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CURRENT CLINICAL UROLOGY

Hadley M. Wood Dan Wood

Oprawa:
MIĘKKA

Wydawca:
Springer International Publishing

ISBN:
9783319346519

595,14 PLN
Wysyłamy w 28 dni

Opis produktu

Transitional Urology is designed to fill a critical gap that exists in the published literature by comprehensively addressing the urological challenges facing adolescents and adults with complex congenital anomalies of the genitourinary system. It provides a valuable resource to pediatricians and pediatric urologists facing urological management issues beyond their expertise in their aging patients as well astechnical guidance to adult urologists who may have had little or no experience caring for patients with a congenital condition. This work will service as a field guide to congenitalism providing a how toŁ approach to guide the urologist using real clinical examples for the most common and challenging urological problems encountered. It also provides a framework for the transition process from pediatric to adultcentered care with a special emphasis on the multidisciplinary nature needed to provide patientcentered care. Specific conditions that require special consideration including myelomeningocele exstrophy posterior urethral valves and hypospadias are highlighted. Topics considered common in the general urology practice like infertility and sexual dysfunction areaddressed within the context of patients with neurological or anatomical complexity. In addition this text reviews urological complaints for which basic clinical algorithms are wellestablished within the context of a congenitallyabnormal bladder.Chapters discuss how and when special testing like video urodynamnics and positional fluoroscopy may be warranted to provide critical diagnostic guidance. The text also review how typical agerelated urological phenomena like elevated PSA hypogonadism and BPH may present in this subset of patients and how treatment of these conditions may be different than the generaThe basics. The transition process: Initial assessment and defining goals and development of the multidisciplinary team. Approach to the myelodysplasia patient. Approach to the exstrophy patient. Approach to the posterior urethral valve patient. Approach to the hypospadias cripple. Genital/urethra. Sexual function/fertility in myelodysplasia. Male (ejac/erectile). Female (incl POP). Revision genitoplasty sexual function fertility and pelvic organ prolapse in exstrophy + management of pregnancy. Natural history of adults with hypospadias + urethral reconstruction fertility and chordee in hypospadias. Issues in the longterm management of adolescents and adults with disorders of sexual differentiation (management of gonads genital reconstruction late presentation of the undiagnosed DSD). Lower tract problems in adulthood for patients with bladder reconstructions. New or escalating recurrent UTIsTBD. Progressive renal deterioration distinguishing urological from nephrological causes. Include nephrology input on renal protection. New or worsening incontinence. Troubleshooting urostomies (leakage/stenosis) indications for and approaches to revision surgery. Canc

Wymiary: 4962 gr 178 mm 254 mm

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