Table Of ContentHinman’s Atlas of
Urologic Surgery
Hinman’s Atlas of
Urologic Surgery
Third Edition
Joseph A. Smith, Jr., MD
William L. Bray Professor and Chairman
Department of Urologic Surgery
Vanderbilt University School of Medicine
Nashville, Tennessee
Stuart S. Howards, MD
Professor of Urology and Physiology
University of Virginia
Charlottesville, Virginia
Glenn M. Preminger, MD
James F. Glenn Professor and Chief
Urologic Surgery
Duke University Medical Center
Durham, North Carolina
Illustrated by William Winn, Atlanta, Georgia
1600 John F. Kennedy Blvd.
Ste 1800
Philadelphia, PA 19103-2899
HINMAN’S ATLAS OF UROLOGIC SURGERY, THIRD EDITION ISBN: 978-1-4160-4210-5
Copyright © 2012, by Saunders, an imprint of Elsevier Inc.
Copyright © 1998, 1992 by W.B. Saunders Company
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Notices
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ISBN: 978-1-4160-4210-5
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Printed in China
Last digit is the print number: 9 8 7 6 5 4 3 2 1
Dedication
The initial effort at producing a revised edition of Hinman’s
Atlas of Urologic Surgery was launched by Marty Resnick. It was
only one of many contributions Marty made to urologic surgery,
as he had an almost unparalleled impact on the specialty at
many levels. His academic productivity and accomplishments
significantly affected many aspects of patient care from
management of stone disease to treatment of prostate cancer.
He was an effective and visionary leader and served as President
of the American Board of Urology and the American Urological
Association. He functioned as editor of multiple publications including the Journal
of Urology. Most important, though, Marty was a friend. The editors of the third
edition of Hinman’s Atlas of Urologic Surgery are pleased and honored to dedicate this
text to the memory of Martin I. Resnick.
v
Contributors
Mark C. Adams, MD Demetrius H. Bagley, MD, FACS
Professor of Urology and Pediatrics The Nathan Lewis Hatfield Professor of Urology
Vanderbilt University Professor of Radiology
Monroe Carell Jr. Children’s Hospital at Vanderbilt Department of Urology
Nashville, TN Thomas Jefferson University
107: Colocystoplasty Philadelphia, PA
125: Ureteroscopic Management of Transitional Cell Carcinoma
David M. Albala, MD
Division of Urology Linda A. Baker, MD
Duke University Medical Center Professor of Urology
Durham, NC Director of Pediatric Research
135: Hand-Assisted Laparoscopic Surgery University of Texas Southwestern Medical
Center at Dallas
Jennifer T. Anger, MD
Pediatric Urologist
Department of Urology Children’s Medical Center at Dallas
UCLA Dallas, TX
Santa Monica, CA 16: Flaps in Hypospadias Surgery
113: Bladder Flap Repair (Boari)
Daniel A. Barocas, MD
Elizabeth Anoia, MD
Department of Urology
Department of Urology NewYork Presbyterian Hospital/Weill Cornell
Duke University Medical Center Medical Center
Durham, NC New York, NY
110: Principles of Ureteral Reconstruction 96: Ileal Conduit
Dean G. Assimos, MD John M. Barry, MD
Professor of Surgical Sciences Division of Urology
Vice-Chair of Academic Affairs Oregon Health & Science University
Department of Urology Portland, OR
Wake Forest University School of Medicine 143: Renal Transplant Recipient
Winton-Salem, NC
158: Open Stone Surgery: Anatrophic Nephrolithotomy Laurence S. Baskin, MD
and Pyelolithotomy Professor of Urology and Pediatrics
UCSF Children’s Hospital
Brian K. Auge, MD, FACS
San Francisco, CA
Clinical Associate Professor of Surgery 12: Basic Instructions for Hypospadias Repair
Uniformed Services University School of Medicine
Bethesda, MA Stephen Beck, MD
Staff Urologist Department of Urology
Director of Endourology and Stone Disease Indiana Cancer Pavilion
Naval Medical Center, San Diego Indianapolis, IN
San Diego, CA 60: Retroperitoneal Lymph Node Dissection
St. Luke’s Hospital System
Anthony J. Bella, MD, FRCSC
Mountain States Urology
Boise, ID Greta and John Hansen Chair in Men’s Health Research
123: Ureteroscopic Endoureterotomy Assistant Professor of Urology
Department of Surgery
Associate Scientist, Neuroscience
University of Ottawa
Ottawa, Canada
28: Penile Arterial Revascularization;
29: Procedures for Peyronie’s Disease
vii
viii CONTRIBUTORS
Jay T. Bishoff, MD, FACS William O. Brant, MD
Associate Clinical Professor Assistant Professor
Department of Surgery Department of Surgery
University of Utah School of Medicine University of Utah Urology
Salt Lake City, UT Salt Lake City, UT
Director of Urology 28: Penile Arterial Revascularization;
Intermountain Urological Institute 29: Procedures for Peyronie’s Disease
Murray, UT
John W. Brock III, MD
163: Laparoscopic Nephroureterectomy
Professor of Urologic Surgery
Trinity J. Bivalacqua, MD, PhD Professor of Pediatrics
Assistant Professor of Urology and Oncology Vanderbilt University
Johns Hopkins Medical Institutions Monroe Carell Jr. Professor
Johns Hopkins University School of Medicine Surgeon-in-Chief
Johns Hopkins Hospital Monroe Carell Jr. Children’s Hospital at Vanderbilt
Baltimore, MD Nashville, TN
30: Operations for Priapism 106: Ileocystoplasty
Jerry G. Blaivas, MD Joshua A. Broghammer, MD, FACS
Clinical Professor of Urology Assistant Professor
Cornell University-Weill Medical College Department of Urology
New York, NY University of Kansas School of Medicine
Adjunct Professor University of Kansas Medical Center
SUNY Downstate College of Medicine Kansas City, KS
Brooklyn, NY 31: Repair of Genital Injuries
36: Lateral Flap Urethral Reconstruction
Victor M. Brugh III, MD
Michael L. Blute, Sr., MD Assistant Professor
Professor of Surgery Eastern Virginia Medical School
Director, Cancer Center of Excellence Norfolk, VA
UMass Memorial Medical Center University Campus 50: Vasectomy
Worcester, MA
Jill C. Buckley, MD
151: Anatomy and Principles of Renal Surgery;
152: Simple Nephrectomy; Department of Urology
153: Radical Nephrectomy; Lahey Clinic
154: Partial Nephrectomy; Burlington, MA
155: Nephroureterectomy; 141: Repair of Renal Injuries
156: Extracorporeal Renal Surgery;
Travis L. Bullock, MD
157: Vena Caval Thrombectomy
Urology
Stephen Anthony Boorjian, MD Missouri Baptist Medical Center
Associate Professor St. Louis, MO
Mayo Clinic College of Medicine 94: Neuromodulation
Rochester, MN
Fiona C. Burkhard, MD
104: Ureterosigmoidostomy
Assistant Professor
Joseph Borer, MD Department of Urology
Department of Urology University of Bern
Children’s Hospital Boston Bern, Switzerland
Boston, MA 105: Ileal Orthotopic Bladder Substitution
17: Two-Stage Repair of Hypospadias
Arthur L. Burnett, MD, MBA
James F. Borin, MD Patrick C. Walsh Distinguished Professor
Assistant Professor of Surgery Johns Hopkins Medical Institutions
Director, Robotic Surgery Johns Hopkins University School of Medicine
Greenebaum Cancer Center: Genitourinary Oncology Johns Hopkins Hospital
University of Maryland Medical Center Baltimore, MD
Baltimore, MD 30: Operations for Priapism
160: Laparoscopic Transperitoneal Radical Nephrectomy
CONTRIBUTORS ix
Jeffrey A. Cadeddu, MD Edward Cherullo, MD
Professor of Urology and Radiology Department of Urology
UT Southwestern Medical School, Dallas University Hospitals of Cleveland
Dallas, TX Cleveland, OH
137: Renal Radiofrequency Ablation 77: Partial Cystectomy
Jeffrey B. Campbell, MD Alison M. Christie, MD
Associate Professor Assistant Professor of Clinical Urology
University of Colorado School of Medicine Department of Urology
Aurora, CO Eastern Virginia Medical School
161: Laparoscopic Heminephrectomy Norfolk, VA
Director of Robotic Surgery and Staff Urologic Surgeon
David Canes, MD
Naval Medical Center Portsmouth
Department of Urology Portsmouth, VA
Lahey Clinic 76: Transurethral Resection of Bladder Tumors
Burlington, MA
126: Laparoscopic Ureterolithotomy Peter E. Clark, MD
Department of Urology
Patrick C. Cartwright, MD
Vanderbilt University Medical Center
Pediatric Urology Development Nashville, TN
University of Utah School of Medicine 80: Pelvic Lymphadenectomy;
Salt Lake City, UT 81: Pelvic Exenteration
109: Autoaugmentation by Seromyotomy
Ralph V. Clayman, MD
Erik P. Castle, MD, FACS
Dean, School of Medicine
Associate Professor of Urology University of California, Irvine
College of Medicine Irvine, CA
Mayo Clinic Professor of Urology
Phoenix, AZ University of California Irvine Medical Center
Department of Urologic Oncology Orange, CA
Laparoscopic and Robotic Surgery 160: Laparoscopic Transperitoneal Radical Nephrectomy
Mayo Clinic
Phoenix, AZ Michael S. Cookson, MD, MMHC
84: Laparoscopic/Robotic Radical Cystectomy; Professor of Urologic Surgery
97: Laparoscopic/Robotic Ileal Conduit Patricia and Rodes Hart Chair in Urologic Surgery
Vanderbilt University Medical Center
Bradley Champagne, MD
Nashville, TN
Professor 65: Anatomy and Principles of Excision of the Prostate;
Associate Professor 66: Radical Retropubic Prostatectomy
University Hospitals Case Medical Center
Cleveland, OH Sean T. Corbett, MD
10: Closure of Bowel Lacerations Department of Urology
Division of Pediatric Urology
Sam S. Chang, MD, FACS
University of Virginia Health System
Professor Charlottesville, VA
Department of Urologic Surgery 55: Undescended Testis;
Vanderbilt University Medical Center 56: Reduction of Testicular Tension
Nashville, TN
78: Radical Cystectomy Raymond A. Costabile, MD
Department of Urology
Tony Y. Chen, MD
University of Virginia
Minimally Invasive Urology Institute Charlottesville, VA
Cedars-Sinai Medical Center 51: Vasovasostomy and Vasoepididymostomy
Torrance, CA
8: Methods of Nerve Block Rodney Davis, MD
Professor
Earl Y. Cheng, MD
Department of Urology
Professor of Urology Vanderbilt University
Children’s Memorial Hospital and The Feinberg Nashville, TN
School of Medicine at Northwestern University Adjutant Professor of Surgery
Northwestern University Meharry Medical College
Chicago, IL Nashville, TN
128: Endoscopic Incision of Ureterocele 84: Laparoscopic/Robotic Radical Cystectomy;
97: Laparoscopic/Robotic Ileal Conduit
x CONTRIBUTORS
Leslie A. Deane, MD Roger R. Dmochowski, MD, FACS
Assistant Professor Professor of Urology
Director of Laparoscopy, Endourology and Robotic Director
Urologic Surgery Female Pelvic Medicine Reconstructive Fellowship
Department of Urology Vanderbilt University School of Medicine
University of Illinois Nashville, TN
College of Medicine 32: Cecal Vagina;
Chicago, IL 86: Tension-Free Vaginal Tape/Suprapubic Midurethral Sling
160: Laparoscopic Transperitoneal Radical Nephrectomy Pubovaginal;
87: Transobturator Midurethral Sling;
Christopher B. Dechet, MD
90: Transvaginal Repair of Vesicovaginal Fistula;
Department of Urology 93: Female Vesical Neck Closure
University of Utah School of Medicine
Salt Lake City, UT Jack S. Elder, MD
79: Urethrectomy Department of Urology
Case Western Reserve University
John O. L. DeLancey, MD
Rainbow Babies Children’s Hospital
Department of Obstetrics and Gynecology Cleveland, OH
University of Michigan at Ann Arbor 52: Excision of Utricular Cyst
Ann Arbor, MI
38: Cystocele Repair, Enterocele Repair, and Rectocele Repair; Sean P. Elliott, MD
39: The Michigan Four-Wall Sacrospinous Suspension Assistant Professor
Urologic Surgeon
Romano T. DeMarco, MD
Department of Urology
Pediatric Urology University of Minnesota
Vanderbilt University Medical Center Minneapolis, MN
Nashville, TN 42: Reconstruction of Strictures of the Penile Urethra;
95: Vesicostomy 43: Reconstruction of Strictures of the Bulbar Urethra;
44: Reconstruction of Membranous Urethral Disruption Injuries
John D. Denstedt, MD, FRCS(C), FACS
Professor of Urology Donald A. Elmajian, MD, FACS
Division of Urology Professor of Urology
Department of Surgery Louisiana State University Health Sciences
Schulich School of Medicine and Dentistry Center—Shreveport
Western University Director of Urologic Oncology
London, Ontario, Canada LSU Health
145: Percutaneous Endopyelotomy Shreveport, LA
59: Radical Orchiectomy
Mahesh R. Desai, MS, FRCS
Department of Urology Amr Fergany, MD, PhD
Muljibhai Patel Urological Hospital Staff
Gujarat India Sections of Oncology, Laparoscopy and Robotics
146: Percutaneous Endopyeloplasty Cleveland Clinic
Cleveland, OH
Mihir M. Desai, MD
142: Surgery for Renal Vascular Disease
Glickman Urological Institute
Cleveland Clinic Brian J. Flynn, MD
Cleveland, OH Division of Urology
126: Laparoscopic Ureterolithotomy; University of Colorado Health Science Center
146: Percutaneous Endopyeloplasty Denver, CO
115: Repair of Ureterovaginal Fistula
Rahul A. Desai, MD
Department of Urology Lindsay Fossett, MD
The Polyclinic Attending Physician
Seattle, WA North Shore Medical Center
158: Open Stone Surgery: Anatrophic Nephrolithotomy Salem, MA
and Pyelolithotomy 140: Surgery of the Horseshoe Kidney
Grant Disick, MD Richard Foster, MD
Endourology Fellow Department of Urology
Hackensack University Medical Center Indiana University
Hackensack, NJ School of Medicine
150: Laparoscopic Live Donor Nephrectomy Indianapolis, IN
60: Retroperitoneal Lymph Node Dissection
CONTRIBUTORS xi
Arvind P. Ganpule, MD E. Ann Gormley, MD
Chief of Laparoscopy Professor of Surgery (Urology)
Muljibhai Patel Urological Hospital Dartmouth Medical School
Nadiad, India Urologist
146: Percutaneous Endopyeloplasty Dartmouth-Hitchcock Medical Center
Lebanon, NH
Patricio Gargollo, MD
85: Autologous Pubovaginal Sling
Fellow
Department of Urology Michael Guralnick, MD
Children’s Hospital Boston Associate Professor of Urology
Boston, MA Medical College of Wisconsin
17: Two-Stage Repair of Hypospadias Milwaukee, WI
117: Ileal Ureteral Replacement
Inderbir S. Gill, MD, MCh
Glickman Urological Institute Georges-Pascal Haber, MD
Cleveland Clinic Department of Urology
Cleveland, OH Cleveland Clinic
133: Retroperitoneal Laparoscopic Access Cleveland, OH
133: Retroperitoneal Laparoscopic Access
Carl K. Gjertson, MD
Assistant Professor of Surgery George E. Haleblian, MD
Division of Urology Assistant Professor of Surgery
University of Connecticut School of Medicine Co-Director
University of Connecticut Health Center Section of Minimally Invasive Urologic Surgery and
Farmington, CT Endourology Fellowship
164: Laparoscopic Pyelolithotomy Brown University Alpert School of Medicine
Providence, RI
David A. Goldfarb, MD
120: Ureteroscopic Instrumentation
Professor of Surgery 135: Hand-Assisted Laparoscopic Surgery
Cleveland Clinic
Lerner College of Medicine David Hartke, MD
Director Tidewater Physicians Multispecialty Group
Renal Transplantation Newport News, VA
Glickman Urological and Kidney Institute 67: Radical Perineal Prostatectomy
Cleveland Clinic
Wayne J. G. Hellstrom, MD, FACS
Cleveland, OH
144: Open Donor Nephrectomy/Cadaver Donor Nephrectomy Professor of Urology
Chief
Marc Goldstein, BS, MD Section of Andrology
Matthew P. Hardy Distinguished Professor of Tulane University School of Medicine
Reproductive Medicine and Urology New Orleans, LA
Weill Cornell Medical College 54: Epididymectomy
Senior Scientist
S. Duke Herrell, MD, FACS
The Population Council
Center for Biomedical Research Associate Professor
Surgeon-in-Chief Department of Urologic Surgery
Male Reproductive Medicine and Surgery Vanderbilt University Medical Center
New York Presbyterian Hospital Nashville, TN
New York, NY 68: Pelvic Lymph Node Dissection
57: Simple Orchiectomy;
† Frank Hinman, Jr.
58: Testis-Sparing Surgery for Benign and Malignant Tumors
Clinical Professor of Urology
Mark L. Gonzalgo, MD, PhD Department of Urology
Assistant Professor of Urology and Oncology University of California School of Medicine
Johns Hopkins University San Francisco, CA
Brady Urological Institute 32: Cecal Vagina;
Baltimore, MD 90: Transvaginal Repair of Vesicovaginal Fistula
18: Partial Penectomy
† Deceased
