Prostatic Obstruction

1. Front Matter

   Pages i-xx

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2. The Importance of Neural Factors in the Presentation and Treatment of Prostatic Obstruction

   1. Front Matter

      Pages 1-1

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   2. Introduction: The Clinical Problem

      • C. R. Chapple

      Pages 3-11

   3. The Anatomy and Innervation of the Bladder

      • C. R. Chapple

      Pages 13-23

   4. The Physiology of Micturition

      • C. R. Chapple

      Pages 25-41

   5. Pathophysiological Changes in the Obstructed Bladder

      • C. R. Chapple

      Pages 43-63

   6. Anatomy and Innervation of the Prostate Gland

      • C. R. Chapple

      Pages 65-76

3. Contemporary Management of Bladder Outflow Obstruction

   1. Front Matter

      Pages 77-77

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   2. Bladder Outflow Obstruction in the Male

      • R. Turner-Warwick

      Pages 79-102

   3. The Investigation of Benign Prostatic Hyperplasia

      • J. G. Noble, C. R. Chapple

      Pages 103-112

   4. The Complications of Prostatectomy

      • J. W. H. Evans, N. MacCartney

      Pages 113-145

   5. Prostate Stents

      • E. J. G. Milroy

      Pages 147-163

   6. Prostatic Hyperthermia

      • T. J. Christmas

      Pages 165-173

   7. Balloon Dilatation of the Prostate

      • J. Brantley Thrasher, K. J. Kreder

      Pages 175-188

   8. Is Pharmacotherapy a Satisfactory Alternative Treatment for Benign Prostatic Hyperplasia?

      • C. R. Chapple, I. R. Marshall

      Pages 189-212

   9. Bladder Neck Dyssynergia and Prostatitis

      • J. G. Noble

      Pages 213-228

4. Back Matter

   Pages 229-234

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The human prostate gland is of undoubted importance in reproductive physiology and is one of the commonest causes of clinical urological problems in the male patient. Despite the wealth of published lit­ erature relating to the prostate gland surprisingly little is understood about its neural innervation, the influence of pharmacological factors and its precise physiological functions. Indeed, benign disorders of the prostate gland including benign prostatic hyperplasia, bladder neck dyssynergia and inflammatory disorders of the prostate (prostatitis, prostatodynia) although well recognised clinically, are as yet poorly characterised and understood. It was not until the late 1960s that the subject of urodynamics, which for the first time allowed scientific assessment of the function of the lower urinary tract, was introduced. The first section of this book considers recent advances in our understanding of the innervation of the bladder and prostate gland and the changes in bladder function which accompany prostate medi­ ated bladder outflow obstruction. The clinical consequence of benign prostatic hyperplasia in many patients is bladder outflow obstruction and although the traditional treatment of these conditions is by the use of ablative surgery, in recent years a number of new modalities have been investigated and are reviewed in the second section of the book.

• Benign Prostatic Hyperplasia
• Physiology of Bladder and Prostate Treatment
• endoscopy
• muscle
• pharmacology
• physiology
• prostate
• prostatectomy
• respiratory system
• surgery
• ultrasound

• The Central Sheffield University Hospitals, Royal Hallamshire Hospital, Sheffield, UK

  Christopher R. Chapple

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