The Collateral Damage of the Cure: Urinary Dysfunction in Prostate Cancer
Curing prostate cancer is often a pyrrhic victory. A surgeon can successfully cut out the entire tumor, but in doing so, they might permanently destroy the sphincter muscle and nerves that control the patient’s bladder. The patient survives the cancer, but spends the rest of his life wearing adult diapers. Urinary Dysfunction in Prostate Cancer is a fiercely objective, highly specialized urologic manual detailing exactly how to manage this devastating collateral damage. This volume provides the precise surgical and rehabilitative blueprints required to restore the patient’s dignity and quality of life.
Mastering the Artificial Urinary Sphincter (AUS)
The core philosophy of this text is mechanical salvage. The authors aggressively detail the mechanics of severe post-prostatectomy incontinence. It dictates exactly how a reconstructive urologist must surgically implant a complex, fluid-filled silicone cuff around the patient’s urethra, connected to a hidden pump in the scrotum, allowing the man to manually open and close his urethra to regain total control of his bladder.
Navigating Radiation Cystitis
The book provides a masterclass in managing the irradiated pelvis. It dictates the exact clinical pathways for treating the burned bladder. It rigorously explores the terrifying complication where, years after radiation therapy, the blood vessels in the bladder violently rupture, detailing the hyperbaric oxygen and surgical cauterization protocols required to stop the patient from bleeding to death through their urine.
Frequently Asked Questions (FAQs)
Is this a book about how to surgically remove the prostate gland?
No, its absolute, exclusive focus is on the *reconstructive urology, quality of life management, and rehabilitative care* required *after* the cancer treatment has been completed.
Who is the primary audience?
It is the absolute, mandatory operative guide for Reconstructive Urologists, Urologic Oncologists, Radiation Oncologists, and Urology Nurses.
