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Doody's Review ServiceReviewer: Mark D Stovsky, MD, MBA, FACS (University Hospitals of Cleveland)
Description: This is a general review monograph that attempts to provide brief but informative discussions regarding the pathophysiology and management of common clinical urology problems.
Purpose: The authors attempt to provide a clinically useful guide for "junior doctors, trainees in urology/surgery, consultant urologists, urology nurse practitioners, urology ward and theatre nurses and general practitioners." These are worthy objectives. However, as might seem obvious, providing a single monograph that appeals to each of these constituent groups is a formidable task.
Audience: In my mind, the book is written for nurses and medical students to provide a broad understanding of general urologic management concepts. The book is probably not useful for urology surgery trainees or practitioners as much of the information provided is either outdated or written in terms that are too rudimentary for anything other than a quick review. The book may be useful for general practitioners, but many of the chapters include outdated information and, unless the practitioner is well informed, the risk of transmission of this data to patients may lead to erroneous treatment decisions.
Features: The book covers broad descriptions of urologic pathophysiology and disease management divided into subspecialty category headings. It covers several evidence-based topics well. Particularly substantive are the discussions of prostate cancer epidemiology, staging, and outcomes data and urinary tract trauma. The descriptions of topics including BPH minimally invasive therapy and the initial management of prostate cancer are outdated and incomplete. For example, in the management of BPH, treatments such as TULIP and VLAP are included even though they are not generally performed in modern clinical practice. Greenlight vaporization is omitted completely and data for holmium vaporization are, in my opinion, misleading (e.g. HoLAP only suitable for small prostate sizes). In addition, I have no idea what the statement "... ILP have been succeeded by holmium prostatectomy..." means as interstitial laser coagulation remains a viable option in the U.S. and is generally performed on a different patient population than the holmium/greenlight procedures. To provide another example, the prostate cancer management chapter provides a reasonable discussion of the radical retropubic prostatectomy but omits any review of laparoscopic/ robotic prostatectomy and radical perineal prostatectomy. A final example relates to the urinary stone chapter where I would have appreciated a more systematic and complete description of the metabolic evaluation and management of recurrent stone formers. For instance, the method of evaluation of patients using 24-hour urine random, restricted diet and fasting studies is poorly described. Further, in my practice, medical therapy incorporates more than just "stone dissolution therapy." Also, the management descriptions are poorly ordered. For instance, bladder stone disease should really be placed in the bladder outlet obstruction section and the management of ureteral stones in pregnancy should be part and parcel of the description of ureteral stone management in general, not separate from it. Finally, I found the chapter reference lists to be brief and, in many cases, outdated, particularly in the BPH section.
Assessment: This book really serves a nonurology practitioner audience such as nurses and medical students who desire brief, general descriptions of urologic disease management. The book is probably not useful for urologists in practice or urology residents in training who need a more up-to-date, detailed review of the topics presented.