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Doody's Review ServiceReviewer: David L. McCullough, MD (Wake Forest University School of Medicine)
Description: This urologic surgery book is divided into eight parts covering general considerations, complications of urologic therapy (nonsurgical), surgical, endourology, retroperitoneal, pelvic, reconstructive surgery, and pediatric urologic surgery. The section on therapy deals with nonsurgical therapies and makes the title a slight misnomer. This updates the version last published in 1990.
Purpose: The purpose is to serve as a source of education for the young surgeon, a source of new ideas for the experienced surgeon, and a source of innovation for the advancement of urologic surgery. The objectives are worthy ones. The authors meet their objectives with an exhaustive, well-referenced text.
Audience: The book is written for urology residents and practitioners of urology. In my opinion, anesthesiologists and pediatric surgeons may also find the text helpful, as well as risk management personnel and attorneys for plaintiffs and defendants. Resident physicians rotating on urology services will find the text most helpful. A copy of the text might also find use in busy emergency and/or radiology departments as a reference. The individual chapter authors are, in general, widely recognized as experts in their assigned topics.
Features: Apart from coverage of urologic surgical complications, systemic manifestations are covered as well as medicinal, immunologic, and radiotherapeutic treatments. The surgical complications portions are the most interesting and helpful parts of the book. However, the chapters on anesthetic, pulmonary, hematologic, and cardiac complications, as well as those of various therapies are helpful. They bring together information in a convenient way which is often difficult to find from disparate sources. References are exhaustive and encyclopedic. However, the most recent ones are generally at least three years old. Example: The most recent brachytherapy reference is 1997; in the plastic, cosmetic surgery of penis chapter, there is a 1999 reference.
Assessment: This is a very complete book and one which should be on the shelf of those who perform urologic surgery or care for these patients or those who monitor such care. The type is of sufficient size to make reading easy. The book might be better if there were a few more illustrations, but then it would require two volumes. The title is a misnomer — it should be called Urologic Complications since it deals with nonsurgical complications as well. There is little written about complications in the urologic literature. Complications are painful to experience, to report, or endure. This book serves a useful purpose in filling the gaps in one's residency training for those who have not (hopefully) previously witnessed all of these complications. Complications are often the inciting factor in litigation. One is well served to be knowledgeable about their etiologies, rates, and management. Much new knowledge is presented in this text 11 years after the previous edition.