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CHURCHILL'S IN CLINICAL PRACTICE SERIES: BENIGN PROSTATIC HYPERPLASIA
Churchill's In Clinical Practice Series: Benign Prostatic Hyperplasia
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By
Derek Rosario, MB, ChB, FRCS, FRCS, MD, Consultant Urological Surgeon to the Royal Hallamshire Hospital and Barnsley District General Hospital and Honorary Senior Lecturer in Urology, University of Sheffield
Scott MacDiarmid, MD, Director, Alliance Urology Specialists, Bladder Control and Pelvic Pain Center, North Carolina, USA; Clinical Faculty, Department of Urology, Wake Forest University, Winston-Salem, North Carolina, USA.
John Pillinger, MBChB, DRCOG, PG, DipUrol, General Practitioner and Urologist, Highcliffe Medical Centre, Highcliffe, Christchurch Honorary Clinical Assistant in Urology, Royal Bournemouth and Christchurch Hospital Trust, UK

Included in series
Churchill's In Clinical Practice,

Description
The management of men with lower urinary tract symptoms (LUTS), commonly referred to as benign prostatic hyperplasia (BPH), is part of everyday clinical practice in the primary care setting. With the advent of safe and effective medical therapies, the majority of these patients are managed by their primary care physician. In order to maximize quality and efficiency of care, primary care providers must continue to gain expertise and update their knowledge regarding male voiding dysfunction. This In Clinical Practice book provides the physician with practical guidance to the assessment and treatment of men with lower urinary tract symptoms. The text is complete, and is presented in a succinct and practical fashion. Illustrations and tables are frequently utilized to highlight clinically important material.

Contents
Introduction and background.
Functional anatomy of the male lower urinary tract.
The urinary bladder.
The prostate gland.
Aetiology and epidemiology of LUTS and BPH.
Aetiology of LUTS.
Natural history of BPH (including prevalence).
Complications of BPH.
Impact of acute urinary retention.
Management of LUTS/BPH in primary care – the UK perspective.
What causes men to present to their doctor with LUTS?.
Management of BPH in the UK.
Office-based work-up of BPH (primary care patient evaluation).
History and symptom assessment.
Physical examination.
Blood urea and electrolytes.
Urinalysis.
Prostatic-specific antigen.
Optional tests.
More sophisticated tests.
EAU guidelines on assessment, therapy and follow-up of men with LUTS suggestive of BPO.
Lower urinary tract symptoms: what is not BPH?.
Differential diagnosis of men with LUTS.
Referral guidelines for the primary care physician.
BPH management strategies.
Goals of therapy.
Treatment selection.
Medical management of BPH.
Alpha1-adrenergic antagonists.
5-Alpha reductase inhibitors.
Complementary and alternative therapies for male LUTS.
Herbal remedies for LUTS.
Prostatectomy (including laser).
Minimally invasive alternatives to prostatectomy.
EAU guidelines for treatment 2004.
Cases studies.
Appendix 1 – drugs and surgical methods used in BPH management/treatment, with all appropriate details/information (e.g. dosage, side effects, relevant comments).
Appendix 2 – EAU guidelines on treatment options for BPH.
Appendix 3 – Herbal remedies used in male LUTS.
Appendix 4 – Useful websites or addresses of relevant organizations.

Bibliographic details
Paperback, 128 pages, publication date: OCT-2005
ISBN-13: 978-0-443-10294-3
ISBN-10: 0-443-10294-5
Imprint: CHURCHILL LIVINGSTONE


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Last update: 30 Oct 2009
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