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The Radiologic Clinics of North America: Interventional Uroradiology
694
BOOK REVIEWS
the elderly in the community may suffer from significant incontinence, with the prevalence in those in long-term institutional care settings greater than 50 per cent. An interesting article on psychosocial factors in urinary incontinence notes that the care for incontinent patients in the nursing home setting is determined largely by whether the staff views the problem as bad or deviant behavior, inevitable or a symptom requiring medical evaluation and treatment. A chapter on the economic impact of incontinence presents the staggering total of direct and indirect costs associated with the problem-8.1 billion dollars in the United States during 1984! Much of the central chapters of the volume are made up of reviews by Doctors Wein, Ouslander, Leach, Raz and Blaivas, names well known to the urological community, on the physiology of micturition, the diagnostic evaluation of geriatric incontinence, the place of urodynamics, surgical treatment for female geriatric incontinence, surgical treatment for male geriatric incontinence and drug therapy. It is nice to see chapters on behavioral therapy and urinary catheters. There is a particularly good chapter by Brink and Wells on environmental support for geriatric incontinence that stresses issues often not given enough importance by physicians. The book concludes with a chapter on incontinence in nursing homes. This chapter highlights the paradox of "overcare", in which the nursing staff, rather than try to promote independence in nursing home patients, prefers to complete all the personal tasks (for example grooming, bathing, feeding, toileting and so forth) for patients, believing it is faster and more time-efficient to do everything for a patient rather than motivate the patient to be independent or wait for the patient to complete a task independently. I would recommend this book to urologists primarily for its valuable discussion of issues often considered as ancillary to the problem of incontinence but that in the elderly are of paramount importance. Philip M. Hanno Division of Urology Hospital of the University of Pennsylvania Philadelphia, Pennsylvania
Surgical Pathology of Urologic Diseases
N. JAVADPOUR AND S. H. BARSKY, Baltimore: The Williams & Wilkins Co., 318 pages, 1986 With increased interest, partly for urologists, on the pathology of the genitourinary tract as evidenced by more demanding board requirements, and continuous conferences and updates, the publication of this book is timely and important. Such enterprise should provide modern urologists with an up-to-date review of pathological conditions of the genitourinary tract that can be used in everyday practice. The overview chapter in this book was somewhat disappointing. The philosophy that I expected to be developed, that is the close cooperation between urologists and pathologists in discussing the orientation of gross anatomical specimens and positive or negative edges, as well as fixatives, development of protocols, such as biological staging of certain diseases and so forth, was not discussed in depth. Instead, the authors presented a number of radiological studies, some of which did not match comparatively (figures 1 to 4 in book). I would hope that in future editions the overview chapter should be developed in
conjunction with a urologist and pathologist to emphasize the importance of this cooperation. Other chapters presently are out of place. Indeed, in a book on pathology there is not much rationale for an entire chapter on magnetic resonance imaging, especially since the same figures in chapter 7 (figures 7.3 and 7.4) already have been published in the introductory chapter and do not represent what the authors report. Other chapters, such as chapter 4, are excellent but they address 2 areas that are not immunohistochemistry and only in a superficial manner. The information on flow cytometry is superficial and meaningless. Perhaps in future editions the authors could select a specific chapter on flow cytometry and chromosome abnormalities in genitourinary cancer written by an expert in the area. The chapter on the adrenal (chapter 8) generally is good. The addition of a pathologist to give detailed description of histology would be important. In chapter 12 the inclusion of malignant disease in a discussion on inflammatory disease is completely out of place, especially in view of the fact that malignant disease of the bladder had been addressed elsewhere. Chapter 6 should be named Radiological Pathological Correlations of Renal Disease. There are some superb chapters in this book. Chapters 2, 5, 9 to 11, and 15 to 17 are excellent, and they should be read by every urologist interested in keeping up-to-date in modern uropathological conditions. In general, the book is good and represents the first attempt to provide urologists with an overview of pathological conditions of the genitourinary tract. It is hoped that in future editions some of the difficulties cited are corrected and only the updated techniques are added. J. Edson Pontes Section of Urological Oncology The Cleveland Clinic Foundation Cleveland, Ohio The Radiologic Clinics of North America: Interventional U roradiology
E. K. LANG, Philadelphia: W. B. Saunders Co., vol. 24, No. 4, 694 pages, December 1986 This book is a concise, well written overview of the state-ofthe-art of interventional uroradiology. Patient selection, treatment alternatives and complications are discussed by an impressive list of contributing authors. Subjects, such as renal cysts, puncture and aspiration, percutaneous abscess and urinoma drainage, are covered as well as the newer techniques of transluminal urethral and ureteral dilation. A special chapter on transluminal angioplasty of the renal arteries includes an update on results from the latest large series. Extracorporeal shock wave lithotripsy and percutaneous stone removal are covered in chapters co-edited by Segura and LeRoy. Diagnostic and therapeutic antegrade pyelography completes the subjects with a good description of urodynamic studies performed via the antegrade route. Although concise, the recent advances in interventional uroradiology all are included in this book. Many well developed figures and numerous well produced radiographs complement this update. It is recommended reading for all urologists and radiologists who use these techniques. Gary D. Frentz Department of Urology Tulane University Medical Center New Orleans, Louisiana
BOOK REVIEWS
the elderly in the community may suffer from significant incontinence, with the prevalence in those in long-term institutional care settings greater than 50 per cent. An interesting article on psychosocial factors in urinary incontinence notes that the care for incontinent patients in the nursing home setting is determined largely by whether the staff views the problem as bad or deviant behavior, inevitable or a symptom requiring medical evaluation and treatment. A chapter on the economic impact of incontinence presents the staggering total of direct and indirect costs associated with the problem-8.1 billion dollars in the United States during 1984! Much of the central chapters of the volume are made up of reviews by Doctors Wein, Ouslander, Leach, Raz and Blaivas, names well known to the urological community, on the physiology of micturition, the diagnostic evaluation of geriatric incontinence, the place of urodynamics, surgical treatment for female geriatric incontinence, surgical treatment for male geriatric incontinence and drug therapy. It is nice to see chapters on behavioral therapy and urinary catheters. There is a particularly good chapter by Brink and Wells on environmental support for geriatric incontinence that stresses issues often not given enough importance by physicians. The book concludes with a chapter on incontinence in nursing homes. This chapter highlights the paradox of "overcare", in which the nursing staff, rather than try to promote independence in nursing home patients, prefers to complete all the personal tasks (for example grooming, bathing, feeding, toileting and so forth) for patients, believing it is faster and more time-efficient to do everything for a patient rather than motivate the patient to be independent or wait for the patient to complete a task independently. I would recommend this book to urologists primarily for its valuable discussion of issues often considered as ancillary to the problem of incontinence but that in the elderly are of paramount importance. Philip M. Hanno Division of Urology Hospital of the University of Pennsylvania Philadelphia, Pennsylvania
Surgical Pathology of Urologic Diseases
N. JAVADPOUR AND S. H. BARSKY, Baltimore: The Williams & Wilkins Co., 318 pages, 1986 With increased interest, partly for urologists, on the pathology of the genitourinary tract as evidenced by more demanding board requirements, and continuous conferences and updates, the publication of this book is timely and important. Such enterprise should provide modern urologists with an up-to-date review of pathological conditions of the genitourinary tract that can be used in everyday practice. The overview chapter in this book was somewhat disappointing. The philosophy that I expected to be developed, that is the close cooperation between urologists and pathologists in discussing the orientation of gross anatomical specimens and positive or negative edges, as well as fixatives, development of protocols, such as biological staging of certain diseases and so forth, was not discussed in depth. Instead, the authors presented a number of radiological studies, some of which did not match comparatively (figures 1 to 4 in book). I would hope that in future editions the overview chapter should be developed in
conjunction with a urologist and pathologist to emphasize the importance of this cooperation. Other chapters presently are out of place. Indeed, in a book on pathology there is not much rationale for an entire chapter on magnetic resonance imaging, especially since the same figures in chapter 7 (figures 7.3 and 7.4) already have been published in the introductory chapter and do not represent what the authors report. Other chapters, such as chapter 4, are excellent but they address 2 areas that are not immunohistochemistry and only in a superficial manner. The information on flow cytometry is superficial and meaningless. Perhaps in future editions the authors could select a specific chapter on flow cytometry and chromosome abnormalities in genitourinary cancer written by an expert in the area. The chapter on the adrenal (chapter 8) generally is good. The addition of a pathologist to give detailed description of histology would be important. In chapter 12 the inclusion of malignant disease in a discussion on inflammatory disease is completely out of place, especially in view of the fact that malignant disease of the bladder had been addressed elsewhere. Chapter 6 should be named Radiological Pathological Correlations of Renal Disease. There are some superb chapters in this book. Chapters 2, 5, 9 to 11, and 15 to 17 are excellent, and they should be read by every urologist interested in keeping up-to-date in modern uropathological conditions. In general, the book is good and represents the first attempt to provide urologists with an overview of pathological conditions of the genitourinary tract. It is hoped that in future editions some of the difficulties cited are corrected and only the updated techniques are added. J. Edson Pontes Section of Urological Oncology The Cleveland Clinic Foundation Cleveland, Ohio The Radiologic Clinics of North America: Interventional U roradiology
E. K. LANG, Philadelphia: W. B. Saunders Co., vol. 24, No. 4, 694 pages, December 1986 This book is a concise, well written overview of the state-ofthe-art of interventional uroradiology. Patient selection, treatment alternatives and complications are discussed by an impressive list of contributing authors. Subjects, such as renal cysts, puncture and aspiration, percutaneous abscess and urinoma drainage, are covered as well as the newer techniques of transluminal urethral and ureteral dilation. A special chapter on transluminal angioplasty of the renal arteries includes an update on results from the latest large series. Extracorporeal shock wave lithotripsy and percutaneous stone removal are covered in chapters co-edited by Segura and LeRoy. Diagnostic and therapeutic antegrade pyelography completes the subjects with a good description of urodynamic studies performed via the antegrade route. Although concise, the recent advances in interventional uroradiology all are included in this book. Many well developed figures and numerous well produced radiographs complement this update. It is recommended reading for all urologists and radiologists who use these techniques. Gary D. Frentz Department of Urology Tulane University Medical Center New Orleans, Louisiana