By Jay Y. Gillenwater MD, John T. Grayhack MD, Stuart S. Howards MD, Michael E. Mitchell MD

ISBN-10: 0781732204

ISBN-13: 9780781732208

The completely up-to-date Fourth version of this vintage three-volume paintings is a entire, effortless reference on all surgical and scientific facets of urology. the 1st volumes disguise grownup urology; the 3rd quantity focuses solely on pediatric urology. All chapters stick with a constant, easy-to-read kind of presentation.This version good points new chapters on bladder melanoma, office-based urology, and substitute medication in urology. extended assurance of prostate disorder comprises PSA trying out and nerve-sparing surgical procedure for prostate melanoma. different Fourth variation highlights contain improved assurance of male sexual disorder, imaging stories, and a completely reorganized and up to date quantity on pediatric urology.A CD-ROM sure into the broadcast text presents one-click entry to the entire textual content and illustrations within the 3 volumes--plus videos displaying dynamic perspectives of surgeries.

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Extra resources for Adult and Pediatric Urology (3-Volume Set)

Example text

The sphincter loop is continuous with muscle bundles that run along the anterior and lateral aspects of the prostate and extend cranially to the bladder neck. Thus, in the adult male, the rhabdosphincter of the urethra does not form a complete collar around the membranous urethra. It should rather be described as a muscular coat ventral and lateral to the membranous urethra and prostate, the core of which is the omega-shaped loop around the urethra. Furthermore, the rhabdosphincter is separated from the ventral portion of the levator ani muscle by a sheet of connective tissue.

57. Pelvic dissection in a female. The peritoneum has been partially removed. The first part of the pelvic portion of the ureter describes an anteriorly convex arch. It lies medial to the internal iliac artery and its branches, and it crosses the obturator nerve on the lateral pelvic wall just below the parietal peritoneum (Fig. 56). In the female, the ureter usually passes behind the ovary on the floor of the ovarian fossa (Fig. 57). After crossing the pelvic vessels, the ureter diverges from the parietal peritoneum to enter the pararectal connective tissue (paraproctium).

Exposure of the Rectovesical Septum (Posterior Bladder Pedicle) The neurovascular sheath transmits the arteries and veins of the seminal vesicles and prostate in addition to the pelvic splanchnic nerves. The space between the rectal fascia and Denonvilliers' fascia is developed. The posterior bladder pedicle is held between the second and third fingers as the second finger presses downward on the rectum, and the posterior pedicle is progressively ligated as far as the endopelvic parietal fascia.

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Adult and Pediatric Urology (3-Volume Set) by Jay Y. Gillenwater MD, John T. Grayhack MD, Stuart S. Howards MD, Michael E. Mitchell MD

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