Skip to main content
SpringerLink
Log in

The Genitourinary System

  • Chapter
Family Medicine

  • 88 Accesses

Abstract

Although disorders of the genitourinary tract have long been a routine part of the daily practice of the family physician, major changes have occurred in diagnosis and treatment. Many of the changes have been initiated because of the special focus of the primary care physicians and access to a more realistic ambulatory patient data base. Most genitourinary problems can be diagnosed and treated by family physicians without referral. When referral is necessary, work-up and treatment are often straightforward and do not require prolonged follow-up.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 74.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Koch HK, McLemore T. National Ambulatory Medical Survey 1975 Summary: United States, January-December 1975. Hyatts-ville, MD: National Center for Health Statistics, Department of Health Education, and Weifare, 1978:1–62. (Vital and Health Statistics. Series 13: No. 33.) DHEW publication no. (PHS)78–1784.

    Google Scholar 

  2. Rosenblatt RA, Cherkin DC, Schneeweiss R, et al. The structure and content of family practice: Current status and future trends. J Fam Pract 1982; 15: 681–722.

    PubMed  CAS  Google Scholar 

  3. Mulholland SG. Female urinary tract infection. Primary Care 1985; 12: 661–73.

    PubMed  CAS  Google Scholar 

  4. Winberg J, Andersen HJ, Bergstrom T, et al. Epidemiology of symptomatic urinary tract infection in childhood. Acta Paediatr Scand [Suppl.] 1974; 252: 3–7.

    Google Scholar 

  5. Yoshikawa TT. Unique aspects of urinary tract infection in the geriatric population. Gerontology 1984; 30: 339–44.

    Article  PubMed  CAS  Google Scholar 

  6. Komaroff AL. Acute dysuria in women. N Engl J Med 1984; 310: 368–73.

    Article  PubMed  CAS  Google Scholar 

  7. Stamm WE, Counts GW, Running KR, et al. Diagnosis of coli-form infection in acutely dysuric women. N Engl J Med 1982; 307: 463–8.

    Article  PubMed  CAS  Google Scholar 

  8. Berg AO, Soman MP. Lower genitourinary infections in woman. J Fam Pract 1986; 23: 61–7.

    PubMed  CAS  Google Scholar 

  9. Schmidt RA. The urethral Syndrome: symposium on female urol-ogy. Urol Clin North Am 1985; 12: 349–54.

    PubMed  CAS  Google Scholar 

  10. Stamey T. Urinary tract infections in the female: a perspective. In: Remington J, Swartz M, eds. Current clinical topics in infec-tious diseases, No. 2. New York: McGraw-Hill, 1981: 31–53.

    Google Scholar 

  11. Oneson R, Groschel DHM. Leukocyte esterase activity and ni-trite test as a rapid screen for significant bacteriuria. Am J Clin Pathol 1983; 21: 84–7.

    Google Scholar 

  12. Stamm WE, Wagner KF, Amsel R, et al. Causes of the acute urethral Syndrome in women. N Engl J Med 1980; 303: 409–15.

    Article  PubMed  CAS  Google Scholar 

  13. Stamm WE, Counts GW, Running KR, et al. Diagnosis of coli-form infection in acutely dysuric women. N Engl J Med 1982; 307: 463–8.

    Article  PubMed  CAS  Google Scholar 

  14. Mason WG. Urinary tract infection in children: renal ultrasound evaluation. Radiology 1984; 153: 109–11.

    PubMed  Google Scholar 

  15. Wong ES, McKevitt M, Running K, et al. Management of recurrent urinary tract infections with patient administered single dose therapy. Ann Intern Med 1985; 102: 302–5.

    Article  PubMed  CAS  Google Scholar 

  16. Wright WT. Cell counts in urine. Arch Intern Med 1959; 103: 76–8.

    Article  CAS  Google Scholar 

  17. Rous SN. Evaluation of gross and microscopic hematuria (symposium on genitourinary problems in office medicine). Primary Care 1985; 12: 647–59.

    PubMed  CAS  Google Scholar 

  18. Carter WC, Rous SN. Gross hematuria in 110 adult urologic patients. Urology 1981; 18: 342–4.

    Article  PubMed  Google Scholar 

  19. Abuelo JG. The diagnosis of hematuria. Arch Intern Med 1983; 143: 967–70.

    Article  PubMed  CAS  Google Scholar 

  20. Carson CC III, Segura JW, Greene LF. Clinical importance of microhematuria. JAMA 1979; 247: 149–50.

    Article  Google Scholar 

  21. Chang BS. Red cell morphology as a diagnostic aid in hematuria. JAMA 1984; 252: 1747–9.

    Article  PubMed  CAS  Google Scholar 

  22. Fishman EK, Goldman SM, Gatewood DM, et al. Radiologie evaluation of the patient with hematuria. Noninvasive Med Imag 1984; 1: 287–93.

    Google Scholar 

  23. Franks LM. Benign nodular hyperplasia of prostate review. Ann R Coli Surg Engl 1954; 14: 92–106.

    Google Scholar 

  24. Haugen OA. Discussion. In Grayhack JT, Wilson JD, Sherbenske MJ, eds. Benign prostatic hyperplasia. DHEW publication no. (NIH)76–1113. Washington, DC: Government Printing Office, 1976: 117.

    Google Scholar 

  25. Birkhoff JD. Natural history of benign prostatic hypertrophy. In: Hinman F Jr, ed. Benign prostatic hypertrophy. New York: Springer-Verlag, 1983; 5–9.

    Chapter  Google Scholar 

  26. Finkle AL. The relationship of sexual habits to benign prostatic hypertrophy. Med Aspects Hum Sex 1967; 1: 24–25.

    Google Scholar 

  27. Craigen AA, Hickling JB, Saunders CRG, et al. Natural history of prostatic obstruetion. J R Coli Gen Pract 1969; 18: 226–32.

    CAS  Google Scholar 

  28. Lytton B, Emery JM, Harvard BM. The incidence of benign prostatic hypertrophy. J Urol 1968; 99: 639–45.

    PubMed  CAS  Google Scholar 

  29. Lutzeyer W, Hannappel J, Schafer W. Sequential events in prostatic obstruetion. In: Hinman F Jr, ed. Benign prostatic hypertrophy. New York: Springer-Verlag, 1983; 694–700.

    Google Scholar 

  30. Andersen JT, Bradley WE. Cystometry: detrusor reflex activa-tion, Classification and terminology. J Urol 1977; 118: 623–5.

    PubMed  CAS  Google Scholar 

  31. Abrams PH, Farrar DJ, Turner Warwick RT, et al. The result of prostatectomy: a symptomatic/urodynamic analysis of 152 patients. J Urol 1976; 115: 532–4.

    Google Scholar 

  32. Turner Warwick R, Whiteside CG, Arnold EP, et al. A uro-dynamic view of prostatic obstruetion and the results of prostatectomy. Br J Urol 1973; 45: 631–45.

    Article  Google Scholar 

  33. Moller-Frimodt PC, Klaus ME, Jensen PI, et al. Analysis of pre-senting symptoms in prostatism. J Urol 1984; 132: 272–6.

    Google Scholar 

  34. Brüskewitz RC, Larsen EH, Madsen PO, et al. 3-Year followup of urinary symptoms after transurethral resection of the prostate. J Urol 1986; 136: 613–15.

    PubMed  Google Scholar 

  35. Orland SM, Hanno P, Wein AJ. Prostatitis, prostatosis and pro-statodynia. Urology 1985; 25: 439–59.

    Article  PubMed  CAS  Google Scholar 

  36. Drach GW, Meares EM Jr, Fair WR, et al. Classification of benign diseases assocate with prostatic pain: Prostatitis or prostatodynia? J Urol 1978; 120: 266–70.

    PubMed  CAS  Google Scholar 

  37. Thin RN, Simmons PD. Chronic bacterial and non-bacterial Prostatitis. Br J Urol 1983; 55: 513–18.

    Article  PubMed  CAS  Google Scholar 

  38. Olivieri RA, Sachs RM, Laste PG. Clinical experience with Geocillin in the treatment of bacterial Prostatitis. Curr Ther Res 1979; 25: 415–22.

    Google Scholar 

  39. Mobley DF. Bacterial Prostatitis: treatment with carbenicillin idanyl sodium. Invest Urol 1981; 19: 31–6.

    PubMed  CAS  Google Scholar 

  40. Kass EJ. Acute and recurrent urinary tract infections in children (symposium on genitourinary problems in office medicine). Primary Care 1985; 12: 607–19.

    PubMed  CAS  Google Scholar 

  41. Bertakis KD, Ross JL. Office evaluation of urinary tract infections in elderly women. J Fam pract 1987; 24: 72–5.

    PubMed  CAS  Google Scholar 

  42. Thomas TM, Plymat KR, Blannin J, et al. Prevalence of urinary incontinence. Br Med J 1980; 281: 1243–5.

    Article  PubMed  CAS  Google Scholar 

  43. Hadley EC. Bladder training and related therapies for urinary incontinence in older people. JAMA 1986; 256: 372–9.

    Article  PubMed  CAS  Google Scholar 

  44. Nasrallah PF. Circumcision: pros and cons (symposium on genitourinary problems in office medicine). Primary Care 1985; 12: 593–604.

    PubMed  CAS  Google Scholar 

  45. Ginsburg CM, McCracken GH. Urinary tract infections in young infants. Pediatrics 1982; 69: 409–12.

    PubMed  CAS  Google Scholar 

  46. Wiswell TE, Smith FR, Bass JW. Decreased incidence of urinary tract infections in circumcised male infants. Pediatrics 1985; 75: 901–3.

    PubMed  CAS  Google Scholar 

  47. Herra AJ, Cochran B, Herrera A, et al. Parental information and circumcision in highly motivated couples with higher education. Pediatrics 1983; 71: 233–5.

    Google Scholar 

  48. Kochen M, McCurdy S. Circumcision and the risk of cancer of the penis. Am J Dis Child 1980; 134: 484–8.

    Article  PubMed  CAS  Google Scholar 

  49. Belker AM. Vasectomy and its reversal (symposium on genitourinary problems in office medicine). Primary Care 1985; 12: 703–17.

    PubMed  CAS  Google Scholar 

  50. Doty FO. Emotional aspects of vasectomy: a review. J Reprod Med 1973; 10: 156–9.

    PubMed  CAS  Google Scholar 

  51. Ferber AS, Tietze C, Lewit S. Men with vasectomies: a study of medical, sexual and psychosocial changes. Psychosom Med 1967; 29: 354.

    PubMed  CAS  Google Scholar 

  52. Leader AJ, Axelrod SD., Frankowski R, et al. Complications of 2711 vasectomies. J Urol 1974; 111: 365.

    PubMed  CAS  Google Scholar 

  53. Clarkson TB, Alexander NJ. Long-term vasectomy: effects on the occurrence and extent of atherosclerosis in rhesus monkeys. J Clin Invest 1980; 65: 15–25.

    Article  PubMed  CAS  Google Scholar 

  54. Massey FJ, Bernstein GS, O’Fallon WM, et al. Vasectomy and health: results from a large cohort study. JAMA 1984; 252: 1023–9.

    Article  PubMed  Google Scholar 

  55. Schmidt SS, Free MJ. The bipolar needle for vasectomy: experience with the first 1000 cases. Fertil Steril 1978; 29: 676–80.

    PubMed  CAS  Google Scholar 

Download references

Authors
  1. Scott Howard Frank
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Department of Family Medicine, Oregon Health Sciences University, 97201, Portland, Oregon, USA

    Robert B. Taylor M.D. (Professor and Chairman) (Professor and Chairman)

Rights and permissions

Reprints and permissions

Copyright information

© 1988 Springer Science+Business Media New York

About this chapter

Cite this chapter

Frank, S.H. (1988). The Genitourinary System. In: Taylor, R.B. (eds) Family Medicine. Springer, New York, NY. https://doi.org/10.1007/978-1-4757-1998-7_20

Download citation

  • DOI: https://doi.org/10.1007/978-1-4757-1998-7_20

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4757-2000-6

  • Online ISBN: 978-1-4757-1998-7

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics

Search

Navigation