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The Operative Standards for Cancer Surgery manuals provide evidence-based recommendations for the proper technical conduct of cancer surgery. Presented by the American College of Surgeons, Operative Standards for Cancer Surgery: Sarcoma, Adrenal, Neuroendocrine, Peritoneal Malignancies, Urothelial, Hepatobiliary helps surgeons distill the latest evidence into best practices and techniques that lead to improved outcomes. Focused on the steps between skin incision and skin closure, this manual is an invaluable resource for surgical oncologists and general surgeons alike.

Although the condition of fistula is universal, this new book addresses not only obstetric fistulas that have been the most studied, but also those that affect men and those related to specific situations such as kidney transplantation. We also make the first formal publication on fistulas present in transgender patients, which have never been studied before. The book is organized in an accessible way and with collaboration of leaders in the field who contribute their knowledge and fully updated experience.

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 volume highlights and broadens our understanding of the correct use and the possible contraindications of contrast agents applied in radiology. Written by experts in the field, it not only focuses on the chemistry, physiochemical properties and pharmacokinetics of both iodinated and gadolinium-containing contrast agents, but also on the relevant safety issues such as frequency of their short- and long-term side effects and ways to avoid them nephrotoxicity risk related to the iodinated contrast agents NSF (nephrogenic systemic fibrosis) accumulation of gadolinium in the brain use of contrast agents in pediatric patients and pregnancy It also includes essential data on the use of contrast agents, such as scanning protocols, in the context of various clinical conditions. This comprehensive manual addresses all professionals involved in radiological imaging and is an invaluable tool for radiologists and technologists, as well as for residents and clinicians.

This updated volume provides a concise evidence based overview of the field of contemporary urological practice. There are new chapters covering urologic imaging, the upper tract urothelial carcinoma, the treatment of adult male hormonal disorders, the management of urethral stricture disease, and the treatment of renal cancer. The anatomy and physiology of the urinary tract, the basis and principles for development of urologic diseases, and the evaluation and management of urologic diseases are also covered. Urologic Principles and Practice is relevant for practicing urologists, urology trainees, allied health professionals, medical students, and researchers.

This unique textbook – the first of its kind – presents a thoughtful and comprehensive discussion of the significance of varicocele and its impact on male fertility. This hot topic is covered from a multitude of angles in seven thematic sections: origin and pathophysiology, clinical evaluation, medical and surgical therapy, controversies, pro and con debates, and clinical case scenarios. The scope of varicocele includes basic and transitional research, genetics, diagnostic testing with conventional and advanced molecular biology approaches, hormonal control, interventional therapy and assisted reproductive technology (ART). Repair of varicocele, which can be carried out by various methods, not only alleviates oxidative stress‐associated infertility but also prevents and protects against the progressive character of varicocele and its consequent upregulations of systemic oxidative stress. Even with the advances in the understanding of this intriguing disease and consensus on some areas such as diagnosis and pathophysiology, substantial controversy still exists, in particular concerning the benefits of treatment and to whom treatment should be offered. Additional chapters discuss, in depth, such controversies surrounding the role of varicocele in male infertility and present clinical case scenarios dealing with management of subclinical and clinical varicocele. A series of editorial comments is provided by the editors at the end of selected chapters, containing an objective and concise summary of the information from each chapter. In addition, chapters open up with key points for quick references and conclude with multiple choice questions and answers for immediate review and retention of the rich content. Generously illustrated, Varicocele and Male Infertility: A Complete Guide represents an invaluable tool for medical students in reproductive medicine as well as researchers and clinicians working in the field of infertility(e.g., urologists, gynecologists, reproductive endocrinologists, and embryologists) and is comprised of chapters written by leading and internationally recognized clinicians and scientists with expertise in varicocele, skillfully edited by leaders in the field.

This is the second edition of a well-received book reflecting the state of the art in oncologic imaging research and promoting mutual understanding and collaboration between radiologists and clinical oncologists. It presents all currently available imaging modalities and covers a broad spectrum of oncologic diseases for most organ systems. Today, oncologic imaging faces the challenge of improving and refining concepts for precise tumor delineation and biologic/functional tumor characterization, as well as for purposes of creating individual treatment plans. The concept of radiomics has further advanced the conversion of images into mineable data and subsequent analysis of said data for decision-making support. Since the release of the book's first edition, radiomics has been introduced in oncology studies and can be performed with tomographic images from CT, MRI and PET/CT studies. The combination of radiomic data with genomic features is known as radiogenomics, and can potentially offer additional decision-making support. This book will be of interest to clinical oncologists with regard to the diagnosis, staging, treatment and follow-up on various tumors affecting the CNS, chest, abdomen, urogenital and musculoskeletal systems.

This updated volume provides a comprehensive guide to the recent developments of digital and intelligent technologies related to genitourinary surgery. New topics include the adaptation of simulators, training programs, standardized credentialing, evidence-based practice, as well as the economics of robotic surgery. The impact on public and global health is also covered. Robotics in Genitourinary Surgery aims to help surgeons and patients adopt the techniques and procedures discussed, and in turn educate and expand research activities within the field.

This textbook summarizes the state of the art in the management of locally advanced and metastatic prostate cancer with the aim of providing the knowledge required for optimal treatment decision making in individual cases. Readers will find comprehensive coverage of the latest developments in surgery, radiotherapy, androgen deprivation therapy (ADT), chemotherapy, and immunotherapy. The role of the hormonal therapies abiraterone and enzalutamide and docetaxel-based chemotherapy in castration-resistant prostate cancer and hormone-sensitive metastatic disease is carefully evaluated. Among the other therapies discussed are LHRH agonists and antagonists, cabazitaxel, radium-223, and various novel agents still under clinical trials. The section on surgical approaches addresses, among other topics, the use of robot-assisted radical prostatectomy, pelvic lymphadenectomy, and the benefits of adjuvant and neoadjuvant therapy. The current role of external beam radiotherapy, alone or in combination with ADT and brachytherapy, for locally advanced disease is reviewed. Management of Advanced Prostate Cancer will be a valuable resource for practitioners at all levels of expertise.

This book offers a detailed description of various forms of urinary diversions, including the ileal conduit, orthotopic neobladder, and a variety of continent cutaneous diversions with specific focus on the techniques of reconstruction, appropriate patient selection, and management of common complications. The book also includes chapters on management of complications encountered with various forms of diversion. There are also chapters devoted to quality of life following urinary diversion and well as future perspectives. Urinary Diversion will be of great value for the urologist in training or in practice who wishes to not only expand the repertoire of urinary diversions offered to patients but also refine techniques of managing common complications.

Now in a completely revised and expanded third edition, including six new chapters, this user-friendly textbook offers a succinct overview of both the medical and surgical management of reproductive disorders, as well as coverage of associated imaging modalities. Included here are updated chapters on major reproductive endocrinology and infertility issues, such as polycystic ovary syndrome (PCOS), pubertal disorders, amenorrhea, menopause, management of endometriosis and fibroids (including interventional radiology), laboratory and clinical aspects of assisted reproductive technologies (ART), imaging modalities such as ultrasonography and sonohysterography, and hysteroscopic and laparoscopic techniques. New chapters include an expansion of female infertility and fertility, preimplantation diagnosis and screening, osteoporosis, and contraception and sterilization. In addition, each chapter opens with a clinical case presentation and a list of keywords relevant to the topic at hand. Residents, fellows, and new clinicians of obstetrics and gynecology interested in reproductive endocrinology and infertility will find Clinical Reproductive Medicine and Surgery: A Practical Guide a valuable and focused reference.

A resource that combines oncologic principles with treatment plans for the surgical management of neoplasms Textbook of General Surgical Oncology is a practical and comprehensive reference that offers authoritative coverage of a wide variety of oncologic concepts and disorders. The book opens with detailed discussion of the general principles of molecular biology, cancer epidemiology, surgical oncology, radiation oncology, medical oncology, immunotherapy, nuclear imaging, and molecular diagnostics. The text then focuses on site-specific neoplasms, such as those of the skin, soft tissue, bone, head/neck, brain, lung, mediastinum, breast, pleura, peritoneum, as well as tumors that affect various systems, including the endocrine, gastrointestinal, hepatobiliary, genitourinary, gynecologic, and hematopoietic. · Each chapters is written by an internationally recognized expert on the topic · Learning aids include chapter-ending Q&A and Practical Pearls · Outstanding review for the new General Surgical Oncology certification examination

The topics covered in this book have been specifically chosen to give guidance to surgeons established in practice and those embarking on their careers. Examples include the changing management in the treatment of the catastrophic abdominal wall, perianal Crohn's disease in the biological era, decision making in rectal cancer that responds to radiotherapy, and the assessment of outcomes in colorectal cancer surgery. Recent years have seen the introduction of technical advances with respect to robotics in colorectal surgery and trans-anal total meso-rectal excision, and which are rapidly becoming established in clinical practice. Chapters also cover those aspects of colorectal practice, which are common to all, and provide guidance on management of topics including complications of radiotherapy, management of pouch dysfunction and iatrogenic complications in pelvic cancer surgery.

This evidence-based, state of the art guide to the management of urological malignancies, including bladder cancer, prostate cancer, and testicular cancer, is designed to serve as an easy-to-consult reference that will assist in daily decision making and the delivery of optimal care for individual patients within a multidisciplinary setting. Readers will find up-to-date information on patient selection and the full range of treatment modalities, including modern radiotherapy techniques, systemic chemotherapy, surgical procedures (including robotic surgery and other minimally invasive approaches), hormonal therapies, immunotherapy, and focal therapies. With regard to radiotherapy, the coverage encompasses everything from delineation of tumor volumes and organs at risk based on CT simulation through to delivery of stereotactic body radiotherapy, intensity-modulated radiation therapy, tomotherapy, volumetric modulated arc therapy, and proton therapy. The authors are leading authorities with international reputations who have been selected for their expertise in the topic that they address. The book will be of value for all practicing urooncologists as well as other oncology fellows and residents interested in urooncology.

Featuring contributions by an international team of the world's experts in urology and gynecology, this fourth edition reinforces its status as the classic comprehensive resource on female urology and urogynecology and an essential clinical reference in the field.

Improve your imaging interpretation skills for the most commonly encountered surgical conditions The goals of Acute Care Surgery: Imaging Essentials for Rapid Diagnosis is help acute care surgeons, general surgeons, and surgical trainees develop the skills necessary to efficiently work up and diagnose critical surgical disease. This unique text opens with practical guidelines for understanding and interpreting the key imaging modalities employed in acute care surgery. In-depth discussions of acute surgical conditions follow, with emphasis on workup, diagnosis, and imaging pattern recognition. Each clinical chapter opens with a case scenario, followed by detailed discussion of pathophysiology, diagnosis, and management, and includes multiple annotated examples of ultrasound, plain film, CT, and MRI findings. Acute Care Surgery: Imaging Essentials for Rapid Diagnosis follows a logical systems-based organization, consisting of: Radiology Basics Abdomen Chest Soft Tissue Trauma Acute Care Surgery: Imaging Essentials for Rapid Diagnosis also provides expert guidance on how to select the correct imaging modality for the most efficient diagnosis and treatment. This text will aid trainees and surgeons to hone the skills they need to manage acute surgical patients when expediency matters most.

The new series A-Z Notes in Radiological Practice and Reporting provides practical guides for residents and general radiologists, organized alphabetically, primarily according to disease or condition, permitting easy and fast consultation. All booklet are designed so as to cover a large spectrum of topics referring to different anatomical regions of interests. The present booklet offers a reliable assistance during the performance and reporting of multidetector row computed tomography and magnetic resonance imaging in patients with urogenital conditions. Entries typically include a short description of pathological and clinical characteristics, guidance on selection of the most appropriate imaging technique, a schematic review of potential diagnostic clues, and useful tips and tricks. Some helpful illustrations and schemes are also included.

Based on the experience of two Italian referral centers, the book depicts the characteristic findings obtained when using MR imaging to study the male and female pelvis including the obstetric applications. Each chapter provides a comprehensive account of the use of the imaging technique of examination, including the most recent advances in MR imaging, the anatomy and MR possibilities in the identification, characterization and staging of the different pelvic diseases highlighting its diagnostic possibilities. The advances in fetal MRI, representing the cutting edge of pelvic MR imaging, will also be depicted. The text is complemented by numerous illustrations, as well as clinical cases that make this a very practice-oriented work, presenting the role of diagnostic imaging in every-day clinical activity. The volume will prove an invaluable guide for both residents and professionals with core interest in gynecology, obstetrics and urology.

Complementary & Alternative Medicine (CAM) for Prostate/Urologic Health is designed to capture and clinically review the comprehensive database of clinical research articles that support and do not support the utilization of a variety of dietary supplements and other complementary medicines that physicians are exposed to in their daily practice. This is a critical distinction between this book and any other CAM Complementary & Alternative Medicine for Prostate and Urologic Health is designed to capture and clinically review the comprehensive database of clinical research articles that support and do not support the utilization of a variety of dietary supplements and other complementary medicines that physicians are exposed to in their daily practice. This is a critical distinction between this book and any other Complementary & Alternative Medicine (CAM) books published to date. Each section of the book provides an easy to reference guide into the topic of interest for the individual that works in urology. The various sub-specialty groups in urology are adequately represented, which allows for a physician to rapidly and thoroughly investigate their topic of interest regardless of whether it is fertility, bladder cancer, or prostate disease. Rather than having to sort through the now thousands of articles published yearly on CAM in medicine, this volume focuses first on the specialty and secondarily how it compares to the overall CAM literature. Each chapter includes a summary page that will allow the physician a rapid review of the subject with a patient, colleague or student.The practical nature of this book in urology also cannot be overstated. Chapters include a general overview of the CAM agent, whether or not it has data in medicine and urology, and a list of potential drug interactions and specific clinical scenarios where it can be utilized or discouraged in the specialty. Complementary &Alternative Medicine for Prostate and Urologic Health represents a gold standard text for use in teaching, not only for the students interested in the urologic field but for all current urologic health providers.

Clinical Reproductive Medicine and Surgery offers a succinct overview of both the medical and surgical management of reproductive disorders, as well as coverage of associated imaging modalities. The book includes chapters on major reproductive endocrinology and infertility issues such as polycystic ovary syndrome and amenorrhea, management of endometriosis and fibroids (including interventional radiology), imaging modalities such as ultrasonography and sonohysterography, preservation of fertility, and recurrent pregnancy loss. Residents, fellows, and practitioners interested in reproductive endocrinology and infertility will find this focused and practical text invaluable.

With the increased incidence of HPV-related genital diseases, including premalignant and malignant penile lesions, urologists and practitioners in general face numerous difficult challenges when attempting to diagnose genital lesions correctly. Despite the importance of genital lesions in the male, there are few books on the subject in the English medical literature. Male Genital Lesions will serve as an invaluable aid to the differential diagnosis of sexually transmitted infections, benign dermatological genital lesions, and premalignant and malignant genital disorders. More than 700 high-definition full-color figures of common disease presentations are included, with legends describing real clinical cases. The illustrations are supported by a concise, up-to-date text that describes etiology, pathology, clinical manifestations, laboratory tests, and treatment options for the individual diseases.

While MRI has proved itself to be an excellent diagnostic noninvasive modality for imaging of the brain, medulla, and musculoskeletal system due to its high intrinsic con­ trast resolution and tissue characterisation potential based on the judicious application of specific sequences, this has not been the case in the abdomen and pelvis. The reasons are the long exposure time and the lower spatial resolution, inherent to MRI. However, during recent years considerable process has been achieved in MRI of the abdominal and pelvic organs due to the development of new and more rapid imaging sequences and the routine clinical application of specific magnetic resonance contrast media. Consequently for some anatomical areas such as the female genital organs and the biliary system MRI is already the best performing morphological diagnostic modality. However, the question arises as to wether MRI, given its performance capabilities, should not also be considered a primary diagnostic modality for the study of parenchymal organs like the liver, spleen, and pancreas, and not merely as a complen­ tary modality to solve residual problems after ultrasonography and computed tomog­ raphy have been performed. Although the future role of MRI in respect of the gas­ trointestinal tube itself is still somewhat unclear, some possibilities for routine clinical use are becoming visible even in this abdominal field.

The advent of spiral CT has brought about a major breakthrough in abdominal imaging. This volume, written by US and European experts in the field, is designed to provide detailed information on all pertinent aspects of the technique. Introductory chapters examine image acquisition and processing, but the main focus is on clinical applications. The key pathologies of each abdominal organ system in which spiral CT has resulted in a major diagnostic improvement are discussed in depth and richly illustrated. Attention is paid to the choice of the parameters for imaging and automated contrast material injection, tailored to each specific organ and to the most common clinical conditions. The advantages and drawbacks of spiral CT are carefully appraised relative to other imaging modalities, particularly Doppler sonography and MRI. The concluding chapters are devoted to topics such as abdominal trauma, spiral CT in children, and CT-guided interventional procedures.

Uroradiology is an up-to-date, image-oriented reference in the style of a teaching file that has been designed specifically to be of value in clinical practice. All aspects of the imaging of urologic diseases are covered, and case studies illustrate the findings obtained with the relevant imaging modalities in both common and uncommon conditions. Most chapters focus on a particular clinical problem, but normal findings, congenital anomalies, and interventions are also discussed and illustrated.In this second edition, the range and quality of the illustrations have been enhanced, and many schematic drawings have been added to help readers memorize characteristic imaging findings through pattern recognition. The accompanying text is concise and informative. Besides serving as an outstanding aid to differential diagnosis, this book will provide a user-friendly review tool for certification or recertification in radiology.

Radiology of the Female Pelvic Organs represents the third text in Erich K. Lang's trilogy which includes the previously published titles Radiology of the Upper Urinary Tract and Radiology of the Lower Urinary Tract. This volume provides a comprehensive review of diseases of the female pelvic organs. The clinical picture and pathology are well covered, but of course the emphasis is on imaging of the female pelvic organs and on the interventional procedures used to treat maladies of these organ systems. The current volume departs from the preceding two works in that the major empha­ sis is on the new modalities of MRI, CT, and ultrasonography, including color Doppler. Professor Lang has brought together the foremost experts from around the world in each of the specific areas of radiology of the female pelvic organs. Special skills devel­ oped in each radiologic community are lucidly described. Several chapters describe the relative roles of the different new modalities and give guidance to the clinician in choosing the most appropriate imaging technique. The volume not only discusses diagnosis and staging but places a major emphasis on therapy and the evaluation of the effectiveness of various therapeutic modalities. The extensive literature citations catalog the experience of the experts worldwide and are not limited to any specific geo­ graphic area. This volume truly confirms that medicine has become a global effort with experts from throughout the world offering their own unique contributions.

This book is an ideal introduction to the use of radiology in imaging diseases of the liver, gallbladder and biliary system, pancreas, spleen, and gastrointestinal tract. Each of the ten chapters is devoted to a particular organ and contains ten illustrated case reports drawn from clinical practice. Common clinical situations and indications for imaging are reviewed, and clear descriptions are provided of the various imaging techniques that will assist in resolving diagnostic and therapeutic dilemmas. This book is recommended for medical students, residents, and inexperienced abdominal radiologists.

Urinary Tract Stone Disease covers the entire subject of urinary stone disease from basic sciences to medical and surgical treatment of stones. The surgical management of urinary stone disease has advanced significantly since the introduction of shock wave lithotripsy (SWL), percutaneous nephrolithotomy (PCNL), ureteroscopy (URS), and more recently retrograde intra-renal surgery (RIRS) with small, flexible fibre-optic ureteroscopes. As a result, “cutting for stones” has become a rare procedure. These minimally invasive techniques are now also used in the paediatric population with great safety and success. This book consists of 60 chapters divided into nine sections. The first three sections are devoted to basic sciences on subjects ranging from epidemiology of urinary calculi, to shock wave physics. The fourth section deals with diagnostic, laboratory, and research methods in the diagnosis and investigation of stones. Stone disease in children is dealt with in chapter five, followed by three sections on surgical management of stones. Finally, there is an entire section on medical management of stones. With highly illustrated diagrams, photographs, and X-ray images throughout, this book is an excellent reference for urologists, nephrologists and non-medical scientists.

La presente pubblicazione dedicata alla patologia non oncologica dell'Apparato Urogenitale nasce da un'idea del nucleo storico degli Uroradiologi italiani, in particolare del Prof. Antonio Rotondo, i quali si occupano da anni dell'argomento e che, sotto l'egida della Sezione di studio di radiologia urogenitale, hanno coinvolto autori, giovani e meno giovani, ma comunque rappresentativi degli addetti ai lavori, esperti di questa branca specialistica. Il testo intende fornire informazioni sullo stato dell'arte, che possano essere utili nella clinica, sia a chi pratica quotidianamente la disciplina sia a chi se ne occupa saltuariamente. L'opera è corredata da una ricca e significativa iconografia così come da schemi di semplificazione, che consentono di accedere rapidamente ai concetti fondamentali delle varie problematiche.

Infertility is a widespread medical condition. As new technologies emerge, the rate at which our understanding of reproductive medicine grows can be overwhelming. The Biennial Review of Infertility provides the most up to date advances, ideas, and controversies together in one volume. Due to the distinctive nature of infertility, a panel of well-respected experts strives to present each chapter in a clear manner, specifically focused on evidence-based medicine. The Biennial Review of Infertility presents a balanced view of clinically relevant existing information for the evolving areas. Created to provide an ongoing appraisal of current knowledge, the Biennial Review of Infertility motivates communication amongst all those working to help couples resolve their infertility.

Advanced Imaging of the Abdomen bridges the interface between the referring clinician and radiologist on the unusual clinical presentation or imaging finding and explores imaging approaches to solve a particular problem. Emphasis is given to choice of imaging procedures, expected diagnostic yield, discussion of pertinent imaging findings and possible differential diagnosis. Aimed at the clinician-radiologist interface, as a guide for both, it also provides the practicing radiologist with a reference for the unusual or unique imaging finding in the abdomen. The book includes extensive lists, tables and illustrations comprising ultrasonography, computed tomography, magnetic resonance images, scintigraphy and other imaging modalities. This book is invaluable to the clinician (internist, gastroenterologist, general surgeon, urologist and related specialist) looking for guidance on an up-to-date imaging modality and any discussion with a radiologist in order to arrive at a proposed imaging approach.

La'cultura geriatrica'- intesa come conoscenza e dominio dei processi di invecchiamento - non ha avuto ancora piena affermazione in campo medico-sanitario. Questo comporta che il più delle volte non si sappia distinguere a pieno il limite tra il fisiologico e il patologico che distinge l'anziano sano con gli inevitabili'acciacchi'dovuti all'invecchiamento da quello abbisognevole di supporti sanitari e/o assistenziali. Finora si è spesso trattato l'anziano con la cultura dell'adulto, molto diversa da quella geriatrica, con il risultato di considerare malato anche chi ha solo il torto di dimostrare i propri anni. In sostanza, mentre le età della crescita e della piena efficienza sono ben conosciute nei loro aspetti normali e patologici, non altrettanto avviene per l'età della decadenza, per la quale ci si avvale impropriamente di un altro metro di valutazione. Il risultato inevitabile di tutto questo è che gli interventi di supporto per la terza età possono essere scorretti, così come l'impiego delle risorse umane e finanziare ad essa destinate. I vincoli economici sempre più stretti da un lato e il progressivo allargamento della popolazione anziana dall'altro rendono ormai ineludibile l'affermarsi di una vera e propria'cultura geriatrica'non solo in campo diagnostico radiologico ma anche in tutte le altre discipline specialistiche. Quest'opera vuole andare in questa direzione.