Case Studies in Benign Prostatic Hyperplasia

Overview

Through the use of reliable symptom-documentation instruments and stat e-of-the-art, multichannel videourodynamic studies, crucial questions about men's lower urinary tract symptoms (LUTS) and their relationship with underlying pathophysiology can be examined methodically and scie ntifically. Each of the 41 studies presented in Case Studies in BPH pu ts the patient and his symptoms into context, describing the patient's urological history and results of physical examinations, presenting t he patient's voiding ...

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Overview

Through the use of reliable symptom-documentation instruments and stat e-of-the-art, multichannel videourodynamic studies, crucial questions about men's lower urinary tract symptoms (LUTS) and their relationship with underlying pathophysiology can be examined methodically and scie ntifically. Each of the 41 studies presented in Case Studies in BPH pu ts the patient and his symptoms into context, describing the patient's urological history and results of physical examinations, presenting t he patient's voiding diary, and depicting the results of a variety of different urodynamic examinations with the use of traces and photograp hs. Didactic analyses of the data by Dr Blaivas at the end of each stu dy give the reader instruction and a solid basis for further discussio n and consideration of future clinical trials. This book is an essent ial addition to the libraries of all medical professionals engaged in the research and treatment of men suffering from LUTS, urologists-in-t raining and urological specialists.

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Product Details

  • ISBN-13: 9781901865622
  • Publisher: Taylor & Francis
  • Publication date: 4/28/2001
  • Edition number: 1
  • Pages: 332
  • Product dimensions: 5.80 (w) x 8.20 (h) x 0.83 (d)

Meet the Author

[MD FACS Urology] - Director, URO Center of New York
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Table of Contents

Acknowledgements
Introduction: Lower urinary tract symptoms (LUTS) in men
1 KM: 49-year-old. Prostatic obstruction treated with alpha-blockers
2 RM: 40-year-old. Prostatic obstruction and detrusor instability masquerading as prostatitis in a young man
3 MD: 73-year-old. Impaired detrusor contractility due to bladder diverticulum
4 RB: 40-year-old. Prostatic obstruction evolving from an acontractile bladder and chronic urinary retention treated for years with intermittent catheterization followed by TURP
5 RD: 52-year-old. Nocturia caused by prostatic obstruction and nocturnal urine overproduction
6 AM: 55-year-old. Prostatic obstruction, and detrusor instability treated with TUNA leading to amelioration of obstruction, but persistent detrusor instability
7 SJ: 64-year-old. Prostatic obstruction, low bladder compliance, hydronephrosis
8 AF: 70-year-old. Post-prostatectomy incontinence, mild but bothersome, treated conservatively
9 AK: 42-year-old. Vesical neck obstruction in a highly symptomatic young man treated at first medically, then surgically
10 RP: 74-year-old. Severe detrusor instability treated with augmentation cystoplasty
11 LG: 69-year-old. Detrusor instability without obstruction
12 MM: 25-year-old. Borderline bladder neck obstruction versus impaired detrusor contractility. Treated with tamsulosin
13 RS: 49-year-old. BPH natural course
14 AB: 81-year-old. Prostatic obstruction, detrusor instability, vesicoureteral reflux and Parkinson's disease successfully treated with TURP
15 MP: 81-year-old. Learned voiding dysfunction versus detrusor instability
16 SS: 67-year-old. Severe prostatic obstruction and detrusor instability in a patient with localized prostate cancer treated with radical prostatectomy
17 PV: 75-year-old. Prostatic obstruction, prostate cancer treated with anti-androgens and alpha-blockers
18 PD: 56-year-old. Prostatic obstruction, detrusor instability unsuccessfully treated with alpha-blockers. Treated with suprapublic prostatectomy
19 SW: 72-year-old. Postprostatectomy incontinence treated with GU sphincter
20 AC: 45-year-old. Bladder neck obstruction. Treated with transurethral incision of the bladder neck
21 GH: 68-year-old. Diabetes, prostatic obstruction, detrusor instability. Treated with transurethral resection of the prostate
22 FS: 59-year-old. Prostatic obstruction, detrusor instability bladder diverticula
23 Ad: 69-year-old. Radiation-induced prostatic urethral obstruction and detrusor instability
24 FN: 68-year-old. Prostatic obstruction, detrusor instability, bladder diverticulae, treated with TURP
25 MS: 53-year-old. Prostatic obstruction which failed alpha-blockade and TUNA
26 JM: 72-year-old. Large capacity bladder, prostatic obstruction, polyuria
27 AS: 77-year-old. Detrusor-external sphincter dyssynergia following transurethral resection of the prostate. Treated with oxybutynin and intermittent self-catheterization
28 CC: 82-year-old. LUTS in an elderly man with detrusor instability treated with anticholinergics, behaviour modification and pelvic floor exercises
29 JM: 63-year-old. Prostatic obstruction treated with intermittent catheterization for 14 years, then suprapubic prostatectomy
30 GM: 59-year-old. Postprostatectomy incontinence and anastomotic stricture
31 JC: 78-year-old. Impaired detrusor contractility, detrusor instability, nocturia
32 JS: 80-year-old. Prostatic obstruction, detrusor instability, diminished functional bladder capacity, nocturnal polyuria
33 BS: 85-year-old. Detrusor instability, impaired detrusor contractility and Parkinson's disease. Treated with oxybutynin
34 WM: 54-year-old. Detrusor instability, prostatic obstruction, polyuria, nocturnal polyuria, cerebrovascular disease
35 DS: 81-year-old. Detrusor instability, treated with alpha-blockers
36 TM: 66-year-old. Prostatic obstruction, nocturia, diabetes mellitus
37 DW: 75-year-old. Irritative LUTS: distinguishing detrusor-external sphincter dyssynergia from learned voiding dysfunction
38 EJ: 75-year-old. Impaired detrusor contractility; disparity between voided volumes and cystometric bladder capacity
39 MI: 43-year-old. Diminished bladder compliance, detrusor-external sphincter dyssynergia due to epidural abscess
40 PW: 78-year-old. Impaired detrusor contractility, post-laminectomy epidural haematoma
41 PS: 50-year-old. Multiple sclerosis and prostatic obstruction, treated with oxybutynin and condom catheter
Index
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