Controversies and Innovations in Urological Surgery

1. Front Matter

   Pages i-xvi

   PDF

2. Extracorporeal Shock Wave Lithotripsy

   1. Front Matter

      Pages 1-1

      PDF

   2. Introduction

      • J. C. Gingell

      Pages 3-5

   3. Development, Indications and Clinical Experience

      • F. Eisenberger, J. Rassweiler

      Pages 7-30

3. Endoscopic Innovations

   1. Front Matter

      Pages 31-31

      PDF

   2. Introduction

      • J. C. Gingell

      Pages 33-34

   3. Percutaneous Stone Removal Techniques

      • H. N. Whitfield

      Pages 35-45

   4. Ureteroscopy

      • R. A. Miller

      Pages 47-56

   5. Flexible Cystoscopy

      • C. G. Fowler

      Pages 57-67

   6. Endoscopic Treatment of Vesicoureteric Reflux

      • B. O’Donnell, P. Puri

      Pages 69-75

4. Ureter

   1. Front Matter

      Pages 77-77

      PDF

   2. Introduction

      • W. K. Yeates

      Pages 79-82

   3. Transuretero-ureterostomy

      • J. C. Smith

      Pages 83-90

   4. Intestinal Interposition

      • J. P. Blandy

      Pages 91-100

   5. Boari Flap

      • J. P. Blandy

      Pages 101-108

   6. The Turner-Warwick Bladder-Elongation Psoas-Hitch Procedure for Substitution Ureteroplasty

      • Richard Turner-Warwick

      Pages 109-114

   7. Double-J Stents

      • J. C. Gingell, M. J. Stower

      Pages 115-121

   8. Renal Autotransplantation

      • Christine M. Evans

      Pages 123-129

   9. Omento-ureteroplasty and Omento-skin-patch Substitution Ureteroplasty

      • Richard Turner-Warwick

      Pages 131-134

5. Surgical Management of Stress Incontinence

   1. Front Matter

      Pages 135-135

      PDF

The title of this book is a challenge. Anyone with the least knowledge of present day urology will know that there are many very controversial aspects of this subject. Urology is not alone in this unsettled environment for there are similar debates in almost all other aspects of surgery. In addition to the rapid changes in technology, an important part of the explanation for these controversies is simply that more surgeons are prepared to admit that no area of their work is so established that it does not bear further scrutiny and assessment. Argument can be tedious but debate is healthy. This book aims to present material that is debatable: experienced practitioners of each topic explain why an opinion or preference can be sustained. The purist might wish to have these opinions resolved by a well-planned clinical trial, but experience of clinical trials shows that they do not always produce results that are easily translated into a positive change in clinical practice. Would the reader be persuaded more by a statistically significant difference or by an experienced clinician who has reached certain conclusions? Both are risky, but since surgical techniques are often not easily converted into appropriate studies or trials the Editors have obtained the best opinion on each controversy and innovation. The media adore controversy for its own sake. The medical profession accepts controversy but knows that few events in medicine are absolute and few procedures can be done only by one method.

• assessment
• cancer
• cystectomy
• endoscopy
• fertility
• health
• implant
• incontinence
• infertility
• medicine
• reflux
• surgery
• surgical techniques
• transplantation
• urology

• Department of Urology, Southmead General Hospital, Bristol, UK

  J. Clive Gingell, Paul H. Abrams

Policies and ethics