The Big Prostate
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 ca
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The Big Prostate
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The Big Prostate
Veeru Kasivisvanathan • Ben Challacombe Editors
The Big Prostate
Editors Veeru Kasivisvanathan University College London & University College London Hospital London, United Kingdom
Ben Challacombe Guy's and St Thomas's Hospitals NHS Foundation Trust London, United Kingdom
ISBN 978-3-319-64703-6 ISBN 978-3-319-64704-3 (eBook) https://doi.org/10.1007/978-3-319-64704-3 Library of Congress Control Number: 2017958787 © Springer International Publishing AG 2018 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. The publisher remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. Printed on acid-free paper This Springer imprint is published by Springer Nature The registered company is Springer International Publishing AG The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland
Preface
With increasing life expectancy throughout populations globally, men have a greater chance of developing significant benign prostatic hyperplasia (BPH) than ever before. These men can present to urological services in a number of ways, some being referred by their primary care practitioners to secondary care with lower urinary tract symptoms, and others, presenting as an emergency directly to hospital services. Increasingly, those with larger prostates are being referred from secondary to tertiary care centres where specific technology may be available for the management of this problem. There are a number of well-established medical, interventional and surgical management options available, but men with a particularly large prostate, over 100 cc, pose a particular challenge to clinicians. The big prostate is difficult to manage from the point of view of the complexity of presentation, pharmacological treatments, bleeding, catheterization, surgery and subsequent complications. This interesting group of men is one that all urologists involved in general urology will have encountered
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