Guide to Prostate Gland Assessment and Treatment - Doctor - Patient Guide

Guide to Prostate Gland Assessment and Treatment - Doctor - Patient Guide

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eBook version

Mark Rochester MD FRCS Urol, CJ Shukla PhD MRCS, John McLoughlin MS FRCS Urol
Illustrated by Vincent Harding

This guide book is intended as an aide-mémoire for nurses and doctors who face the challenge of conveying clinical information to patients in a user-friendly manner. The information in the book takes into account newer operative techniques and embraces data extracted from recent peer-reviewed literature.
It is hoped that this book will provide a useful baseline for informed discussion between patients and their medical carers.

Contents
Introduction

Anatomy of prostate
The prostate – anatomy relevant to surgery
Function of the prostate 
Growth of the prostate gland
How common is BPH?
Lower urinary tract symptoms (LUTS)
Investigaitons for male LUTS
Urine dipstick testing
Digital rectal examination
Frequency volume chart
Symptom score
Urinary flow rate studies
Illustration of normal flow rate curves
Ultrasound assessment of volume of residual urine
The PSA test 
Urodynamics
Typical urodynamic graphic representation
Treatment for urinary symptoms associated with BPH
Medical therapy
Transurethral resection of the prostate (TURP)
Bladder neck incision
Laser enucleation of prostate laser ablation of the prostate
Transurethral needle ablation of the prostate (TUNA).....36
Millin’s prostatectomy
Catheters
Transrectal ultrasound of the prostate and biopsies
McNeal’s Zones
High Grade PIN (PIN)
Prostate cancer
The TNM staging system
Local prostate tumour stage (T stage)
MRI staging scan
Staging isotope scintigraphy (Bone scan)
Open radical prostatectomy
Laparoscopic radical prostatectomy
Robotic prostatectomy (robotically assisted
laparoscopic prostatectomy
Perineal prostatectomy
External beam radiotherapy
Brachytherapy
Cryotherapy
High-intensity focused ultrasound (HIFU)
PSA kinetics
Ejaculation