The Big Prostate

1. Front Matter

   Pages i-viii

   PDF

2. Anatomy, Physiology and Pathology of the Large Prostate

   • Osayuki Nehikhare, Veeru Kasivisvanathan, Harold Ellis, Ben Challacombe

   Pages 1-10

3. Emergency and Elective Presentation of the Big Prostate

   • Oussama Elhage, Ben Challacombe

   Pages 11-22

4. Imaging of the Large Prostate

   • Jan Philipp Radtke, Claudia Kesch, David Bonekamp

   Pages 23-40

5. Management of an Elevated PSA and Biopsy Strategies in the Large Prostate

   • Joana B. Neves, Mark Emberton, Veeru Kasivisvanathan

   Pages 41-51

6. Medical Treatment of the Large Prostate

   • Nicholas Faure Walker, Jonathan Rees

   Pages 53-73

7. Surgical Treatment: Prostate Artery Embolization

   • Tiago Bilhim, João Pisco, Lúcia Fernandes, Nuno Vasco Costa, António Gouveia Oliveira

   Pages 75-85

8. Surgical Treatment: Enucleation of the Prostate

   • Rick Catterwell, Rick Popert, Ben Challacombe

   Pages 87-103

9. Surgical Treatment: Green Light Laser

   • Clarissa Martyn-Hemphill, Srinath Chandrasekera, Gordon Muir

   Pages 105-116

10. Surgical Treatment: Transurethral Resection of the Prostate

    • Maria Vedanayagam, Ian Dickinson

    Pages 117-128

11. Surgical Treatment: Robotic Simple Prostatectomy

    • Paulo Afonso de Carvalho, Rafael Ferreira Coelho

    Pages 129-142

12. Open Simple Prostatectomy

    • Manmeet Saluja, Jonathan Masters, Simon Van Rij

    Pages 143-152

13. Robotic Radical Prostatectomy in the Large Prostate

    • Saskia van der Meer, Veeru Kasivisvanathan, Ben Challacombe

    Pages 153-165

14. Special Conditions: Management of Concomitant Urological Pathology and the Comorbid Patient

    • Jonathan Makanjuola, Matthew Bultitude

    Pages 167-176

15. The Future of Management of Benign Prostatic Hyperplasia

    • Gideon Adam Blecher, Rick Leslie Catterwell, Ben Challacombe

    Pages 177-187

16. Back Matter

    Pages 189-193

    PDF

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. 

 

• Diagnostic and Treatment Strategies
• Transrectal Ultrasound
• Flexible Cystoscopy
• Prostate Artery Embolisation
• Clinical Examination
• andrology
• surgical oncology

“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)

• University College London & University College London Hospital, London, United Kingdom

  Veeru Kasivisvanathan

• Guy’s and St Thomas’s Hospitals NHS Foundation Trust, London, United Kingdom

  Ben Challacombe

Veeru Kasivisvanathan, MBBS, BSc, MRCS, MSc, PGCert

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.

 

Ben Challacombe, BSc (hons), MBBS (Hons), MRCS (ed), MS, FRCS (Urol)

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.

           

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