"Medical students interested in urology will find this book helpful in learning about a potential new subspecialty field and in understanding the big prostate will be a significant portion of their surgical training during their urology residency. ... This book is excellent with high quality illustrations to help supplement the text. ... The book thoroughly covers many difficult situations encountered by clinicians, such as techniques and strategies to biopsy the big prostate." (Akhil K Das, Doody's Book Reviews, May, 2018)
1. Introduction.- 2. Diagnosing and managing the big prostate.- 3. Diagnostic and treatment strategies for men with big prostates.- 4. Challenges and complications.- 5. Trans Rectal Ultrasound.- 6. PSA.- 7. Flexible Cystoscopy.- 8. Clinical Examination.- 9. 5-Alpha Reductase inhibitors.- 10. Combination therapy.- 11. TURP.- 12. Greenlight laser.- 13. Holmium Laser Prostatectomy.- 14. Prostate Artery Embolisation.- 15. Emerging Techniques.
NIHR Doctoral Fellow in Urology, University College London and University College Hospital London
Mr Kasivisvanathan’s main area of expertise is the diagnosis and management of benign and malignant prostatic diseases. He is extensively published in the field and has experience of the latest technologies used to manage men with benign prostate hyperplasia.
Consultant Urological Surgeon and Honorary Senior Lecturer, Guy's and St Thomas' Hospitals, Kings College London Surgical Tutor, Guys' and St Thomas' NHS Foundation Trust
Mr. Challacombe's main area of expertise is the diagnosis and management of benign and malignant prostatic diseases, robotic prostatectomy, robotic partial nephrectomy and other renal surgery, homium laser prostatectomy (HoLEP) and dynamic prostate brachytherapy.
This book will explore and explain the best diagnostic and treatment strategies for men with a big prostate. Men are living longer and the opportunity to develop significant benign prostatic hyperplasia is increasing. Men with very large prostates can often be extremely challenging to manage and all urologists and healthcare professionals carrying out general urology and managing men with prostate problems will have come across this issue.
There are a number of diagnostic, interventional, and surgical management options available, with some of these being more suited to a large prostate than others. The various treatment strategies and their evidence base are discussed. Valuable tips from expert authors who are experienced in the management of the particularly large prostate are included to allow readers to be confident when managing this increasingly important and prevalent group of patients.
This book is of particular use to healthcare practitioners who manage men with BPH in the outpatient or emergency setting, as well as those in the operating theatre who want further tips on how to deal with the particularly big prostate.
