Doody's Review ServiceReviewer: Aaron A. Sulman, MD (Case Western Reserve University)
Description: This book provides an overview of urology, including a concise descriptive guide with necessary information for diagnosing and treating a breadth of urologic disorders. It is divided into two sections. The first describes the workup and teatment of common presentations and the second describes selected urologic topics in greater detail.
Purpose: It is intended to be a source of clinical information aimed primarily at medical students and house officers and it presents a discussion of the nonsurgical aspects of assessing, diagnosing, and treating urologic problems. The book aims to provide a summary of the fundamentals of urology. Its objectives are worthwhile by providing a concise, comprehensive overview of virtually all major aspects of urology. This is of geat utility to medical students and residents as it provides quick reading and is an easily accessible pocket reference in contrast to the multitide of lengthier comprehensive books which are not always accessible in an acute clinical situation. The author clearly meets this objective.
Audience: Medical students and residents are the intended audience. The content is well suited to medical students and is an excellent reference to be used by junior urology residents. The author is a credible authority on the subject matter he covers in this book.
Features: The book covers most presenting complaints seen by urologists, with the first half of the book discussing presentations, appropriate workups, differential diagnoses, and management. The second portion of the book involves a more in-depth discussion of selected topics. For example, in the first half of the book, the section on scrotal masses reviews the presentation, workup, and treatment of testicular torsion, testicular tumors, inguinal hernias, epididymitis, hydroceles, paratesticular tumors, and varicoceles. An effective table is included to aid in developing and narrowing down a differential diagnosis. In the second half of the book, testicular cancer is one of 20 selected topics discussed. The author discusses pathology, tumor markers, staging, workup, and treatment of different forms of testicular cancer. Although a multitude of topics are addressed, the author covers urinary calculi, urothelial cancers, and genitourinary tract anomalies particularly well and this discussion is very comprehensive within the limits of this brief book. A feature that sets this book apart from others is the manner in which it is divided into two primary sections. The first, Chief Presentations, takes the reader through the workup and management of common urologic complaints, and the second, Selected Topics, provides a more in-depth description of specific urologic issues such as renal failure, testicular cancer, and urologic diagnostic techniques. One shortcoming is the absence of references. This is done for the sake of brevity and there is a helpful list of suggested readings at the end of the book. However, specific references or suggested readings at the end of each chapter would be useful since topics are not all covered in great detail.
Assessment: This is a good book that accomplishes its goal of providing an excellent overview in the brief format required for it to be a quick pocket reference for medical students and urology residents. It is a useful practical guide although it requires the reader to do some separate in-depth reading from other sources. The updates are necessary in order to reflect changes in both diagnoses and treatments that have evolved since the second edition was published in 1995.