Metabolic bone and stone disease

Metabolic bone and stone disease

The most interesting part of a book on urologic trauma is the management, and it is here where an author with many years of experience could excel by ...

117KB Sizes 4 Downloads 149 Views

The most interesting part of a book on urologic trauma is the management, and it is here where an author with many years of experience could excel by settling some of the ongoing controversies. In that respect the monograph is a little disappointing, but the reader is amply compensated by excellent descriptions and evaluations, for example, of posterior urethral injuries. HS

Metabolic Bone and Stone Disease B. E. C. Nordin Churchill Livingstone (Longman, Inc.), 1984, $69.00

However, both urologists and nonurologists will find topics of mutual interest in metabolic bone and stone disease adequately covered in this text. GRS Techniques in Endourology: A Guide to Percutaneous Removal of Renal and Ureteral Calculi by Ralph V. Clayman and Wilfrido R. CastenedaZuniga Techniques in Endourology (Publ.), PO. Box 184, Minneapolis, Minnesota, 1984, $68.00

This updated, expanded version of Nordin’s earlier 1973 monograph covers the entire spectrum of metabolic bone and stone disease. It admirably bridges the gap between the standard medical textbook and the current journals and a wealth of information-clinical and basic-is presented in 11 easily readable chapters. The authors, who are all from the United Kingdom, present their experience with metabolic bone and stone disease in chapters dealing with osteoporosis and osteomalacia, hypercalcemia, hypocalcemia, osteopathy, Paget disease, ectopic calcification, and calcitonin. There are 2 chapters on topics of special interest to urologists especially one on primary hyperparathyroidism which covers the clinical features, biochemistry, diagnosis, and treatment of this disorder. The authors, including an endocrinologist and a urologist, contribute a balanced and systematic account of this condition based on their extensive personal experience. Robertson, from the Medical Research Council (MRC) Mineral Metabolism Unit in Leeds, contributes an excellent chapter on urinary tract calculi. The epidemiology, classification, chemical composition, and pathogenesis of urinary stones are included in this wellwritten, concise, but encyclopedic chapter. The references are not listed in the customary manner at the end of each chapter, and the reviewer found this somewhat distracting. However, the bibliography is extensive and up-to-date. The primary readership of this book would include endocrinologists, internists, and orthopedists.

As the title implies, this is essentially a “how to do it” book in the rapidly expanding field of endourology. The editors have collected individual techniques of leading experts in the field from both the United States and Europe and have coalesced the material into a neat and easily readable text. Individual chapters are devoted to patient selection, anatomy, instrumentation, flexible and rigid nephroscopy, and lithotripsy. The chapter on anatomy is highly informative and presents the existing information from the endourologic point of view. The chapter on establishing access describes the techniques available for stones in various locations. Detailed description on the use of flexible nephroscope should aid the beginner considerably. The nuances of both electrohydraulic and ultrasonic lithotripsy are well described. Perioperative management and complications from these procedures are described adequately. Information on fluoroscopic equipment and its use is minimal, perhaps because the editors expect a competent radiologist to be involved in all these procedures. The book is easily readable and enables the reader to systematically follow the steps involved. Although the illustrations are two dimensional line diagrams they clearly show the techniques involved. The book carries a list of various items kept in the endourology suites at various centers which should be of help to some one starting out in this field. Clayman and Casteneda-Zuniga should be congratulated for producing such an excellent “state of the art” book. Though some of the procedures described have yet to withstand the test of time (such as intrarenal surgery), this book is a must for all those involved in the percutaneous removal of renal and ureteral calculi. BVS

436

UROLOGY

New York,

I

APRIL

1985

/ VOLUME

XXV, NUMBER 4