The Geriatric Compromise: Management of Urological Cancers in Older People
An 85-year-old man with prostate cancer does not have the same biological reserve as a 50-year-old. If you subject him to a massive robotic prostatectomy, the cancer might be cured, but the surgical trauma might literally kill him or leave him permanently bedridden. Management of Urological Cancers in Older People is a fiercely pragmatic, highly calculated clinical manual detailing exactly how to navigate this brutal trade-off. This volume provides the precise surgical and oncological blueprints required to treat the malignancy without destroying the fragile host.
Mastering the Frailty Assessment
The core philosophy of this text is calculating biological age versus chronological age. The authors aggressively detail the mechanics of geriatric oncology. It dictates exactly how a urologist must mathematically assess an elderly patient’s heart function, kidney reserve, and cognitive status before deciding whether a radical cystectomy for bladder cancer is a life-saving intervention or a mathematically guaranteed death sentence.
Navigating Watchful Waiting
The book provides a masterclass in the psychology of intentional inaction. It dictates the exact clinical pathways for avoiding overtreatment. It rigorously explores the data proving that many slow-growing prostate tumors in elderly men will never cause symptoms in their remaining lifetime, detailing the strict criteria for advising the patient to completely ignore the cancer and focus entirely on their quality of life.
Frequently Asked Questions (FAQs)
Is this a book about pediatric urology?
No, its absolute, exclusive focus is on the *geriatric oncology, surgical risk assessment, and palliative urology* of treating elderly patients.
Who is the primary audience?
It is the absolute, mandatory operative and clinical guide for Urologic Oncologists, Geriatricians, Medical Oncologists, and Radiation Oncologists.
