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This book combines concise descriptions of the various andrological surgical interventions in the adolescent and adult with detailed analysis of the pre- and postoperative psychosexual counseling of the patient and his family that is appropriate to each procedure. It offers a multidisciplinary approach to the candidate for andrological surgery that reflects the everyday experiences of an andro-sexology team. Each chapter focuses on a particular surgical procedure. Succinct description of the disease and its epidemiology, diagnosis, and treatment is followed by extensive discussion of all aspects of psychosexual relevance and the required counseling. Topics addressed include, for example, the impact of diagnosis, body image issues, fears relating to the surgical procedure and its outcome, the risk of excessive expectations and consequent disillusionment, relationship issues and communication problems, and the role of the sexologist. The analysis and guidance offered in this book will beof particular value to the less experienced andrologist and will assist in achieving postoperative patient satisfaction.

Dr. Zhao has assembled the top experts in the field of urology to present state-of-the-art clinical reviews devoted to Male Urethral Reconstruction and the Management of Urethral Stricture Disease. The issue is divided into three sections, with focus on evlaluation and follow up, urethroplasty technique, and conditions affecting outcomes. Authors have specifically addressed the following topics: Definition of successful treatment and optimal follow up in urethral strictures; Cost analyses for evaluation and treatment of urethral strictures; Sexual dysfunction after urethroplasty; Endoscopic treatment of urethral stricture; Endoscopic treatment for urethral stenosis; Patient selection for urethroplasty technique: EPA vs Graft; Effect of graft location in urethroplasty; Non-transecting urethroplasty; Urethroplasty for panurethral urethral stricture; Use of alternative graft material in urethroplasty; Effect of Lichen Sclerosis on success of urethroplasty; Treatment of radiation induced urethral strictures; Effect of artificial urethral sphincters on strictures; Urethral strictures after transgender surgery; and Management of urethral strictures after hypospadias repair. Readers will come away with the current clinical diagnosis and management strategies that they can employ immediately.

Since the publication of the first edition of Urethral Reconstructive Surgery, important refinements have been added to the urologic surgical armamentarium. Extensively revised and updated, Advanced Male Urethral and Genital Reconstructive Surgery, Second Edition guides urologists in a practical manner on how to evaluate and manage complex urethral and male genital reconstructive challenges. Chapters have been added on wound healing, synchronous urethral strictures, non-transecting anastomotic urethroplasty (including muscle and vessel sparing), overlapping buccal grafts, male urethral slings, genital skin grafting, Peyronie's surgery, priapism, pediatric strictures and prosthetics. Such chapters greatly strengthen the overall appeal of the book. The volume closes with a new comprehensive appendix of preferred instruments.With broad contributions by international authorities in reconstructive urologic surgery, Advanced Male Urethral and Genital Reconstructive Surgery, Second Edition is a valuable resource for all urologists, from residents to reconstructive surgeons.

Male genitourethral abnormalities are a source of great concern and distress to those affected. Surgery, when required, is very specialized and often extremely complex requiring expert surgical skills in order to achieve the best outcomes. Atlas of Male Genitourethral Surgery: The Illustrated Guideprovides urological surgeons, at all levels of experience from trainees to established specialists, with a full colour, highly illustrated and step-by-step approach to male genitourethral surgery, enabling complete mastery of surgical techniques in this difficult and challenging area. Full-color throughout and with over 430 high-quality images, this comprehensive atlas covers key areas of urologic surgery including: Surgery for penile curvature Urethral reconstruction and artificial urinary sphincters Penile and scrotal reconstruction Surgery for male infertility Surgery for erectile dysfunction Surgery for penile cancer Each chapter includes an introduction to the condition and its challenge, a step-by step guide to the surgical procedures applicable for that condition with surgical tips and tricks for improved techniques and outcomes. Brought to you by the world's leading experts in the field of genitourethral surgery, this outstanding book guides you through the most challenging of operations, helping you deliver high quality clinical care to your patients.

Written by internationally acclaimed specialists, Lower Abdominal and Perineal Surgery provides pertinent and concise procedure descriptions spanning benign and malignant problems and minimally invasive procedures. Complications are reviewed when appropriate for the organ system and problem, creating a book that is both comprehensive and accessible. Stages of operative approaches with relevant technical considerations are outlined in an easily understandable manner. Forming part of the series, Surgery: Complications, Risks and Consequences, this volume Lower Abdominal and Perineal Surgery provides a valuable resource for all general surgeons and residents in training. Other healthcare providers will also find this a useful resource.

In the last decade, physicians have witnessed a publication will serve as a stimulus to surgeons growing awareness of and concern with diseases of concerned with male reproductive disorders to in­ the male reproductive tract. Stimulated by this tensify their personal research attempts to develop interest, a refinement and re-evaluation of existing better therapy for diseases referable to the male reproductive system. It is finally hoped that this surgical techniques for treatment of male repro­ ductive disorders has been concurrently appreci­ publication will stimulate critical analysis of what ated. Rapid progress in this area has resulted we feel are currently accepted surgical modes of primarily from a cooperative effort from those therapy and to better promote a general inter­ specialists in the areas of microsurgery, medical change of clinical information referable to these and surgical oncology, endocrinology and neuro­ disorders. physiology, pathology, immunology, genetics and Those who have provided the text and illustra­ biochemistry. tions for this volume have contributed a significant As the surgical treatment of diseases and ab­ amount of work, and we hope that they feel their normalities of the male reproductive system has material has been well used. The editors also wish to expanded, so have the articles describing these often thank Mr.

This book discusses the evolution of the study of male reproductive system, its various dysfunctions, and the treatment related to it. The knowledge of anatomy and physiology forms the basis of the treatment and thus these have also been discussed. Reproductive function of a male broadly encompasses three interrelated and synergistic steps, the spermatogenesis (formation of sperms), and regulation of the male reproductive functions and performance of the male sexual act. Various hormones and other factors regulate the primary reproductive functions. The male sex hormones also exert their influence on the accessory sexual organs, cellular metabolism and on other functions of the body. Function of the primary sex gland in the males (testis) is controlled by a complex neurohumoral mechanism with its epicentre at the hypothalamic-pituitary axis. Erection and ejaculation, which constitute the delivery system, are controlled by the lumbosacral part of the spinal cord with complementary actions of sympathetic and parasympathetic nervous systems.