Материал: Oxford American Handbook of Urology ( PDFDrive )

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non-stone, urological causes, 17

nonurological causes, 17–18

chronic flank pain, 18 nonurological causes, 19 urological causes, 18

urological and nonurological flank pain, 18

Flavoxate, 82

Flexible ureteroscopes, 378–9, 646

technique, 646 Flomax, 390–1

Fluid restriction, 100 Fluorescent in situ

hybridization (FISH), 254–5

Fluoroquinolones, 144, 145, 148–9, 158–9

Focal bone pain, 243 4-glass test, 167

Fournier gangrene, 160–1 diagnosis, 160 presentation, 160 treatment, 160–1

Fowler syndrome, 91, 104–5 Free-to-total (F:T) ratio, 200 Frontal lobe lesions, bladder

dysfunction in, 525 Fructose, 472–4

G

Gabapentin, 163 Gamete intrafallopian

transfer (GIFT), 481 Gemcitabine, 265 Genital filariasis, 179 Genital symptoms, 22–3

priapism, 23 scrotal pain, 22

testicular tumors, acute presentations of, 22–3

Genital tract, differentiation of, 553

Gentamicin, 158–9, 160–1, 164, 168, 520–1, 574 Germ cell tumors (GCT),

188–9, 300

Gleason score, 212, 213 Glomerular filtration rate

(GFR), 663–4 Glycine, 592

Gonococcal urethritis (GU), 140–1

Granulomatous prostatitis, 170

Greenlight Laser Prostatectomy, 87

Groin, lumps in. See Lumps in groin

Gross hematuria, 422, 426 Guide wires, 590–1 Gunshot injuries, 420

H

Helical CT, 50 Hematospermia, 8–9

causes, 8 examination, 8 investigation, 8 treatment, 8–9

Hematuria, 36

Hematuria, macroscopic, 68 Hematuria I, 2

definition, 2 microscopic/dipstick

hematuria, 2 Hematuria II, 4–7

common causes, 4 and cystoscopy, 5–6

diagnostic cystoscopy, 5 further investigation, 6–7 medical (nephrological), 4 surgical (urological), 4 upper tract imaging

study, 6

urological investigation, 5 Heme test, urine dipsticks

test for, 2 Hemoglobin, 36 Hemorrhage

after circumcision, 618 during pyeloplasty, 650 after TURP, 612–13 after TURBT, 615

Hemorrhagic shock, 580 Hemospermia. See

Hematospermia Hemostasis, 88–9 Heparin, 577–8 Hereditary papillary RCC

(HPRCC), 279 Hernia, 30

High-dose radiation (HDR), 228–9

High-flow priapism, 23 High-grade prostatic

intraepithelial neoplasia (HGPIN), 190, 193

High-intensity focused ultrasound (HIFU), 85, 227, 230–1

High-pressure chronic retention (HPCR), 102

acute treatment, 102 definitive treatment, 102

High-pressure sphincter, 508, 518

High-riding prostate, 442 HIV in urological surgery,

180–1 diagnosis, 180

INDEX 677

needle stick injury, 181 pathogenesis, 180 urological sequelae, 180–1

Holmium laser, 598–600, 598, 599

Holmium laser enucleation of the prostate (HoLEP), 86–7

Holmium laser prostatectomy, 86–7

Holmium laser resection of the prostate (HoLRP), 86–7

Holmium-only laser ablation of the prostate (HoLAP), 86–7

Hopkins rod-lens system, 606

Hormone assay, in male infertility, 472, 473, 476–7

Hormone therapy, 232 additional therapies, 238–9 androgen deprivation,

mechanisms of, 234–6 androgen-independent/

castration-resistant disease, 240–1

castration-resistant prostate cancer, 241

cytotoxic chemotherapy, 240–1

early versus delayed hormone therapy, 238

hormone dependence of prostate cancer, 233

intermittent hormone therapy, 238

monitoring treatment, 238 prognostic factors, 233 second-line hormone

therapy, 240 Horseshoe kidney, 348, 349 HPC-1 gene, 9

Human chorionic gonadotrophin, 299

Hunner’s ulcer, 173 Hydatid disease, 178 Hydrocele, 31, 32, 620 Hydronephrosis, 41, 406–8

bilateral, 408 causes, 409 diagnostic approach,

406–8 management of, 522 of pregnancy, 402, 536 ultrasound, 406 unilateral, 407

Hyoscyamine, 511

Hypercalcemia, 362 Hypercalciuria, 356, 362 Hyperchloremic acidosis,

641

678 INDEX

Hypernephroma. See Renal cell carcinoma (RCC)

Hyperoxaluria, 362 Hypertension and renal

injury, 429 Hyperuricosuria, 362 Hypocitraturia, 362 Hypofractionation, 226–7 Hypospadias, 550–1 Hypothalamic–pituitary–

testicular axis, 466, 467

I

Iatrogenic renal injury, 429 IL-2 (Aldesleukin), 9

Ileal conduit, 266, 640–1 complications, 266 indications, 640 postoperative care

and common post-operative complications and management, 640–1

procedure-specific consent form, 641

Ileal loopogram, 48 Imipramine, 122, 492, 569 Impotence

causes, 489 evaluation of, 488–9 treatment, 490–1 Incontinence, C4 causes and

pathophysiology,

112–13 classification, 110–1

mixed urinary incontinence, 110–1

nocturnal enuresis, 110–1

overflow incontinence, 110–1

post-micturition dribble, 110–1

stress urinary incontinence (SUI), 110–1

urge urinary incontinence (UUI), 110–1

definition, 110

in elderly patient, 132 management, 132 prevalence, 132 transient causes

(DIAPPERS), 132 evaluation, 114–15 investigation, 114–15

bladder diaries, 114 blood tests, X-ray

imaging, cystoscopy, 114

screening tests, 115

presentation, evaluation,

sphincter

and treatment, 168–9

electromyography

pyonephrosis, 153

(EMG), 115

pyonephrosis and

urodynamic

perinephric abscess,

investigations, 115

150

mixed incontinence, 126

recurrent urinary tract

in neuropathic patient,

infection, 142–5

518–19

septicemia and urosepsis,

causes, 518

156–9

empirical treatment,

tuberculosis, 176–7

518–19

urinary tract infection,

investigations, 518

134–7

overactive bladder (OAB)

antimicrobial drug

conventional treatment,

therapy, 146

122

bacterial resistance to

options for failed

drug therapy, 146

conventional therapy,

bacterial virulence,

124–5

factors increasing,

physical examination, 114

138–9

post-prostatectomy

complicated, 138

incontinence, 128–9

definitive treatment,

prevalence, 110

146–7

sphincter weakness

host defenses, 139

incontinence,

route of infection, 138

treatment of

uncomplicated, 138

artificial urinary

xanthogranulomatous

sphincter, 120–1

pyelonephritis, 152–3

injection therapy, 116

Infertility

pubovaginal slings, 118

azoospermia, 476–8

retropubic suspension,

definition, 470

117

etiology and evaluation,

vesicovaginal fistula (VVF),

470–1

130–1

lab investigation, 472–6

Indinavir, 358–9

male reproductive

Indwelling catheters, 511

physiology, 466–8

Infections and inflammatory

hypothalamic–pituitary–

conditions

testicular axis, 466

acute pyelonephritis, 148–9,

mature sperm, 466–8

153

spermatogenesis, 466

chronic pyelonephritis,

testosterone, 466

154

oligospermia, 476

emphysematous

treatment options, 480–1

pyelonephritis, 152,

assisted conception, 481

153

assisted reproductive

epididymitis and orchitis,

techniques (ART),

162–3

481

Fournier gangrene, 160–1

medical treatment, 480

granulomatous prostatitis,

surgical treatment,

170

480–1

HIV in urological surgery,

varicocele, 478–80

180–1

Inguinal hernia, 30, 32

interstitial cystitis, 172–4

Inguinal lymphadenectomy,

lower urinary tract

320

infection, 140–1

Injection therapy, for urinary

parasitic infections, 178–9

incontinence, 116

of penis, 182–3

Insulin-like growth factor

perinephric abscess,

type 1 (IGF-), 39

153, 164

Interferon A-2b, 9

prostatic abscess, 170

Intermittent catheterization

prostatitis

(IC), 516

epidemiology and

Intermittent hormone

classification, 166–7

therapy, 238

 

 

INDEX

679

Intermittent self-

Keratotic balanitis, 310–3

potential complications

 

catheterization (ISC),

Kidney, enlarged

unique to, 652

 

511

characteristics and causes

procedure specific

 

Internal (optical)

of, 24

consent forms, 653

 

urethrotomy, 107

Kidney stones

Laser lithotripsy, 376, 646

 

International Germ Cell

characteristics of stone

Laser prostatectomy, 86–7

 

Cancer Collaborative

types, 367

Lasers, in urological surgery,

 

Group (IGCCCG), 303

dissolution therapy, 384–5

598–600

 

International Prostate

epidemiology, 356–7

Laser treatment, 378–9

 

Symptom Score (IPSS),

evaluation of stone

for intrarenal stones, 646

 

11, 10–3, 68, 70, 74–5

former, 366–7

Leiomyoma/sarcoma, 321

 

Interstitial cystitis, 172–4

metabolic evaluation,

Leiomyosarcoma, 188–9

 

associated disorders, 172

366–7

Leukocyte esterase, 136

 

epidemiology, 172

risk factors, 366

Leukoplakia, 310–3

 

evaluation, 172–4

extracorporeal lithotripsy

Levofloxin, 162–3

 

pathogenesis, 172

(ESWL), 372–3

Leydig cells, 466

 

treatment, 174

factors predisposing to

LHRH agonists, 234, 235

 

Interstitial laser

specific stone types,

Lidocaine, 96–7

 

prostatectomy (ILP), 86

362–4

Liposarcoma, 321

 

Intracavernosal therapy, 490

calcium oxalate, 362

Liver, enlarged

 

Intracytoplasmic sperm

calcium phosphate, 363

characteristics and causes

 

injection (ICSI), 481

cystine, 364

of, 24

 

Intraperitoneal perforation,

struvite, 363

Localized prostate cancer

 

444, 447

uric acid, 362–3

(T1–2), 196. See also

 

Intratubular germ cell

flexible ureteroscopy and

Prostate cancer

 

neoplasia (IGCN),

laser treatment, 378–9

management of, 215

 

294, 308

fragmentation,

brachytherapy (BT),

 

Intraurethral therapy, for

intracorporeal

228–9

 

impotence, 490

techniques of

cryotherapy and high-

 

Intrauterine insemination

electrohydraulic

intensity focused

 

(IUI), 481

lithotripsy (EHL), 374

ultrasound (HIFU),

 

Intravenous contrast media,

laser lithotripsy, 376

230–1

 

44–6

pneumatic (ballistic)

external beam

 

Intravenous pyelography

lithotripsy, 374

radiotherapy (EBRT),

 

(IVP), 6, 44–6

ultrasonic lithotripsy,

226–7

 

films and phases, 44–6

374–5

general principles, 215

 

uses, 46

mechanisms of formation,

watchful waiting and

 

Intravenous urography

360

active surveillance,

 

(IVU). See Intravenous

open stone surgery, 383

216–17

 

pyelography (IVP)

percutaneous

Locally advanced bladder

 

Intrinsic sphincter deficiency

nephrolithotomy

cancer, 264–5

 

(ISD), 21

(PCNL), 380

Locally advanced cancer

 

In vitro fertilization (IVF),

presentation and

(T3–4), 196

 

481

diagnosis, 368

Locally advanced

 

IPSS. See International

treatment options, 370–1

nonmetastatic prostate

 

Prostate Symptom Score

types and predisposing

cancer, management,

 

(IPSS)

factors, 358–9

232

 

Isolated urinary tract

watchful waiting, 370–1

external beam

 

infection, 134–5

Klebsiella, 542

radiotherapy (EBRT),

 

Isoniazid, 258–9

Knife and gunshot wounds,

232

 

Isotope renogram, 546

458

hormone therapy, 232

 

Ivermectin, 179

KTP laser, 87

palliative treatment of

 

 

 

locally advanced

 

J

L

disease, 232

 

watchful waiting/active

 

JJ stents, 392, 393, 594–7,

Lactate dehydrogenase

surveillance, 232

 

Loin pain. See Flank pain

 

630–1, 595

(LDH), 299

 

Long-term catheterization,

 

 

Laparoscopic

 

 

516–17

 

K

prostatectomy, stages in,

 

Lower urinary tract (LUT),

 

219–20

 

 

 

innervation of, 500–3

 

Kaposi sarcoma, 310

Laparoscopic surgery, 652–3

afferent innervation of

contraindications to, 652

Kegel exercises, 222–3

bladder, 500–1

 

 

 

680INDEX

motor innervation of bladder, 500

parasympathetic, 500 sympathetic, 500

sensory innervation of urethra, 503

somatic motor innervation of urethral sphincter, 501

Lower urinary tract infection, 140–1

noninfective hemorrhagic cystitis, 140

urethral syndrome, 141 urethritis, 140–1

Lower urinary tract symptoms (LUTS), 10–3, 68, 70–1, 72–3, 242

and acute urinary retention, 72–3

and benign prostatic hyperplasia (BPH)

clinical practice guidelines, 70

digital rectal examination (DRE) and PSA, 70

flow rate measurement, 70

post-void residual urine volume (PVR), 70 pressure-flow studies, 71

renal ultrasonography, 71

serum creatinine, 70 bothersome symptoms, 72 causes, 10–3

and prostate cancer, 72 uncomplicated, 74–5

Low-flow (ischemic) priapism, 23

Low-pressure sphincter, 508, 518

Lumps in groin, 30–1 diagnosis, determining, 30 enlarged inguinal lymph

nodes, 30 femoral aneurysm, 31 hydrocele of cord, 31 lipoma of cord, 31 psoas abscess, 31 saphena varix, 30

undescended testis, 31 Lumps in scrotum, 32–4 diagnosis, determining, 32–4

differential diagnosis, 32 Luteinizing hormone (LH),

233

Luteinizing hormone– releasing hormone (LHRH), 228, 233

side effects, 236 Lycopene, 244 Lymphadenopathy, 319

Lymphatic filariasis, 179 Lymph nodes, enlarged

inguinal, 30 Lymphocele, 222, 634 Lymphoma management,

309

M

Macroscopic (gross) hematuria, 2

MAG3 renogram, 52–3 description, 52–3 phases, 52

uses, 53

Magnetic resonance imaging (MRI), 6, 50–1

Male posterior urethral injuries, 448

Male reproductive physiology, 466–8

hypothalamic–pituitary– testicular axis, 466

mature sperm, 466–8 spermatogenesis, 466 testosterone, 466

Malignant ureteral obstruction, 463

bilateral ureteric obstruction, 463

immediate treatment, 463

unilateral obstruction, 463

Malrotation, of kidney, 350, 351

Marshall–Marchetti–Krantz (MMK) procedure, 117

Mature sperm, 466–8 Maximal androgen blockade

(MAB), 240 Meares-Stamey test, 167 Medtronic InterStim

therapy, 105 for nocturia, 100

Medullary cystic disease, 558 Medullary sponge kidney

(MSK) definition, 336

differential diagnosis, 336 investigation

biochemistry, 336 intravenous pyelogram

(IVP), 336 pathology, 336 presentation, 336 prevalence, 336 treatment, 337

Metabolic abnormalities, 268 Metastatic bladder cancer,

265

Metastatic disease, 196, 233, 319

Methotrexate, vinblastine, adriamycin, and cisplatin (MVAC), 264

Methylene-disphosphonate (MDP), 53

Metronidazole, 160–1

Microhematuria, 426

Microscopic/dipstick hematuria, 2

Micturition, physiology of, 504–5, 660

Midstream specimen of urine (MSU)

dipstick of, 140–1 microscopy of, 140–1

Midstream urine specimen (MSU), 534

Mitomycin C (MMC), 254, 258

Mitoxantrone, 240–1 Mitrofanoff procedure, 104,

266–8

Mixed incontinence, 126 definition, 126 investigation and

management, 126 SUI component, 126

Mixed urinary incontinence (MUI), 20, 110–1

MR urography (MRU), 388, 403–4

M stage of prostate cancer, 208

MTOPS study (Medical Therapy of Prostatic Symptoms), 80–1

Multicystic dysplastic kidney (MCDK), 558–9

Multidetector computed tomography urography (MDCTU), 6

Multilocular cystic nephroma, 559

Multiple sclerosis (MS), bladder dysfunction in, 524

Multiple system atrophy (MSA), bladder dysfunction in, 524–5

Mumps orchitis, 163 Muscle-invasive bladder

cancer. See also Bladder cancer

bladder preservation, 260–2

locally advanced bladder cancer, 264–5

metastatic bladder cancer, 265

palliative treatment, 263 partial cystectomy, 260–2 radical cystectomy,

260–2

radical cystectomy with urinary diversion, 260–2

efficacy of, 262

major complications, 261 postoperative care,

261–2 procedure, 261 salvage radical

cystectomy, 261–2 radical external beam

radiotherapy, 263

N

National Cancer Institute (NCI), 194

National Comprehensive

Cancer Network (NCCN), 216–17 Nd:YAG laser beam, 87

Needle biopsy, 274–5 Neobladder, 266–8 Neoplasia, urological

benign renal masses, 276–7

bladder cancer diagnosis and staging,

254–5 epidemiology and

etiology, 246 pathology and staging,

248–51 presentation, 252 urinary diversion after

cystectomy, 266–8 localized prostate cancer

management brachytherapy (BT),

228–9 cryotherapy and high-

intensity focused ultrasound (HIFU), 230–1

general principles, 215 radical external beam

radiotherapy (EBRT), 226–7

radical prostatectomy, 218–20

watchful waiting and active surveillance, 216–17

locally advanced nonmetastatic prostate cancer, management, 232

muscle-invasive bladder cancer

locally advanced bladder cancer, 264–5

metastatic bladder cancer, 265

 

INDEX

681

palliative treatment, 263

free-to-total (F:T) ratio,

 

 

radical external beam

200

 

 

radiotherapy, 263

and prostate cancer,

 

 

surgical management of

198–9

 

 

localized (pT2/3a)

and prostate cancer

 

 

disease, 260–2

screening, 194

 

 

neuroblastoma, 329

velocity, 200

 

 

pathology and molecular

radical prostatectomy,

 

 

biology, 188–9

218–20

 

 

penile neoplasia

postoperative course

 

 

benign tumors and

after, 222–3

 

 

lesions, 310, 311

prostate cancer control

 

 

epidemiology, risk

with, 224–5

 

 

factors, and

radiological assessment of

 

 

pathology, 314–16

renal masses, 274–5

 

 

premalignant cutaneous

renal cell carcinoma

 

 

lesions, 310–3

active surveillance, 286

 

 

viral-related lesions, 310

epidemiology and

 

 

prostate cancer

etiology, 278–9

 

 

clinical presentation, 196

management of

 

 

control, with radical

metastatic disease,

 

 

prostatectomy, 224–5

292–3

 

 

epidemiology and

pathology, staging, and

 

 

etiology, 190–1

prognosis, 280

 

 

grading, 212

presentation and

 

 

incidence, prevalence,

investigations, 284

 

 

and mortality, 192

surgical treatment,

 

 

palliative management

288–9, 290

 

 

of, 242–3

retroperitoneal fibrosis,

 

 

premalignant lesions, 193

326–7

 

 

prevention,

scrotum, carcinoma

 

 

complementary and

of, 320

 

 

alternative therapies,

squamous cell carcinoma

 

 

244–5

(SCC), of penis,

 

 

risk stratification in

318–19

 

 

management of, 214

superficial UC

 

 

staging, 206–8

management

 

 

transrectal

adjuvant intravesical

 

 

ultrasonography and

chemotherapy and

 

 

biopsies, 202–3

BCG, 258–9

 

 

prostate cancer, advanced

transurethral resection

 

 

additional therapies,

of bladder tumor

 

 

238–9

(TURBT), 256

 

 

androgen deprivation,

testicular adnexa, tumors

 

 

mechanisms of,

of, 321

 

 

234–6

testicular cancer

 

 

early versus delayed

clinical presentation,

 

 

hormone therapy,

296–8

 

 

238

epidemiology and

 

 

hormone dependence of

etiology, 294

 

 

prostate cancer, 233

intratubular germ cell

 

 

intermittent hormone

neoplasia (IGCN),

 

 

therapy, 238

308

 

 

monitoring treatment,

lymphoma management,

 

 

238

309

 

 

prognostic factors, 233

metastatic germ cell

 

 

prostate cancer screening,

cancer, prognostic

 

 

counseling before, 195

staging system for, 303

 

 

prostatic-specific antigen

nonseminomatous

 

 

(PSA)

germ cell tumors

 

 

density, 200

(NSGCT),

 

 

doubling time (PSADT),

management of,

 

 

200

304–7

 

 

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