Textbook of Endourology

Textbook of Endourology

3 14 BOOK REVIEWS BOOK REVIEWS Radical Perined Prostatectomy: An Illustrated Step-By-Step Sugical Procedure P. B. HUDSON AND S. I. HAKKY, Tampa, Flo...

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BOOK REVIEWS Radical Perined Prostatectomy: An Illustrated Step-By-Step Sugical Procedure P. B. HUDSON AND S. I. HAKKY, Tampa, Florida: Tampa Bay Urological Institute, 166 pages, 1996 To my knowledge this superbly illustrated atlas and the accompanying 90-minute videotape provide the most detailed visual description of the technique of radical perineal prostatectomy available today. Hudson, the senior author, has spent his professional career perfecting, teaching and writing about this operation, and this atlas and video represent the culmination of his vast experience. A total of 157 pages of the 166-page atlas deals with all aspects of performing radical perineal prostatectomy, including the preoperative clinical evaluation, surgical considerations and principles involved in perineal prostatic surgery, different perineal surgical approaches, the traditional and authors’ current preferred techniques, complications and surgical instruments. Their concept of the structures responsible for urinary continence are discussed and illustrated on 9 pages. The atlas is richly illustrated with 54 well labeled drawings reminiscent of the techniques used by William Didusch as well as 128 clear, magnified color photographs with concise labels and legends, which conceptualize and clarify each step of the operation. Perhaps the next edition will include additional drawings to clarify exposure and transection of the preprostatic urethra in the bladder neck sparing modification. The heavy semigloss paper enhances the illustrations but a minor annoyance is that pages can be easily detached from the gum binding. The authors note that they have probably tried and discarded any modifications not included in this atlas. Nevertheless, modifications exist, such as the use of self-retaining retractors, procedure sequence and reanastomosis technique. A list of references would make this document more complete. The video was obtained during a 2-year period, and it provides clear, close-up views of the same stage of the operation in several patients, supplemented with drawings. This presentation allows Hudson, the narrator, to explain a number of important surgical landmarks and how to avoid confusion in identifying them because of individual variations in pelvic anatomy. I t also allows him to emphasize the role of blunt dissection, importance of patience and need to maintain tissues on tension in this operation. While the viewer may not agree with all of his opinions, for example avoidance of the use of cautery, this should not distract from the transition to the operating room that the video provides. This atlas and video are truly synergistic. They should be in the library of every urology training program and every surgeon who performs radical perineal prostatectomy. Robert P. Gibbons, M.D. Section of Urology and Renal Transplantation Virginia Mason Medical Center Seattle, Washington

Textbook of Endourology R. E. SOSA,D. M. ALBALA, A. D. JENKINS AND A. P. PERLMU?TER, Philadelphia: W. B. Saunders Co., 650 pages, 1997 The Textbook of Endourology is a collection of chapters dedicated to the subspecialty of endoscopic urological surgery. Most of the 90 contributors are recognized experts in their fields. The textbook is broken down into 5 sections on ureteropyeloscopy, percutaneous nephrotomy, lower tract endoscopy, laparoscopy and extracorporeal shock wave lithotripsy. There is an emphasis on the fundamentals in each section. The authors have provided a well written and beautifullyillustrated textbook encompassing the basics of endourology. Chapters 21 and 22 have summary tables on endoscopic and minimally invasive treatment of benign prostatic hypertrophy. However, summary tables, graphs or chapters are lacking in many areas, such as treatment of distal ureteral calculi and lower pole caliceal stones, where they would help to clarify complex subjects. This textbook unfortunately fails to address adequately the more controversial points of endourology. Moreover, it fails to be a comprehensive review of endourology. The addition of several chapters on chemolysis of urinary stones, postoperative care of the endourology patient, high intensity focused ultrasound, cryosurgery, bio-injectables for incontinence, laparoscopic herniomhaphy and retroperitoneal lymph node dissection would add a sense of completeness to this book. In conclusion, this work provides an excellent overview of the basics of endourology in a useful and well illustrated fashion. It is a valuable quick reference for the general urologist. Robert G. Moore, M.D. Department of Urology Johns Hopkins Bayview Medical Center Baltimore, Maryland