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BOOK REVIEWS
M.. R, Lerman, M. I., Zbar, B., Klausner, R D. and Linehan, W. M.: Molecular cloning of the von Rippel-Lindautumor suppressor gene and its role in renal carcinoma. Biochim. Biophys. Acta, 1242: 201,1996.
BOOK REVIEWS Textbook of Operative Urology F. F. MARSHALL, Philadelphia: W . B. Saunders Co., 1066 pages, 1996 This book provides a thorough, comprehensive and well-rounded guide to the evaluation and management of surgical problems encountered in adult and pediatric urology. Routine topics, such as simple prostatectomy, nephrectomy and cystectomy, are reviewed and updated. New techniques and developments in endoscopy, laparoscopy, reconstruction and oncology are outlined and discussed by an impressive array of experts in the fields. Each chapter includes indications for the procedure, preoperative assessment, a reasonably detailed description of the technique, and a summary of results and complications. Given the diversity of approaches and the many new surgical techniques, the editors did a remarkable job of assembling a renowned group of surgeons and standardizing the presentations. Personal comments by the editors provide an important assessment of the merits of the procedure. For example, laparoscopic surgery for stress incontinence is judged to be potentially useful but in need of long-term followup to assess its place in the urological armamentarium. As with all multi-authored books, the quality and detail of the figures vary but generally sufficient information is provided to perform the described procedures without refening to other textbooks. Overall this book represents a significant contribution to urological surgery and it should be a major asset to urological surgeons in residency, or private or academic practice. Anthony J . Schaeffer, M.D. Department of Urology Northwestern University Medical School Chicago, Illinois
Plastic and Reconstructive Urology J. W. MCANINCH, Philadelphia: W. B. Saunders Co., 766 pages, 1996 If not already, urological trauma will soon be acknowledged as an authentic urological subspecialty: high speed vehicle collisions, industrial accidents and crimes of violence ensure the inevitability of expanding numbers of cases requiring expert urosurgical management. Therefore, a comprehensive reference source becomes crucial, particularly for trainees and surgeons with limited experience or only occasional exposure to these cases. McAninch has addressed this issue with a well conceived and thorough compendium of considerations pertaining mainly to trauma with additional attention to nontraumatic pathological conditions requiring surgical reconstruction. Altogether 71 authors contributed to the book. The text (766 pages) is divided into 8 sections: Wound Biology and Reconstructive Principles (4chapters), Kidney (13), Bladder (7), Posterior Urethra (10). Impotence (51, Incontinence (51, Anterior Urethra (12), and Penile and Genital Reconstruction (7). In addition to 59 urologists with diverse subspecialty qualifications, contributors include experts in plastic surgery ( 5 ) ,radiology (31, pediatric surgery (21, and vascular, orthopedic and general surgery (1 each). There is an obvious effort to incorporate a maximum of potential surgical challenges in a thorough and comprehensible fashion, implemented by liberal illustrations (1,081 photographs, radiographs and excellent line drawings). As expected, much of the data presented are known from previous publications but to my knowledge there is presently no competing single source of information focusing on these issues nor is there likely to be soon, given the sterling quality of the contributors and thoughtful topic selection. References are extensive, current and balanced. Evidence of the effort to be comprehensive is provided by a review of the table of contents, which includes considerations of wound closure and suture techniques, skin graftdflaps, distinctions between adult and pediatric renal trauma, interventional radiology, fistula management, augmentation cystoplasty, continent diversion, bony pelvis injury, several approaches to proximal urethral avulsion and attention to subsequent structuring, vascular impotence, prosthetic and nonprosthetic remedies for incontinence, multiple aspects of urethroplasty, and genital injury and reconstruction. Criticism of such a review amounts to no more than a cordial variance of perspective or invitation to debate. A few random examples are representative. It is not my experience that urological injury (renal pedicle or ureteral) is ever without hematuria but the textbook fairly cites several supporting references. It is recommended that delayed discovery of ureteral injury is best managed by nephrostomy and repair after 3 months without explaining the advantage or need for waiting. In my judgment the chapters on bladder rupture are unnecessarily lengthy and tend to render a simple matter complex. The scholarly chapter on pelvic ring disruption seems suited to an orthopedic audience but the book does not suffer from its inclusion. The chapter on testicular sonography implies that this modality contributes crucially to the diagnosis of an