Download Adult and Pediatric Urology (3-Volume Set) by Jay Y. Gillenwater MD, John T. Grayhack MD, Stuart S. PDF

By Jay Y. Gillenwater MD, John T. Grayhack MD, Stuart S. Howards MD, Michael E. Mitchell MD

The completely up-to-date Fourth variation of this vintage three-volume paintings is a finished, elementary reference on all surgical and scientific facets of urology. the 1st volumes hide grownup urology; the 3rd quantity focuses completely on pediatric urology. All chapters stick with a constant, easy-to-read kind of presentation.This version beneficial properties new chapters on bladder melanoma, office-based urology, and replacement drugs in urology. increased insurance of prostate disorder contains PSA checking out and nerve-sparing surgical procedure for prostate melanoma. different Fourth version highlights contain improved insurance of male sexual disorder, imaging experiences, and an absolutely reorganized and up to date quantity on pediatric urology.A CD-ROM certain into the published text offers one-click entry to the whole textual content and illustrations within the 3 volumes--plus videos exhibiting dynamic perspectives of surgeries.

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58). 58. Nerves in a male pelvis, viewed from the right side: Portions of the coxa have been removed. Relations of the Male Bladder to Adjacent Organs The relations of the bladder to adjacent organs correlate closely with its relations to the pelvic connective tissue and peritoneum. Peritoneal Covering of the Bladder The bladder is attached to the peritoneum by loose connective tissue. This enables it to function as an expansile urinary reservoir that is mobile with respect to the peritoneum. Only a greatly distended bladder is fixed by its peritoneal covering (Fig.

Entry into the peritoneal cavity at a more inferior level is established by dissecting the vesicoumbilical plate (medial umbilical fold, median umbilical fold, transversalis fascia, peritoneal fat, and peritoneum) downward en bloc to the lateral umbilical ligaments (Fig. 64). 63. Dissection of the vesicoumbilical plate. 64. The freed vesicoumbilical plate is retracted inferiorly. Dissection of the Lateral Bladder Pedicle (Lateral Bladder Retinaculum) The right-handed surgeon places the fourth and fifth fingers of the left hand on the bladder and medial border of the lateral paracystic connective tissue with the third finger on the internal iliac artery.

The retroperitoneal venous system develops from three paired, longitudinally oriented parallel channels: the caudal cardinal vein, supracardinal vein, and subcardinal vein, which are continuous caudally with the sacrocardinal vein. Further differentiation of the venous system is characterized by a progressive asymmetry in favor of the right side, with anastomoses between the right and left cardinal veins assuming key importance. 19. Development of the vena caval system. Vessels that do not persist are colored light gray.

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