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Section Ⅻ UROLOGY IN INFANCY AND CHILDHOOD＆Meredith F．Campbell，M．D 1863

Chapter 39 Examination and Diagnosis 1863

Urologic Symptoms 1865

History 1870

General Examination 1871

The Urologic Examination 1873

Roentgenography 1880

Instrumental Examination 1895

Chapter 40 Urinary Obstruction 1916

Hydronephrosis 1920

Chapter 41 Urinary Infections 1939

Chapter 42 The Male Genital Tract and the Female Urethra 1977

Diseases of the Penis 1977

Diseases of the Male Urethra 1987

Inflammatory Disease of the Scrotum 1996

Diseases of the Testicle 2001

The Spermatic Cord 2008

The Prostate 2010

The Inguinal Lymphatics 2016

Tuberculosis of the Male Reproductive Tract 2016

The Female Urethra 2019

Hormonal Disturbances Caused by Gonadal Disorders 2023

Chapter 43 Urogenital Injuries 2042

Chapter 44 Urinary Calculous Disease 2056

Foreign Bodies in the Urinary Tract 2066

Chapter 45 Tumors of the Urogenital Tract 2068

Chapter 46 Neuromuscular Uropathy 2085

Enuresis 2085

Chapter 47 Urosurgery in the Young 2100

Section ⅩⅢ UROLOGY IN THE FEMALE 2107

Chapter 48 Urology in the Female＆Houston S．Everett，M．D，and Tiffany J．Williams，M．D 2107

Confusion in Symptoms 2108

The Female Urethra 2109

Diseases of the Urethra 2109

Urinary Stasis and Other Urologic Disorders Resulting from Gynecologic Abnormalities 2123

Prolapse of the Uterus 2128

Effect upon the Urinary Tract of Gynecologic Surgery 2129

Urologic Complications of Irradiation Therapy 2131

The Urinary Tract during Pregnancy 2134

Incontinence of Urine 2137

Urinary Fistulas 2153

Summary 2170

Points in Technique 2171

Section ⅩⅣ UROLOGIC ENDOCRINOLOGY 2177

Chapter 49 Urologic Endocrinology＆William F．Herbst，Jr．，M．D 2177

Steroids 2178

Psychochemistry 2178

Congenital Anomalies 2180

Simmonds＇ Disease 2182

Adrenogenital Syndrome 2182

Acute Infections 2182

Surgical Shock 2183

Clinical Aspects of the Steroids 2184

Conclusion 2193

Section ⅩⅤ THE PSYCHOSOMATIC APPROACH IN UROLOGY 2199

Chapter 50 The Psychosomatic Approach in Urology＆O．Spurgeon English，M．D 2199

The Approach to Psychosomatic Illness 2201

Symptomatology Met Frequently by the Urologist 2202

Treatment of Genitourinary and Sexual Problems 2209

Psychologic Factors in Urologic Disorders 2211

Section ⅩⅥ UROLOGIC SURGERY 2223

Chapter 51 The Care of the Urological Patient Before and After Operation＆C．D．CREEVY，M．D．With a Section on Renal Failure by M．P．Reiser，M．D 2223

The History 2224

The Physical Examination 2224

Laboratory Examinations 2225

The Nutritional Status of the Patient 2226

Prophylactic Use of Antibacterial Agents 2240

Preparation of the Patient for Prostatic Operations 2247

The Operating Room 2252

Postoperative Care 2253

Postoperative Complications 2257

Chapter 52 Anesthesia in Urology＆E．A．Rovenstine，M．D．，and S．G．Hershey，M．D 2298

Respiratory Considerations 2299

Circulatory Considerations 2301

Anesthesia and Renal Function 2305

Characteristics of Anesthetic Drugs 2306

Drugs used for Preoperative Medication 2312

Techniques of Anesthesia 2315

Operative Procedures 2318

Chapter 53 Surgery of the Kidney＆Donald R．Smith，M．D．，John W．Schulte，M．D．，and William R．Smart，M．D 2324

Choice of Incision 2325

Mobilization of the Kidney 2355

Nephrectomy 2356

Removal of Stones 2362

Hydronephrosis 2372

Urinary Diversion 2402

Renal Trauma 2405

Renal Cysts 2406

Perinephric Abscess 2407

Renal Carbuncle 2408

The Anomalous Kidney 2408

Neophropexy 2411

Renal Vascular Diseases 2412

Renal Transplantation 2413

Renal Hypothermia 2415

Chapter 54 Surgery of the Ureter and Urinary Conduits＆Justin J．Cordonnier，M．D 2419

Nephroureterectomy 2419

Intubated Ureterotomy 2421

Ureterolithotomy 2423

Transvaginal Exposure of the Ureter 2425

Ureteral Anastomosis 2426

Replacement of Ureteral Defects by Ileal Segments 2427

Transureteroureterostomy 2431

Ureteroneocystostomy 2434

Bladder Flap Operation 2435

Antireflux Procedures 2436

Urinary Diversion 2441

Chapter 55 Surgery of the Bladder＆Meredith F．Campbell，M．D 2467

Fulguration of Bladder Tumors 2467

Paracentesis Vesicae 2468

Trocar Cystostomy 2469

Suprapubic Cystotomy 2472

Perineal Cystostomy 2480

Vaginal Cystotomy 2480

Resection of the Bladder 2481

Coagulation of Tumor through the Open Bladder 2484

Resection of Atonic Bladder 2485

Diverticulectomy 2485

Transvesical Ureteral Meatotomy 2488

Pull-Through Operation 2489

Ureterocelectomy 2490

Operations on the Trigone 2491

Cystectomy 2492

Surgical Closure of Bladder Exstrophy Combined with Iliac Osteotomy 2498

Operation for Correction of Vesical Exstrophy 2501

Bladder Injury 2505

Operations to Correct Vesicoureteral Reflux 2506

Operation for Vesical Prolapse 2506

Litholapaxy (Lithotripsy) 2508

Suprapubic Cystolithotomy 2511

Vesical Fistulae 2511

Patent Urachus and Orachus Cyst 2522

Operations Upon the Vesical Outlet 2523

Operations to Relieve Incontinence of Urine 2526

Chapter 56 Suprapubic Prostatectomy＆Vincent J．O＇Conor，M．D．，and Vincent J．O＇Conor，Jr．，M．D 2548

Operative Procedure 2554

Chapter 57 Perineal Prostatectomy＆J．A．Campbell Colston，M．D 2566

Perineal Prostatectomy for Benign Prostatic Hypertrophy 2566

Subtotal Prostatectomy 2585

Radical Perineal Prostatectomy for Early Carcinoma of Prostate 2590

Chapter 58 Transurethral Prostatic Resection＆Reed M．Nesbit，M．D 2611

Equipment 2616

Operative Technique 2621

Postoperative Management 2637

Chapter 59 Retropubic Prostatectomy＆Terence Millin，M．Ch 2643

Retropubic Adenectomy 2644

Retropubic Prostatectomy Combined with Diverticulectomy 2654

Prostatic Enlargement Associated with Vesical Tumor 2656

Prostatic Enlargement Associated with Vesical Calculus 2656

Fibrous Prostate or Median Bar 2656

Radical Prostatectomy 2658

Inferior Cystectomy 2666

Prostatic Abscess 2668

Congenital Valves of the Prostatic Urethra 2669

Chapter 60 Surgery of the Seminal Vesicles＆Thomas E．Gibson，M．D 2670

Introduction 2670

Technique of Vasotomy and Vesiculography 2671

Operations on the Seminal Vesicles 2674

Chapter 61 Surgery of the Penis and Urethra＆John R．Hand，M．D 2682

Anatomic Orientation 2682

General Considerations 2682

Diversion of Urine 2687

Hypospadias 2689

Epispadias 2707

Hermaphrodism 2719

Posterior Urethral Valves 2724

Duplication of the Urethra 2725

Injuries of the Penis 2726

Strictures of the Urethra 2738

Diverticula of the Urethra 2750

Enlarged Prostatic Utricle 2751

Urethral Fistulas 2752

Benign Lesions of the Penis 2759

Carcinoma of the Penis 2760

Carcinoma of the Urethra 2764

Circumcision 2773

Peyronie＇s Disease 2775

Chapter 62 Surgery of the Scrotum，Spermatic Cord，Testes and Epididymis＆Carl Aberhart，M．D 2780

Surgical Treatment of the Scrotum 2780

Tumors of the Scrotum 2782

Radical Resection of the Inguinal Lymph Glands 2782

Operations on the Testes 2784

Transperitoneal Bilateral Lymphadenectomy in Testis Tumors 2790