Primer of Geriatric Urology
The field of geriatric urology continues to evolve and expand since the publication of the first edition of this book. The second edition of this book builds upon the previous addition and provides an introductory overview of the demographics of our aging
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Primer of Geriatric Urology
Thomas J. Guzzo • George W. Drach Alan J. Wein Editors
Primer of Geriatric Urology Second Edition
Editors Thomas J. Guzzo Department of Urology University of Pennsylvania Philadelphia PA USA
Alan J. Wein Department of Urology Perelman School of Medicine University of Pennsylvania Philadelphia PA USA
George W. Drach Department of Urology in Surgery University of Pennsylvania Philadelphia PA USA
ISBN 978-1-4939-4926-7 ISBN 978-1-4939-4928-1 DOI 10.1007/978-1-4939-4928-1
(eBook)
Library of Congress Control Number: 2016946369 © Springer Science+Business Media New York 2016 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made. Printed on acid-free paper This Springer imprint is published by Springer Nature The registered company is Springer Science+Business Media LLC New York
Preface
The American population over the age of 65 will grow greatly in the next two decades. The US Census Bureau has estimated that by 2030, 20 % (approximately 72 million people) of the US population will be in this group. Currently, one in every ten individuals in the world is over 60 years of age; by 2050, this number will double to 1 in 5! Additionally, due to improvement in medical care, elderly individuals are living longer. In 2004, the median life expectancy for an individual reaching age 65 reached 17.1 years and age 75, 10.7 years. While many health-care specialists will feel the impact of this growing elderly population, few will be more affected than those in the field of urology. Many urologic disorders have an increased prevalence among the elderly: nearly 50 % of outpatients and over 60 % of surgical/ procedural patients encountered in US urologic practice are over the age of 65 years. As medical students on our pediatric rotations, we learn early on that children are not “little adults.” The obvious wisdom of this saying is that pediatric patients have a unique physiology and pathophysiology that is not necessarily transferable from what we learn on
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