Table Of ContentOxford American Handbook of
Urology
About the Oxford American Handbooks in Medicine
The Oxford American Handbooks are pocket clinical books, providing
practical guidance in quick reference, note form. Titles cover major medi-
cal specialties or cross-specialty topics and are aimed at students, resi-
dents, internists, family physicians, and practicing physicians within specifi c
disciplines.
Their reputation is built on including the best clinical information, com-
plemented by hints, tips, and advice from the authors. Each one is carefully
reviewed by senior subject experts, residents, and students to ensure that
content refl ects the reality of day-to-day medical practice.
Key series features
• Written in short chunks, each topic is covered in a two-page spread
to enable readers to fi nd information quickly. They are also perfect
for test preparation and gaining a quick overview of a subject without
scanning through unnecessary pages.
• Content is evidence based and complemented by the expertise and
judgment of experienced authors.
• The Handbooks provide a humanistic approach to medicine – it’s
more than just treatment by numbers.
• A “friend in your pocket,” the Handbooks offer honest, reliable
guidance about the diffi culties of practicing medicine and provide
coverage of both the practice and art of medicine.
• For quick reference, useful “everyday” information is included on the inside
covers.
Published and Forthcoming Oxford American Handbooks
Oxford American Handbook of Clinical Medicine
Oxford American Handbook of Anesthesiology
Oxford American Handbook of Cardiology
Oxford American Handbook of Clinical Dentistry
Oxford American Handbook of Clinical Diagnosis
Oxford American Handbook of Clinical Pharmacy
Oxford American Handbook of Critical Care
Oxford American Handbook of Emergency Medicine
Oxford American Handbook of Geriatric Medicine
Oxford American Handbook of Nephrology and Hypertension
Oxford American Handbook of Neurology
Oxford American Handbook of Obstetrics and Gynecology
Oxford American Handbook of Oncology
Oxford American Handbook of Otolaryngology
Oxford American Handbook of Pediatrics
Oxford American Handbook of Physical Medicine and Rehabilitation
Oxford American Handbook of Psychiatry
Oxford American Handbook of Pulmonary Medicine
Oxford American Handbook of Rheumatology
Oxford American Handbook of Sports Medicine
Oxford American Handbook of Surgery
Oxford American Handbook of Urology
Oxford American
Handbook of
Urology
Edited by
David M. Albala
Professor of Urology
Director of Minimally Invasive Urologic Surgery
Duke University Medical Center
Durham, North Carolina
Allen F. Morey
Chief, Urology Service
Parkland Memorial Hospital and Paul C. Peters Chair
Professor, Department of Urology
University of Texas Southwestern Medical Center
Dallas, Texas
Leonard G. Gomella
The Bernard W. Godwin Jr. Professor of Prostate Cancer
Chairman, Department of Urology
Thomas Jefferson University
Philadelphia, Pennsylvania
John P. Stein
Professor of Urology
Norris Comprehensive Cancer Center
University of Southern California Keck School of Medicine
Los Angeles, California
with
John Reynard
Simon Brewster
Suzanne Biers
3
Oxford University Press, Inc. publishes works that further
Oxford University’s objective of excellence
in research, scholarship and education.
Oxford New York
Auckland Cape Town Dar es Salaam Hong Kong Karachi
Kuala Lumpur Madrid Melbourne Mexico City Nairobi
New Delhi Shanghai Taipei Toronto
With offi ces in
Argentina Austria Brazil Chile Czech Republic France Greece
Guatemala Hungary Italy Japan Poland Portugal
Singapore South Korea Switzerland Thailand Turkey Ukraine Vietnam
Copyright © 2011 by Oxford University Press, Inc.
Published by Oxford University Press Inc.
198 Madison Avenue, New York, New York 10016
www.oup.com
Oxford is a registered trademark of Oxford University Press
First published 2011
All rights reserved. No part of this publication may be reproduced,
stored in a retrieval system, or transmitted, in any form or by any means,
electronic, mechanical, photocopying, recording, or otherwise,
without the prior permission of Oxford University Press
Library of Congress Cataloging-in-Publication Data
Oxford American handbook of urology / edited by David M. Albala ... [et al.] ; with
John Reynard, Simon Brewster, Suzanne Biers.
p. ; cm.—Other title: Handbook of urology
Includes bibliographical references and index.
ISBN 978-0-19-537139-0
1. Urology—Handbooks, manuals, etc. 2. Urinary organs—Diseases—Handbooks,
manuals, etc. I. Albala, David M. II. Title: Handbook of urology.
[DNLM: 1. Urologic Diseases—Handbooks. 2. Female Urogenital Diseases—
Handbooks. 3. Male Urogenital Diseases—Handbooks. WJ 39 O973 2011]
RC872.9.O94 2011
616.6—dc22 2010003464
9 8 7 6 5 4 3 2 1
Printed in China
on acid-free paper
This material is not intended to be, and should not be considered, a sub-
stitute for medical or other professional advice. Treatment for the con-
ditions described in this material is highly dependent on the individual
circumstances. And, while this material is designed to offer accurate infor-
mation with respect to the subject matter covered and to be current as
of the time it was written, research and knowledge about medical and
health issues is constantly evolving and dose schedules for medications are
being revised continually, with new side effects recognized and accounted
for regularly. Readers must therefore always check the product informa-
tion and clinical procedures with the most up-to-date published prod-
uct information and data sheets provided by the manufacturers and the
most recent codes of conduct and safety regulation. Oxford University
Press and the authors make no representations or warranties to readers,
express or implied, as to the accuracy or completeness of this material,
including without limitation that they make no representation or warran-
ties as to the accuracy or effi cacy of the drug dosages mentioned in the
material. The authors and the publishers do not accept, and expressly
disclaim, any responsibility for any liability, loss, or risk that may be claimed
or incurred as a consequence of the use and/or application of any of the
contents of this material.
This page intentionally left blank
vii
PPrreeffaaccee
The goal of the Oxford American Handbook of Urology is to create a concise
source of clinical information for medical students and physicians in train-
ing. This Handbook primarily presents the nonsurgical aspects of urolo-
gy—the information needed for making a rapid diagnosis and determining
the proper initial treatment course amid the confi nes of a busy clinical
practice. It is meant to be a practical pocket reference, not an exhaustive
treatise on urology.
As we witness the rapid pace of advancement in urological surgery, it
becomes ever more diffi cult for any urologist to stay current in all areas of
our specialty. The Handbook aims to provide the reader with an effi cient
information source that will be helpful in guiding effective management of
our growing population of urological patients.
The book is written for our patients, with appreciation for the many
mentors from whom we have learned, and for the many students and
residents we have been fortunate to train. It is adapted for the American
practice of urology from the Oxford Handbook of Urology, published in the
UK, and we thank John Reynard, Simon Brewster, and Suzanne Biers for
their fi ne book and the opportunity to “Americanize” it.
We dedicate this book to our colleague and friend, John P. Stein,
M.D., whose untimely death has left a large void in our specialty. He was
an accomplished clinician, researcher, and teacher who will be sorely
missed.
David M. Albala, M.D.
Allen F. Morey, M.D.
Leonard G. Gomella, M.D.
This page intentionally left blank
ix
Contents
Detailed contents xi
Symbols and Abbreviations xxi
1 Signifi cance and preliminary investigation
of urological symptoms and signs 1
2 Urological investigations 35
3 Bladder outlet obstruction 63
4 Incontinence 109
5 Infections and infl ammatory conditions 133
6 Urological neoplasia 185
7 Miscellaneous urological disease of the kidney 331
8 Stone disease 355
9 Upper tract obstruction, fl ank pain,
hydronephrosis 405
10 Trauma to the urinary tract and other
urological emergencies 419
11 Infertility 465
12 Disorders of erectile function, ejaculation
and seminal vesicles 483
13 Neuropathic bladder 499
14 Urological problems in pregnancy 531
15 Pediatric urology 537
16 Urological surgery and equipment 571
17 Basic science of relevance to urological practice 659
18 Urological eponyms 669
Index 673
Description:The goal of the Oxford American Handbook of Urology is to create a practice of urology from the Oxford Handbook of Urology, published in the.