Surgery for disorders of erectile function, ejaculation, and seminal vesicles

This chapter begins by covering the physiology of erections and ejaculation. It provides ways of evaluating erectile dysfunction and then surgical interventions, including vascular surgery and penile prosthesis. Finally, surgical treatment for Peyronie’s disease is covered.

Uroradiological and other interventions

This chapter covers uroradiological interventions in urology, including percutaneous nephrostomy, antegrade stent insertion, renovascular procedures, radiofrequency ablation, renal cryoablation, and varicocele and prostate embolization.

Surgery for urological cancer

This chapter covers various surgical procedures for dealing with different urological cancers. For each method, it takes the reader through diagnosis, indications for the procedure, assessment and staging, patient preparation, and surgical approaches, then closure, and any other potential issues. Each topic is highly illustrated, to aid understanding for unfamiliar procedures.

Surgery for upper tract obstruction and other ureteric surgery

This chapter covers pelvi-ureteric junction obstruction in adults, the management of ureteric strictures and retroperitoneal fibrosis, ureteric re-implantation, and repair of uteroceles. It contains patient position, the operative technique, outcomes, and complications.

Laparoscopic and robotic urological surgery

Laparoscopy has been a relatively recent development in the treatment of urological pathology. This chapter has been updated from previous editions to include a greater focus on robotic surgery. From a general overview of the history of laparoscopic and robotic surgery, it covers the essential equipment, methods of laparoscopic access, and basic skills before outlining the indications, contraindications, and operative techniques for 13 different operations.

General principles of urological surgery

This chapter covers the general principles of urological surgery, from preparation of the patient, antibiotic prophylaxis, general surgical complications, fluid balance, and management of shock to antiplatelet drugs and anticoagulation. It highlights potential issues in patients where there are other underlying health issues.

Medicolegal aspects of urology

This chapter covers the medicolegal aspects of urology. It starts with the reasons people sue surgeons, the factors that precipitate litigation, and steps a surgeon can do to prevent possible litigation (from referral letters and patient identification to good communication skills). Good record-keeping is described, as well as correct procedures for obtaining consent, including methods of explaining different treatment options succinctly and appropriately to the patient.

Paediatric urology

Paediatric urology is a sub-specialty derived from urology and paediatric surgery. It is generally an elective surgical specialty with few acute conditions. Development of a good team incorporating a paediatric nephrologist, a radiologist, and a pathologist assists in the clinical diagnosis, management options, and follow-up. A paediatric anaesthetist and skilled experienced and compassionate nursing staff are essential to manage the children. This chapter covers the foreskin and circumcision, undescended testes and testis torsion, hypospadias, abnormalities of the urethra, ambiguous genitalia, and malignancies of the genitourinary tract.

Surgery for male factor infertility

A male factor alone is responsible for infertility in 20% of couples and is contributory in another 30%. Evaluation of both partners is an essential part of the assessment of any infertile couple. After describing the aetiology and evaluation of male infertility, the chapter goes over surgical management techniques and approaches. It also has topics on testicular semen retrieval techniques, epididymal biopsy, and varicocele repair.

Stone disease

This chapter covers the treatment options for kidney, ureteric, and bladder stones. It takes the reader through the diagnosis, presentation, and imaging, before detailing different treatments and management and diagnosis in difficult or uncommon situations.