Diagnostic Techniques in Urology

203 Pages·2014·3.448 MB·English

by  Ben Challacombe, Simon Bott (eds.)

Ben Challacombe
Simon Bott Editors
Diagnostic Techniques
in Urology
123
Diagnostic Techniques
in Urology

Ben Challacombe (cid:129) Simon Bott
Editors

Diagnostic Techniques
in Urology
Editors
Ben Challacombe Simon Bott
Urology Urology
Guy’s and St. Thomas’ Hospital Frimley Park Hospital
London Frimley
UK UK
ISBN 978-1-4471-2765-9 ISBN 978-1-4471-2766-6 (eBook)
DOI 10.1007/978-1-4471-2766-6
Springer London Heidelberg New York Dordrecht
Library of Congress Control Number: 2014957636
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Introductio n and Aims
Diagnosis is not the end, but the beginning of practice. Martin
H. Fischer
Clinical diagnosis requires the evaluating doctor to have a
clear understanding of both normal anatomy and physiology
as well as an understanding of the range of possible patholo-
gies. This allows unambiguous and precise history taking, well
directed examination and a clear plan of appropriate investi-
gations to be made.
Urology can be thought of as both a medical and surgical
speciality where patients present to a range of different doc-
tors with a wide variety of symptoms. There are a number of
nuances to be brought out in a focussed urological history
and many important clinical signs to assess. These present the
clinician with a significant diagnostic challenge due to the
range of possible differential diagnoses and the investigative
tests available. Technological advances in recent years have
changed the diagnostic algorithms for a number of common
conditions.
Within easily digestible chapters, this book aims to suc-
cinctly outline the key aspects of the history and examination
for each common presenting symptom. It then describes the
usual range of investigations and any evolving tests or imag-
ing modalities for each area. It is hoped this book will be
useful to both primary care physicians and those working in
vii
viii Introduction and Aims
the emergency department. Medical students and those
embarking on a surgical or urological career should also find
it of significant benefit.
London, UK Ben Challacombe
Frimley, UK Simon R. J. Bott
Contents
1 Prostate Specific Antigen (PSA). . . . . . . . . . . . . . . 1
Simon R.J. Bott and Ish Naranji
2 Prostate Biopsy and Imaging, and Management
of a Rising PSA Post Initial Biopsy . . . . . . . . . . . . 9
Ben Challacombe
3 Abnormal Digital Rectal Examination . . . . . . . . . 15
James Duthie, Helen Freeborn,
and Declan G. Murphy
4 Imaging of Prostate Specific Symptoms. . . . . . . . . 23
Anisha Patel, Farzana Rahman, and Uday Patel
5 Haematuria. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39
Clarissa Martyn-Hemphill and Ben Challacombe
6 Haematospermia . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49
Nicholas Raison and Ben Challacombe
7 Diagnostic Techniques in Male LUTS/BPE . . . . . 55
Faith McMeekin and Mark J. Speakman
8 Storage Lower Urinary Tract Symptoms:
Evaluation and Investigations . . . . . . . . . . . . . . . . . 65
Jai Seth, Arun Sahai, and Prokar Dasgupta
9 Urinary Incontinence . . . . . . . . . . . . . . . . . . . . . . . . 73
Melissa C. Davies and Tamsin Drake
ix