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Edema: Its pathogenesis and treatment
survival rate of 93 per cent. In those with Stage 11 lesions, the three-year survival rate drops to 75 per cent with a 70 per cent, five-year survival rate.
BOOKS
Transurethral Prostatic Resection by Cold Punch Technique H. G. W. Frohmuller In this film the author demonstrates transurethral resection of the prostate by the cold punch technique. He describes the punch instrument and some of its advantages. This type of resectoscope cuts with a cold tubular knife and has no telescopic lens system. The author believes that these direct vision instruments permit a “perfect view of the structures in their normal state,” and that by using a coagulating electrode for hemostasis, thermal damage to the tissue can be kept to a minimum. At the end of the film he mentions that a good surgeon can remove 2 to 3 Gm. of tissue per minute. An interesting film but parts of the transurethral prostatic resection were obscured by the blood.
Diagnostic and Therapeutic Aids in Urology by Henry Bodner et al. Springfield, Charles C Thomas, 1974, 332 pages, $24.75. One of the attractions of urology is that, as a branch of surgery, the practitioner can hope to become acquainted with all there is worthwhile knowing within a reasonable time and with reasonable application. This is unlike internal medicine and general surgery where the fields are so vast that its practitioners cannot possibly hope to achieve such an all-encompassing feat. This book has shocked this reviewer out of such a complacent view by showing much more of the iceberg of urologic knowledge than he had suspected even to exist. What we have is an encyclopedic work containing hundreds of practical ideas for the new urologist and the older practitioner also. These “tricks of the trade” cover every imaginable area from setting up an office to diagnostic and surgical maneuvers which might not occur to the practitioner at the moment of execution. This book owes its great variety and vitality to its many practitioner contributors and to some good artwork by a physician, Dr. John Arconti, Jr. What Dr. Bodner should be congratulated for is the clarity of exposition of ideas for the text shows careful editing and polishing. This intelligent treatment has converted what might have been a “ho-hum” book into a genuinely solid success. Some urologic historian of the future will find this a quaint source of how urology was practiced back in the 20th Century! I would urge every Chief of Service to make this a graduation gift for the 1975 resident. Another plan would be to place this book in the cystoscopy suite (chained to the desk of course) for profitable browsing while waiting for the next case to start. (A.Z.)
Bladder Closure: How I Do It F. B. Scott The author demonstrates in this film why he prefers an extramucosal, running, horizontal mattress suture to close the bladder. Using the dog bladder he compares this closure with the running horizontal lock technique and the running, over and over suture technique, both of which incorporate full thickness of the bladder wall. In the extramucosal technique, a watertight closure is immediately obtained compared with the other two closure techniques. This closure is also faster since additional sutures are not needed to achieve water-tight closure. A third advantage is that chronic cystitis is avoided because of more rapid healing with the extramucosal closure. The fourth advantage is that the suture material is concealed from the interior of the bladder cavity. This is a good short film, and the author’s points are well demonstrated.
Bed Wetting: A Guide for Parents by Robert L. Rowan New York, St. Martin’s Press, 1974, 113 pages, $6.50. This book, as the title states, is not for the physician but the parents of the enuretic child. Enuresis in its urologic and psychologic ramifications is a complex topic, and the author handles these well so that practitioners need not be surprised at some of the sophisticated questions which parents who have read this book may ask. Dr. Rowan covers all aspects of the subject including some interesting anthropologic material. The role of the urologist and the reasons for workup are well handled. Whether or not that great authority on child rearing, Dr. Speck, would place his imprimatur on Dr. Rowan’s effort is a matter for speculation. This book should help prepare the practitioner to deal with the often vexing problem of how to manage the parents in addition to the patient. (A.Z.)
Edema: Its Pathogenesis and Treatment W. N. Suki Through the use of art/animation the pathogenesis of edema and its treatment is presented in this film. Some aspects of renal physiology are briefly reviewed, and the pharmacology and physiology of the commonly used diuretic drugs are discussed along with the rationale for their use. A few of the side effects of diuretic therapy are also mentioned. This fihn is a good review of the pharmacology of the various diuretics and is recommended for both residents and medical students.
UROL,OGY
/ FEBRUARY
1975
/ VOLUME
V, NUMBER
2
295
BOOKS
Transurethral Prostatic Resection by Cold Punch Technique H. G. W. Frohmuller In this film the author demonstrates transurethral resection of the prostate by the cold punch technique. He describes the punch instrument and some of its advantages. This type of resectoscope cuts with a cold tubular knife and has no telescopic lens system. The author believes that these direct vision instruments permit a “perfect view of the structures in their normal state,” and that by using a coagulating electrode for hemostasis, thermal damage to the tissue can be kept to a minimum. At the end of the film he mentions that a good surgeon can remove 2 to 3 Gm. of tissue per minute. An interesting film but parts of the transurethral prostatic resection were obscured by the blood.
Diagnostic and Therapeutic Aids in Urology by Henry Bodner et al. Springfield, Charles C Thomas, 1974, 332 pages, $24.75. One of the attractions of urology is that, as a branch of surgery, the practitioner can hope to become acquainted with all there is worthwhile knowing within a reasonable time and with reasonable application. This is unlike internal medicine and general surgery where the fields are so vast that its practitioners cannot possibly hope to achieve such an all-encompassing feat. This book has shocked this reviewer out of such a complacent view by showing much more of the iceberg of urologic knowledge than he had suspected even to exist. What we have is an encyclopedic work containing hundreds of practical ideas for the new urologist and the older practitioner also. These “tricks of the trade” cover every imaginable area from setting up an office to diagnostic and surgical maneuvers which might not occur to the practitioner at the moment of execution. This book owes its great variety and vitality to its many practitioner contributors and to some good artwork by a physician, Dr. John Arconti, Jr. What Dr. Bodner should be congratulated for is the clarity of exposition of ideas for the text shows careful editing and polishing. This intelligent treatment has converted what might have been a “ho-hum” book into a genuinely solid success. Some urologic historian of the future will find this a quaint source of how urology was practiced back in the 20th Century! I would urge every Chief of Service to make this a graduation gift for the 1975 resident. Another plan would be to place this book in the cystoscopy suite (chained to the desk of course) for profitable browsing while waiting for the next case to start. (A.Z.)
Bladder Closure: How I Do It F. B. Scott The author demonstrates in this film why he prefers an extramucosal, running, horizontal mattress suture to close the bladder. Using the dog bladder he compares this closure with the running horizontal lock technique and the running, over and over suture technique, both of which incorporate full thickness of the bladder wall. In the extramucosal technique, a watertight closure is immediately obtained compared with the other two closure techniques. This closure is also faster since additional sutures are not needed to achieve water-tight closure. A third advantage is that chronic cystitis is avoided because of more rapid healing with the extramucosal closure. The fourth advantage is that the suture material is concealed from the interior of the bladder cavity. This is a good short film, and the author’s points are well demonstrated.
Bed Wetting: A Guide for Parents by Robert L. Rowan New York, St. Martin’s Press, 1974, 113 pages, $6.50. This book, as the title states, is not for the physician but the parents of the enuretic child. Enuresis in its urologic and psychologic ramifications is a complex topic, and the author handles these well so that practitioners need not be surprised at some of the sophisticated questions which parents who have read this book may ask. Dr. Rowan covers all aspects of the subject including some interesting anthropologic material. The role of the urologist and the reasons for workup are well handled. Whether or not that great authority on child rearing, Dr. Speck, would place his imprimatur on Dr. Rowan’s effort is a matter for speculation. This book should help prepare the practitioner to deal with the often vexing problem of how to manage the parents in addition to the patient. (A.Z.)
Edema: Its Pathogenesis and Treatment W. N. Suki Through the use of art/animation the pathogenesis of edema and its treatment is presented in this film. Some aspects of renal physiology are briefly reviewed, and the pharmacology and physiology of the commonly used diuretic drugs are discussed along with the rationale for their use. A few of the side effects of diuretic therapy are also mentioned. This fihn is a good review of the pharmacology of the various diuretics and is recommended for both residents and medical students.
UROL,OGY
/ FEBRUARY
1975
/ VOLUME
V, NUMBER
2
295