By Chris Dawson, Hugh Whitfield
Urological difficulties surround quite a lot of either distressing and possibly existence threatening stipulations and the variety of basic perform shows is becoming speedily because of the expanding age of the inhabitants. either trustworthy and accomplished, the second one variation of the ABC of Urology offers a completely up-to-date and revised advisor to the speciality which highlights the hot advances during this region. Concentrating in particular at the therapy and prognosis of the commonest stipulations, the emphasis is on shared care, the place the abilities of the first care crew are utilized in conjunction with clinic referral.This concise, well-illustrated and hugely useful textual content will give you the ideal reference for common practitioners and perform nurses, in addition to junior medical professionals dealing with sanatorium referrals.
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Extra resources for ABC of Urology (ABC Series)
The photograph showing testicular exploration and sperm extraction is courtesy of Suks Minhas, and the photograph of Peyronie’s disease is courtesy of Mr David Ralph. Clinical picture of androgen decline in ageing men ● ● ● ● ● ● ● Decreased sexual desire and erectile quality Decreased intellectual capacity (depression or fatigue) Decreased lean body mass Decreased bone mineral density Decreased body hair and skin alterations Decreased visceral fat Increase in abnormal sleep patterns Further reading ● ● ● ● National Institute for Clinical Excellence.
Complexed prostate specific antigen is more stable in extracted blood samples and may give more reliable results than levels of free prostate specific antigen. 5 ABC of Urology Second Edition Edited by Chris Dawson and Hugh N Whitfield © 2006 Blackwell Publishing Ltd. ISBN: 978-1-405-13959-5 Localised disease Options: Active surveillance Radical prostatectomy External beam radiotherapy Brachytherapy Locally advanced Options: Radiotherapy with or without hormone therapy Metastatic Options: Active surveillance if small metastases Hormone therapy Diagnosis and management of prostate cancer Counselling patients who request a prostate specific antigen test ● ● ● ● ● Although the test for prostate specific antigen itself is innocuous, the consequences of an increased level of prostate specific antigen may be more considerable A level of prostate specific antigen higher than the age specific reference range requires a transrectal ultrasound and biopsy of the prostate, as long as no contraindications exist The biopsy procedure has known complications of haematuria, haemospermia, and rectal bleeding.
Furthermore, if transurethral resection of the prostate is needed after brachytherapy, it may be very difficult and also is more likely to lead to postoperative incontinence. ● ● Potential advantages of brachytherapy over radical prostatectomy or external beam radiotherapy ● ● ● High intensity focused ultrasound and cryotherapy These two treatments are mentioned for completeness but are still largely experimental. High intensity focused ultrasound is undergoing clinical trials in the United Kingdom, and further data on safety and efficacy are awaited.
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