Tile importance of a personal filing system in self-education has been addressed b!r many allthors. and several systems have heen de\ised. ‘-’ ~ledical knowledge, in general. should be considered as not only that information which is retained hrlt also that information which is stockpiltd for retrie\xl, reviewing:. and constant up-dating. In urology, as with all medical and the tremendous volume of slirgic:al disciplines. pllblished literature makes its retric\,al sometimes difficult. The f(lllowing is a s!.stem f’o~ filing urologic’ literature which, because of its underlying framework, can be adapted to all surgic.21 specialties. The ke!, h filing the literature makes use of basic an;ltomic~ lines of organization of urologic materials and emplo)-s the decimal s),strm. The consistc~nt f‘rame\vork aligned along classic principles employed in medical education and di\~isioIl of pathologic processes is used to divide a11 aIlatoInic* t:ategor~filrther. The tiatnework then is as ti~llom3: 1,O ;2natoinic categor!. I 1 Basic science: enibryolog~~, anatomy, histology. pathology, physiology. ~‘h”‘II’“cology
I .2 (:liiii(xl I .:I I .-I I. pi I .6 1.7 1.h
Operati\-e (:ongenital ,~cql~ired
science:
symptoms, signs. diagnostic e\xluation techniques and complications anoinalies diseases
NtY~~?lasnls
Int;~c*tioiis diseases Tt-~~~~niatic injuries
my siirgical disc:iplint~ cm \\.ith this striictilre he olltlined. and by flirther subdividing each of’ the major di\,isions within euch ;tnatolnic category. a11 diseases can be addressc~d cmil!.. Thrconsistency ol‘ the f’rameux~rk \\-ith IIW nInkrs tile assignnlent of ;i filing ililnilvr easily prrdictablt~. For esa~nple, neoplastil:, diseases mill always be ;i .6 within an aIiatoIiiic cxttxgor) . i\IlC 1 this can lx tLrther di\-ided into . til 62. .63 to address thtl difl&ent neoplustic d~corclc~~s a#ecting that pxticlilaiorgan s!5ttw. ‘I‘abltl I is the key so dc\,ised for the filing of’ rlrologic Iiteratllre and is based on topics ;lddrehstd 1)~ JI~~~OIurologic test>.“-” This system allows for refert>ncv i texts, reprints, ahstructs, monographs, and \o hrthi to he placed to,qether within their topic category. At the same time, a single refert>Junhich 1Ix1) he appropriate in two or more topic: categories can be noted in the additional cxte,goric~s ;Vl well. To utilize the filing system. as an article is wad the primir!~ topic clecimd ii1~ni1wr from the ke,, is identified in the upper left-hand corner t,Fig. 1.4). A4lI additional cxtvgtxies into which tlirl article cm be placed are \irnilarl>. noted I)elow this prima), nlIInher I Fig. 1B). I\‘lit’n an article is to be filed within more t~laii ii using st~~iid~trtl-sizc~d typsingle topic cxtegory, ing paper. the publication is ref;_i-enc4 rising accepted notation to be plx~~l u,ithilr the file. The location within the file for this rdermct~ slicd is Ilot& in the iippw lrf’t lia~rtl corner (Fig. 24). and the location \vithin t11c file whrrta tlrtl reprint nia!’ lx% fi)ilid i< notrcl ill thv i~ppv I-i&t hantl CYU-IICY- (Fig. BB). “0” can l)tb 11scx1 in
3.0
2.0
1.0
1.7 1.8
Complications and Mortality) niscella"eous
3.10 3.11
3.8 3.9
3.6 3.7
3.5
3.4
3.3
and
bPYem Interstitial cystitis Noninfectious Hemorrhagic Cystitis Perivesical Lipomatosis Radiation Cystitis stress I"co"ti"e"ce Vesical Pistulas
nerniation (Internal/ External Vesical)
Diverticulum
Vesicoureteral Reflux Neurogenic Bladder
3.55 3.56 3.57 3.58 3.59 niscella"eous Neoplasms Infectious Cystitis injury Traumatic Obstruction
3.52 3.53 3.54
3.5'1
Exstrophy Persistent Urachus Contracture of Bladder Neck Acaulred Diseases
3.41 3.42 3.43
Operative Techniques Complicatio"s Congenital Anomalies
and
(Morbidity
BLADDER 3.1 Basic Science 3.2 clinical Science
2.4
2.3
ANALGESIA AND ANFSTHESIA 2.1 Agents 2.2 Techniques
1.61 Adrenocortical 1.62 Pheochromocytoma Infectious Disease Injury Traumatic
1.6
Tumors
Virilizing/Peminizing Conditions Neoplasms
1.55
ADRENAL 1.1 Basic Science 1.2 Clinical Science 1.3 Operative Techniques and Complications 1.4 Congenital Anomalies 1.5 Acquired Disease 1.51 Addison's Disease 1.52 Gushing's Disease 1.53 cysts 1.54 Hyperaldosteronisml Hypoaldosteronism
TABLE I.
9.5
9.4
9.2 9.3
MEDICOLEGAL
Polycystic Kidney Renal Fusion, Abnormal Rotation Renal Vessel
9.43 9.44 9.45 9.46
9.56
Interstitium Renoalimentary
Diseases Fistulas
Acquired Disease (Including Medical Renal Disease) 9.51 Glomerulonephritis 9.52 Nephrotic Syndrome 9.53 Renal Cortical Necrosis 9.54 Renal Infarcts 9.55 Renal Tubule and
Abnormal
cystic Kidney, Simple cyst (Solitary) Hedullary Sponge Kidney
9.105
Thrombosis
of
10.7 10.8
11.4
11.1 11.2 11.3
Vein
MALE
URETHRA
11.47 11.48
11.46
11.44 11.45
11.42 11.43
.
Urethral)
or
External Neatus Stricture (Anterior) (Posterior Prostatic
Valves Valves
urinary Urethral
vesicorecta1 Hypospadlas Stenosis of
.
and
Hypospadias Eoisoadias Fistulas: Urethrorect
Basic Science Clinical Science Operative Techniques Complications Congenital Anomalies 11.41 Chordee Without
AN0
10.51 Lymphomas. Lymphangiomata 10.52 Urologic Considerations Infectious Disease Traumatic Injury
and
Renal
9.61 Benign 9.62 Adenocarcinoma 9.63 Embryoma 9.64 Sarcoma 9.65 Renal Pelvis Infectious Disease 9.71 Necrotiring Papillitis 9.72 Perinephric Abscess 9.73 Pyelonephritis 9.74 Renal Carbuncle Traumatic Injury Oliguria ATN 9.91 9.92 Physiologic Imbalaoces 9.93 Bilateral Ureteral Obstruction Reoovascular 9.101 Aneurysm Aneurysm 9.102 Arteriovenous 9.103 Arteriovenous Fistula 9.104 By,?'-rt‘Z"Sio"
Neoplasm
LYMI'HATIC SYSTEN 10.1 Basic Science 10.2 Clinical Science 10.3 Operative Techniques Cwplications 10.4 Congenital A"omalies 10.5 Acquired Disease 10.6 Neoplaslns
9.10
9.8 9.9
9.7
9.6
classijication.s*
I .l.O PEXIS
10.0
Key to urologic
TOPICS
Clinical Science Operative Techniques and Complicatio"s congenrta1 A"om.?.lies 9.4L Agenesis, Hypoplasia. Ectopic Kidney, Supernumerary Kidney 9.42 Dysplastic and Muti-
Science
AND
JURISPRUDENCE KIDNEY 9.1 Basic
8.0 9.0
INFERTILITY 7.1 Basic Science 7.2 Clinical Science 7.3 Operative Techniques and Complications 7.4 Classification of Etiologies of Disorders Associated with Infertility 7.5 Medical Management of Testicular Dysfunction
7.0
IMPOTENCE 6.1 Basic Science: Anatomy, Embryology, Pathology, Physiology, Pharmacology 6.2 Clinical: Symptoms, signs Diagnostic Work-up 6.3 Operative Techniques and Complicatio"s 6.4 Medical Management 6.5 Sexual Counseling 6.6 Classification of Etiologies
6.0
AND SOCIO-ECONOMIC UROLOGY
HISTORICAL ASPECTS OF
COLLAGEN VASCULAR, GRANULOMATOUS, IMMLlJOL0CIC.a DISEASES
5.0
4.0
13.0
12.0
Acquired 11.51 Circumcision 11.52 Fistula 11.53 Phimosis 11.54 Plastic Induration 11.55 Priapism 11.56 Thrombophlebitis 11.57 Urethral Stricture 11.58 Urethral Warts Neoplasm Infectious Disease Traumatic Injury 11.81 Membranous Urethra 11.82 Bulbous Urethra 11.83 Pendulous Urethra 11.84 Penile Urethra
13.54
13.53
13.52
(xx Male) True Hermaphrodite
Gonadal Dysgenesis (Turner Syndrome) Sex Reversal Syndrome
SEXUAL DIFFERENTIATION AN0 INTERSEXUALITY MANAGEMENT 13.1 Basic Science science 13.2 Clinical Techniques and 13.3 Operative Complications and 13.4 Sexual Assignment Psychosexual Differentiation Sexual Development 13.5 Anomalous 13.51 Seminiferous Tubule ~ysgenesis: Chromatin Positive - Klinefelters and its Variants
PROSTATE AND SRKINAL VESICLES 12.1 Basic Science science 12.2 Clinical Techniques and 12.3 Operative Complicatio"s Anomalies 12.4 Congenital Disease 12.5 Acquired 12.6 Neoplasm 12.61 Benign Prostatic Hypertrophy 12.62 carcinoma 12.63 Sarcoma 12.64 Seminal Vesicle Disease 12.7 Infectious 12.71 Acute Prostatitis and Prostatic Abscess 12.72 Chronic Prostatitis 12.73 Seminal Vesicles Injury 12.8 Traumatic Ejaculate 12.9 Bloody
11.6 11.7 11.8
11.5
15.0 TESTES, EPIDIDYMIS, SPFJWATIC CORD, SCROTUM AND EXTERNAL GENITALIA 15.1 Basic Science 15.2 Clinical Science 15.3 Operative Techniques and Complications 15.4 Congenital Anomalies 15.41 Testicular: Number, Xypogonadism, Ectopy, and Cryptorchism 15.42 Epididymal 15.5 Acquired Disease 15.51 Cord: Hydrocele, Spermatocele. Varicocele, Torsion 15.52 Epididymal 15.53 Scrotal 15.6 Neoplasm 15.61 Testes 15.62 Epididymis 15.63 Cord 15.7 Infectious Disease 15.71 Acute and Chronic Epididymitis 15.72 Acute Orchitis 15.73 Testes Appendix 15.8 Trsum;ltlc Injury 15.9 vasectomy
14.0 SHOCK, FLUIDS, ELECTROLYTES, NUTRITION 14.1 General Pathophysiology and Treatment 14.2 Classification of Etiologies 14.21 Hypovolemic and Hemorrhagic 14.22 Septic Wrosepsis) 14.23 Cardiogenic and Vasogenic 14.24 Neurogenic 14.3 Shock and Renal Function 14.4 Shock and I4iscelLaneousOrgan Effects 14.5 Fluid/Electrolytes and Acid/Base 14.6 Nutrition
13.6 Disorders of Gonadal Sex 13.61 Pure Gonadal Dysgensis 13.62 Absent Testes Syndrome 13.7 Disorders of Phenotypic Sex 13.71 Female Pseudohermaphrodite 13.72 Development Disorders of Female Phenotype 13.73 Male Pseudohermaphrodite 13.8 Unclassified Forms of Abnormal Sexual Development
Neoplasm 17.61 Renal Pelvis 17.62 Ureter Infectious Disease Traumatic Injury Vesicoureteral Reflux
stricture
Fascitis/Fibrosis
18.0 URETHRA (FEMALE) 18.1 Basic Science 18.2 Clinical Science 18.3 Operative Techniques and Complications 18.4 Congenital Anomalies 18.41 Distal Urethral stenosis 18.42 Labial Fusion 18.5 Acquired Disease 18.51 Diverticulum 18.52 Flstula (Urethral Vaginal) 18.52 Prolapse 18.54 Stricture 18.55 Thrombosis of Urethral Vein
17.7 17.8 17.9
17.6
17.53
17.0 URETER 17.1 Basic Science 17.2 Clinical Science 17.3 Operative Techniques and Complications 17.4 Congenital A"oma1ies 17.41 Duplication 17.42 Ectopic Ureteral Orifice 17.43 Incomplete Ureter 17.44 Postcaval ureter 17.45 Retroiliac Ureter 17.46 Stricture 17.47 Ureterocele 17.5 Acquired Disease 17.51 Extrinsic Obstruction 17.52 Retroperitoneal
16.0 TRANSPLANTATION, DLUYSIS, AND CHRONIC RENAL FAILURE 16.1 Basic Science, including IUlUllJ"0l"gy 16.2 Clinical Science 16.3 Operative Techniques and Complications 16.4 Donor Selection 16.5 Recipient Selection and Preparation 16.6 Medical Management
15.10 Ski" Diseases of F.xter"a1Genitalia Neoplasm Infectious Disease 18.71 Acute Urethritis 18.72 Chronic Urethritis 18.73 senile urethricis 18.74 Carbuncle Traumatic Injury 18.81 Obstetrical Injury urinary Inco"ti"e"ce
20.0 URoRADIoLocY 20.1 Urography and cystourography 20.2 Radionucleotides 20.3 Ultraeound 20.4 Computerized Axial Tomography 20.5 Renal and Adrenal Angiography 20.6 Venography
19.0 URoLITHL4SIs 19.1 Basic Science 19.2 Clinical science 19.3 Operative Techniques and Complications 19.4 Medical Management 19.5 Renal Stones and Nephrocalclnosis 19.6 Llreteral 19.7 vesica1 19.8 Prostatic
18.9
18.8
18.6 18.7