Benign Prostatic Hypertrophy

Front Matter....Pages i-xxviii
Front Matter....Pages 1-3
Natural History of Benign Prostatic Hypertrophy....Pages 5-9
Origins, Distribution, and Risk of Benign Prostatic Hypertrophy....Pages 10-21
Interracial Incidence of Benign Prostatic Hypertrophy....Pages 22-26
Prostatic Obstruction in Chinese Populations....Pages 27-29
History of Nonsurgical Treatment....Pages 30-34
Prostatectomy....Pages 35-44
Suprapubic Prostatectomy....Pages 45-58
Front Matter....Pages 59-61
Surgical Pathology of Benign Prostatic Hyperplasia....Pages 63-72
Immunological Aspects of Benign Prostatic Hypertrophy....Pages 73-98
Histochemistry....Pages 99-111
Stereological Analysis....Pages 112-129
Stromal-Epithelial Interaction....Pages 130-140
Origins of Benign Prostatic Hypertrophy....Pages 141-144
Possible Causative Factors....Pages 145-151
Relationship of the Origin of Benign Prostatic Hypertrophy to Prostatic Structure of Man and Other Mammals....Pages 152-166
The Relationship Between Benign Prostatic Hyperplasia and Prostatic Carcinoma....Pages 167-173
Front Matter....Pages 175-178
Endocrine and Cellular Inductive Factors in the Development of Human Benign Prostatic Hypertrophy....Pages 179-192
Cellular Growth and Hormone Receptors....Pages 193-214
Current Models and Their Relation to Human Disease....Pages 215-228
Effects of Castration, Estrogen, and Androgen Administration....Pages 229-234
Front Matter....Pages 175-178
Androgen Levels and Binding in Benign Prostatic Hyperplasia....Pages 235-247
Laboratory Evidence of Endocrine Effects....Pages 248-255
Effect of Hormones on Established Prostatic Hypertrophy....Pages 256-261
Human Trials of Endocrine Management....Pages 262-270
Treatment with Cyproterone Acetate and/or Bromocriptine....Pages 271-276
Megesterol Acetate in Treatment....Pages 277-279
Effect of Cholesterol-lowering Agents....Pages 280-307
Assessment of Medical Treatment....Pages 308-312
Directions for Future Research....Pages 313-315
Front Matter....Pages 317-320
Coordination in Bladder Function....Pages 321-329
Autonomic Muscular Innervation of the Vesical Outlet and Its Role in Micturition....Pages 330-348
Autonomic Innervation of the Prostate....Pages 349-360
Urethrovesical Reflexes and Their Inhibition....Pages 361-372
Mechanisms of Autonomic Drug Action on the Bladder Outlet....Pages 373-383
Effect of Nonautonomic Drugs on the Vesical Neck....Pages 384-404
Pharmacological Receptors in the Prostate....Pages 405-409
Changes in Adrenergic Receptors in Bladder Outlet Obstruction....Pages 410-413
Principles for Evaluation of Pharmacologic Agents....Pages 414-418
Pharmacological Management of Outlet Obstruction....Pages 419-424
Prospects for Pharmacologic Management....Pages 425-428
Front Matter....Pages 429-432
The Physical Basis of Obstructive Uropathy....Pages 433-442
Detrusor Energy Factors....Pages 443-449
Detrusor as the Energy Source of Micturition....Pages 450-469
The Contribution of the Bladder Outlet to the Relation Between Pressure and Flow Rate During Micturition....Pages 470-496
Dynamics of Acute Retention....Pages 497-501
Clinical Significance of Urodynamic Measurements....Pages 502-506
Hydrodynamic Significance of Flow Rate Determination....Pages 507-522
Urinary Flow Rates....Pages 523-527
Development of Nomograms for Application of Uroflowmetry....Pages 528-538
Urinary Velocity in Prostatism....Pages 539-544
The Video-Audio Voiding Cystourethrogram and Synchronous Pressure-Flow Cystourethrography....Pages 545-549
High-flow High-pressure Obstruction....Pages 550-552
The Urinary Drop Spectrometer in Diagnosis....Pages 553-558
Information Content of Urodynamics....Pages 559-565
Urethral Pressure Profiles....Pages 566-576
Urethral Static Pressure Profile....Pages 577-588
Residual Urine....Pages 589-596
Correlation of Flow Rate and Residual Urine with Symptomatology....Pages 597-601
Ultrasound Evaluation of Prostatic Size and Residual Urine....Pages 602-604
Use of the Intravenous Urogram in Diagnosis....Pages 605-609
Front Matter....Pages 429-432
The Intravenous Urodynamogram....Pages 610-612
Relationship Between Clinical Urodynamics and Pathologic Findings in Prostatic Obstruction....Pages 613-626
Urodynamic Interpretation of Symptoms....Pages 627-641
Future Prospects for Urodynamic Study in Clinical Evaluation of Benign Prostatic Hypertrophy....Pages 642-647
Front Matter....Pages 649-651
Effects of Aging and Prostatic Obstruction on Detrusor Morphology and Function....Pages 653-665
Detrusor Morphology in Relation to Bladder Outflow Obstruction and Instability....Pages 666-671
Surgical Anatomy of the Prostatic Lobes....Pages 672-677
Relation of Prostatic Lobes to Degree and Rate of Obstruction....Pages 678-681
The Development of Vesical Trabeculation....Pages 682-688
Front Matter....Pages 689-691
Sequential Events in Prostatic Obstruction....Pages 693-700
The Symptoms of Bladder Outlet Obstruction....Pages 701-705
Obstruction and the Uninhibitable Detrusor....Pages 706-710
Progression of Obstruction and Symptoms....Pages 711-713
Diseases Complicating Management of Benign Prostatic Hypertrophy....Pages 714-720
Bacterial Prostatitis and Benign Prostatic Hypertrophy....Pages 721-726
Infection and Stasis....Pages 727-730
Effect of Obstruction on Renal Function....Pages 731-741
Front Matter....Pages 743-745
Differential Diagnosis....Pages 747-762
A Point System for Selecting Operative Candidates....Pages 763-765
Prostatic Health Status Index....Pages 766-770
Front Matter....Pages 743-745
Indications for Prostatectomy—Mandatory and Optional....Pages 771-775
Prostatectomy in Vesical Neurological Disturbances....Pages 776-781
Role of Self-Catheterization in Prostatism....Pages 782-785
Distention Therapy in Early Stages....Pages 786-791
Front Matter....Pages 793-796
The Anatomical Objectives of Operation....Pages 797-805
Selection of Operations....Pages 806-808
The Sphincter Mechanisms....Pages 809-828
Transurethral Prostatectomy....Pages 829-846
Internal Urethrotomy....Pages 847-850
Water Intoxication....Pages 851-854
Risk Management Program in Electrosurgery....Pages 855-858
Perioperative Antibiotics....Pages 859-864
Consequences of Incomplete Prostatic Transurethral Resection....Pages 865-867
Suprapubic Prostatectomy....Pages 868-879
Simple (Conservative) Perineal Prostatectomy....Pages 880-898
Retropubic Prostatectomy....Pages 899-917
Reconstructive Posterior Prostatectomy....Pages 918-926
Cryosurgical Treatment....Pages 927-933
Front Matter....Pages 935-937
Psychosexual Counseling Informed Consent....Pages 939-947
Urodynamic Results of Surgery....Pages 948-956
Front Matter....Pages 935-937
Evaluation and Management of Symptoms After Prostatectomy....Pages 957-970
Late Results and Complications of Prostatectomy....Pages 971-978
Postprostatectomy Strictures....Pages 979-984
Postprostatectomy Incontinence....Pages 985-996
Postprostatectomy Incontinence....Pages 997-1007
Postprostatectomy Incontinence....Pages 1008-1022
Effect of Benign Prostatic Hypertrophy and Consequent Operations on Potency....Pages 1023-1028
A Method for Establishing Fees....Pages 1029-1032
Future of Surgery for Prostatic Hypertrophy....Pages 1033-1035
Back Matter....Pages 1037-1097