Oxford, and Honorary Senior Lecturer in Surgery, Oxford University. His main clinical and research interest is prostate cancer, with over 50 journal publications and contributions in 3 textbooks. He is former Secretary of the British Prostate Group and Board member of the European Society of Oncological Urologists. Simon enjoys teaching students and junior doctors, and is a MB Finals examiner.

Suzanne Biers qualified from St. George's Hospital Medical School, London University in 1998, with a Bachelor of Science Degree (BSc Hons) in Physiology and Medical Sciences, and Bachelor of Medicine and Surgery Degrees (MBBS) with distinction in surgery. Basic surgical training was completed at Addenbrooke's Hospital in Cambridge. Urology training and a Doctor of Medicine (MD) postgraduate degree in Physiology and Pharmacology of the bladder was conducted at the Churchill Hospital, and the Oxford University Department of Pharmacology in Oxford. She was awarded the John Blandy Prize in 2007 from the British Association of Urological Surgeons (BAUS) and the British Journal of Urology International (BJU Int.) relating to research publications. Ms Biers is now a senior Urology Specialist Registrar in the Wessex Deanery, based in the south of England.



Urology continues to be one of the most rapidly advancing specialities. Approximately 20% of all surgical operations and a similar percentage of surgical emergencies are urological in nature. However, often doctors have very limited experience of the many common and varied conditions encountered in this important surgical specialty. For the doctor or nurse expected to provide the initial assessment and management of a condition with which he or she has had very limited experience, this handbook provides an invaluable source of information and advice.

Covering a wide spectrum of diseases and their treatment in the field of urology and surgical aspects of kidney, bladder, prostate and scrotal disorders, this handbook aims to give a brief overview of many different urological subjects including urological emergencies, cancers, infections, children's disorders and kidney stone disease. It is designed so that it can be quickly and efficiently accessed by a range of professionals involved in patient care, including medical students, nurses, surgical and urology doctors and general practitioners.

Thoroughly revised for the third edition, the Oxford Handbook of Urology covers all recent guidelines and criteria including the significant advances in medical and surgical options that are now available to patients; key papers and national recommendations in the field of neurourology; expanded information on medical therapy of bladder overactivity with relevant anticholinergic drug trials and evidence; and brand new information on the subject of urethral diverticulum. An invaluable tool relevant not only to specialist trainees and specialist registrars on urology and surgical rotations, but also to general practitioners, emergency staff and the growing number of urological specialist nurses.

From The Critics

Reviewer: Mark D Stovsky, MD, MBA, FACS(University Hospitals of Cleveland)
Description: This is a general review monograph that attempts to provide brief but informative discussions regarding the pathophysiology and management of common clinical urology problems.
Purpose: The authors attempt to provide a clinically useful guide for "junior doctors, trainees in urology/surgery, consultant urologists, urology nurse practitioners, urology ward and theatre nurses and general practitioners." These are worthy objectives. However, as might seem obvious, providing a single monograph that appeals to each of these constituent groups is a formidable task.
Audience: In my mind, the book is written for nurses and medical students to provide a broad understanding of general urologic management concepts. The book is probably not useful for urology surgery trainees or practitioners as much of the information provided is either outdated or written in terms that are too rudimentary for anything other than a quick review. The book may be useful for general practitioners, but many of the chapters include outdated information and, unless the practitioner is well informed, the risk of transmission of this data to patients may lead to erroneous treatment decisions.
Features: The book covers broad descriptions of urologic pathophysiology and disease management divided into subspecialty category headings. It covers several evidence-based topics well. Particularly substantive are the discussions of prostate cancer epidemiology, staging, and outcomes data and urinary tract trauma. The descriptions of topics including BPH minimally invasive therapy and the initial management of prostate cancer are outdated and incomplete. For example, in the management of BPH, treatments such as TULIP and VLAP are included even though they are not generally performed in modern clinical practice. Greenlight vaporization is omitted completely and data for holmium vaporization are, in my opinion, misleading (e.g. HoLAP only suitable for small prostate sizes). In addition, I have no idea what the statement " ... ILP have been succeeded by holmium prostatectomy..." means as interstitial laser coagulation remains a viable option in the U.S. and is generally performed on a different patient population than the holmium/greenlight procedures. To provide another example, the prostate cancer management chapter provides a reasonable discussion of the radical retropubic prostatectomy but omits any review of laparoscopic/ robotic prostatectomy and radical perineal prostatectomy. A final example relates to the urinary stone chapter where I would have appreciated a more systematic and complete description of the metabolic evaluation and management of recurrent stone formers. For instance, the method of evaluation of patients using 24-hour urine random, restricted diet and fasting studies is poorly described. Further, in my practice, medical therapy incorporates more than just "stone dissolution therapy." Also, the management descriptions are poorly ordered. For instance, bladder stone disease should really be placed in the bladder outlet obstruction section and the management of ureteral stones in pregnancy should be part and parcel of the description of ureteral stone management in general, not separate from it. Finally, I found the chapter reference lists to be brief and, in many cases, outdated, particularly in the BPH section.
Assessment: This book really serves a nonurology practitioner audience such as nurses and medical students who desire brief, general descriptions of urologic disease management. The book is probably not useful for urologists in practice or urology residents in training who need a more up-to-date, detailed review of the topics presented.

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