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Doody's Review ServiceReviewer: David O. Staats, MD (University of Oklahoma Health Sciences Center)
Description: This is a multiauthored international textbook of geriatric medicine and gerontology specific to men.
Purpose: Its purpose is to cull what is known specifically about the aging and illnesses of men. This is a useful point of view and the authors address it thoroughly.
Audience: The audience here is fairly broad. The readership includes geriatricians, gerontologists, urologists, endocrinologists, psychologists, and psychiatrists.
Features: The book is divided into 12 sections and an epilogue. The beginning chapters are on the biology of aging and the clinical approach to the older patient. Subsequent chapters are thorough discussions of the genitourinary system, sexual dysfunction, and endocrinology of the aging male. The remaining chapters deal with specific organ systems in men. In an international, multiauthored book such as this there is a fair amount of duplication among the chapters.
Assessment: This book is a Herculean labor. It not only gives the intellectual history of aging in men —going back to biblical times — but also describes fascinating details of the state of the art. Nestled into the biology of aging section is a marvelous discussion of the blood-brain barrier and aging, relevant to Alzheimer's disease research and pharmacology. This is but one of many gems in this tome. Why men don't live as long as women still eludes us. The book is not afraid to tackle controversial areas, such as testosterone and growth hormone replacement therapy. All in all, this is a useful contribution to the field.