Practical UROLOGY (Instruments, Pathology, Radiology) A Comprehensive Guide
Practical UROLOGY (Instruments, Pathology, Radiology) A Comprehensive Guide
SECOND EDITION
Editors
Ravindra B Sabnis MS MCh
Chairman Department of Urology Muljibhai Patel Urological Hospital
Nadiad, Gujarat, India
Arvind P Ganpule MS DNB MNAMS
Vice-Chairman Department of Urology Muljibhai Patel Urological Hospital
Nadiad, Gujarat, India
Sujata K Patwardhan MS MCh
Professor and Head Department of Urology Seth GS Medical College and KEM Hospital
Mumbai, Maharashtra, India
Assistant Editors
Abhishek G Singh MS MCh DNB
Fellow in Endourology and Laparo-robotic Urology Consultant Urologist Muljibhai Patel Urological Hospital
Nadiad, Gujarat, India
Abhijit P Patil MS MCh DNB
Consultant Urologist Muljibhai Patel Urological Hospital
Nadiad, Gujarat, India
Rohan S Batra MS DNB
Consultant Urologist Muljibhai Patel Urological Hospital
Nadiad, Gujarat, India
Forewords
P Venugopal
Mahesh R Desai
Prokar Dasgupta FKC
Thomas RW Herrmann
Jaypee Brothers Medical Publishers (P) Ltd
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Practical Urology (Instruments, Pathology, Radiology): A Comprehensive Guide/ Ravindra B Sabnis, Arvind P Ganpule, Sujata K Patwardhan
First Edition: 2016
Second Edition: 2022
9789390595662
Printed at:
- Abhijit P Patil MS MCh DNB
- Consultant Urologist
- Muljibhai Patel Urological Hospital
- Nadiad, Gujarat, India
- Abhishek B Ladhha MS DNB
- Fellow in Uro-oncology
- Amrita Institute of Medical Science
- Kochi, Kerala, India
- Abhishek G Singh MS MCh DNB
- Fellow in Endourology and Laparo-robotic Urology
- Consultant Urologist
- Muljibhai Patel Urological Hospital
- Nadiad, Gujarat, India
- Amit Jojera MD
- Consultant Pathologist
- Muljibhai Patel Urological Hospital
- Nadiad, Gujarat, India
- Amit S Bhattu MS DNB
- Clinical Fellow in Urological
- Oncology and Robotic Surgery
- University of Miami, Miller School of Medicine
- Miami, Florida, USA
- Arvind P Ganpule MS DNB MNAMS
- Vice-Chairman
- Department of Urology
- Muljibhai Patel Urological Hospital
- Nadiad, Gujarat, India
- Gopal Tak MS DNB
- Consultant Urologist
- Asian Institute of Nephrology and Urology (AINU)
- Hyderabad, Telangana, India
- Jigish B Vyas MS DNB
- Consultant Urologist and Transplant Surgeon
- Zydus Hospital
- Pramukhswami Medical College and Shree Krishna Hospital
- Anand, Gujarat, India
- Jitendra V Jagtap MS DNB
- Fellow in Endourology and
- Laparo-robotic Urology
- Consultant Urologist
- Global Hospital
- Mumbai, Maharashtra, India
- Mahesh R Desai MS FRCS
- Managing Trustee
- Muljibhai Patel Urological Hospital
- Past President, Urological Society of India (USI)
- Past President, Endourology
- Society Inc
- Past President, Societe Internationale de Urologie (SIU)
- Nadiad, Gujarat, India
- Nitiraj B Shete MSc Statistics
- PhD pursuing
- Biostatistician
- Muljibhai Patel Urological Hospital
- Nadiad, Gujarat, India
- Raghuram Ganesamoni MS MRCS MCh
- Fellow in Endourology and
- Laparo-robotic Urology
- Consultant Urologist
- Ganesamoni Hospital
- Nagercoil, Tamil Nadu, India
- Rahul A Chrimade MS MCh
- Consultant Urologist
- Department of Urology
- RR Hospital
- Nashik, Maharashtra, India
- Ravindra B Sabnis MS MCh
- Chairman
- Department of Urology
- Muljibhai Patel Urological Hospital
- Nadiad, Gujarat, India
- Rohan S Batra MS DNB
- Consultant Urologist
- Muljibhai Patel Urological Hospital
- Nadiad, Gujarat, India
- Sanika A Ganpule MBBS DMRE
- Consultant Radiologist
- Muljibhai Patel Urological Hospital
- Nadiad, Gujarat, India
- Shailesh Soni MD
- Head, Department of Pathology
- Muljibhai Patel Urological Hospital
- Nadiad, Gujarat, India
- Shashikant K Mishra MS DNB
- Fellow in Endourology and
- Laparo-robotic Urology
- Consultant Urologist
- Precision Urology Hospital
- Lucknow, Uttar Pradesh, India
- Sujata K Patwardhan MS MCh
- Professor and Head
- Department of Urology
- Seth GS Medical College and KEM Hospital
- Mumbai, Maharashtra, India
I deem it a great honour to be invited again to write a forward for the Second Edition of the book by Ravindra B Sabnis, Sujata K Patwardhan and Arvind P Ganpule on ‘Urology Instrumentation A Comprehensive Guide’ now renamed as ‘Practical Urology (Instruments, Pathology, Radiology) A Comprehensive Guide’. This has added contributors of young minds in Indian Urology who are fast making a name for themselves in the field of Urology. The earlier book on ‘Instrumentation’ became a grand success and soon became a near bible for all those taking exit exams in Urology. As rightly mentioned in the preface of second edition, there were many who felt that a book addressing most aspects of practical exam was indeed necessary and that included I as well.
In the practical exam in Urology, time is a real worrying aspect and the candidate is expected to answer the questions posed without much delay and in few sentences. As an Examiner who has conducted many exams, I found that for many who are taking the exit exam, answering at times become a nightmare and many a time the answers are found inadequate. This is where this edition of the book is going to be a boon for all who are taking up the exit exams in urology, be it MCh (urology) or DipNB (Urology).
This book is not only valuable to the trainees as mentioned but is a good recipe for those who are examiners or are probably being considered as an examiner. Good questions asked is a necessity for examiners. They should be to the point with clarity.
Apart from updating the Section on ‘Instruments’, the book has additional sections on ‘Uropathology’, Uroradiology’ apart from a section on ‘Chemotherapy schedules for Urological Malignancies’ which will be of considerable use for all. It has also details of ‘operative procedures’ commonly asked in exit exams. Overall I find this book will become a must for all practicing Urology and a boon for those in training and planning to take up the exam.
The Editors and Contributors need a special mention in making it possible for bringing out such an ‘all inclusive book’ on practical aspects of Urology. Their efforts and perseverance need to be lauded. I am sure this edition will be in considerable demand as the earlier one. With the popularity this book will gain, I am sure that I may have the privilege to write forwards for subsequent editions soon to follow.
P Venugopal
Prof (Emeritus) Urology,
Kasturba Medical College (KMC)
Mangaluru, Karnataka
Foreword
I am delighted to pen this foreword for this new form of old book on Instrument.
I must compliment and congratulate Drs Sabnis, Patwardhan, and Ganpule for the hard work they have put in to make sure that this volume sees the light of the day.
When students appear for the practical examination, they are well read, know everything but have to revise what they have read, and need information which is concise, to the point, and in the manner that is required in a practical exam. For a long time, such books were lacking. The editors had come out with the first edition, which gave all information about instruments. Because contents were of practical relevance, it quickly became popular and in no time became a “bestseller”.
In the second edition, several new sections have been added, which I feel is huge value addition. I have read a few chapters in details and what I have realized, that the format is very reader friendly, and the flow of information is as if a student is actually appearing for exam, especially pathology and radiology sections. The colored photographs and diagrammatic explanation of photos, flowcharts, and tables appear quite attractive, and are likely to leave an everlasting impression in the reader's mind. Compiling chemotherapy regimens was a great idea as this aspect is often difficult to remember and quickly forgotten. These new chapters would serve as a one-stop reference for all postgraduates appearing for their exit examinations.
I feel this book will be useful not only to students appearing for exam but also to all Urologists, be it junior or senior.
I am particularly pleased to see that majority of the contributors of this book are past students of the Muljibhai Patel Urological Hospital. It gives me an immense sense of satisfaction and pride. I have no doubt that this book will also become the “Best of bestsellers”.
I wish to congratulate once again all those who contributed.
Mahesh R Desai
Managing Trustee and Chief Consultant Urologist
Muljibhai Patel Urological Hospital, Nadiad, Gujarat, India
Past President, Urological Society of India
Societe Internationale de Urologie and Endourology Society
Foreword
It is a pleasure to write a foreword to this excellent book by Dr Ravindra B Sabnis, Arvind P Ganpule and Sujata K Patwardhan, now in its second edition. The text itself has evolved significantly from the first edition which focussed on urological instrumentation and is now arranged in four neat sections. This is clearly to bring it up-to-date with our ever-progressive specialty where numerous recent advances have occurred to directly improve the care of our patients.
I enjoyed reading every section and wish I had such a succinct text myself when preparing for my exit exams. The Questions/Answers format is particularly useful for trainees in the sub-continent preparing for their MCh or DNB exams. The text could also potentially be of considerable help to candidates preparing for similar exams elsewhere in the world such as the FRCS(Urol) or FEBU. Urology is after all a global specialty.
This is a modern book that covers everything from the basics of cystoscopy to the recent developments in miniaturization of instrumentation for PCNL. It avoids obvious pitfalls and bias by objectively comparing the outcomes of open, laparoscopic and robot-assisted radical prostatectomy. It covers the latest Grade Grouping for prostate cancer which the editor of every major journal has been trying to promote since it superseded the Gleason scoring system. And finally, it is right up-to-date with current chemotherapy and immunotherapy for urological cancers. It entices students to learn about biostatistics and trial design, so that they can not only appraise the scientific literature critically but perhaps even contribute to it in the future.
The contributors read like a “who is who” in Indian urology, from the stars of the future to the most experienced surgeons. It is well illustrated, easy to read and the ideal revision text to impress your examiners.
This is a must read and I would happily have it in my library, either as a traditional printed version or in an electronic format for a kindle!
Prokar Dasgupta FKC
King's Health Partners Foundation Professor of Surgery
Editor in Chief, BJUI 2012-20
Foreword
It is my distinct pleasure and honor to contribute a foreword to the second edition of “Practical Urology – Comprehensive Guide”, formerly known in first edition as “Urology Instrumentation – A Comprehensive Guide” by editors Drs Ravindra B Sabnis, Sujata K Patwardhan, and Arvind P Ganpule.
In the light of PubMed, YouTube, and Google, one could ask: What is the need for textbooks today? as Dr YouTube and Dr Google seem to be the most accomplished forums to study and learn the friends and foes of contemporary urology. I presume that the internet (in front of the paywall) probably takes you to your next “like” on Twitter, Instagram, or LinkedIn but surely does not make you fulfil the requirements for passing your exit exams in urology for either MCh or DipNB.
Although having stood all my exams in Europe, I still can confirm the above as an eyewitness (and fortunately not as an examinee) of the Saturday's “Improvement hours” during my time as a fellow at the Muljibhai Patel Urological Hospital in 2003. The motto of the European Space Agency (ESA) “per aspera ad astra” gained real reference at that time to me. My formidable colleagues in residency, who had passed the selection process to enter the residency program at this institution, by showing their knowledge in urology beforehand in a non–multiple choice written exam with Campbell's urology, as the examination subjects were put to the acid test to guarantee good performance at their exit exams, for the sake of themselves, their patients, and last but not the least the honor of the institution. I can therefore confirm that the first edition would already have been very useful in those days, in 2003 and for sure from the beginning, as it structured and distilled the essence out of urology and made it “practically available”.
This enhanced version of the first edition with added sections such as Uropathology, Uroradiology and Uro-oncology has evolved into a true Vademecum not only for the future examinee who is eager to pass the exam with flying colors but also for the practicing urologist as well.
The channels on which we receive information today are so diverse that it has become a challenge itself to select and display the relevant facts. Therefore, I would like to thank the editors and contributors for their honorable efforts in providing such a fine book. Your efforts will pay off for residents, for urologists, and last but not the least for examiners inside the urological universe.
Thomas RW Herrmann MD PhD MSc FEBU
Director of Urology Spital Thurgau AG
Head of Department of Urology Kantonspital Frauenfeld
Chairman German Working Group for Endourology – AK Endourologie
Member German Working Group for Operative Techniques –AK Operative Techniken
Member of ESUT
Member of European Guideline Panel for Non-neurogenic Male LUTS
Associate Editor World J Urology
Associate Editor SIU Journal
Preface to the Second Edition
We are happy to release this second edition of “Urology Instrumentation A Comprehensive Guide”.
After overwhelming success of first edition, for long time, we were contemplating to come out with second edition. After release of first edition, we got feedback from many. Most students were happy to about the content which they found very useful during exam. We got lot of suggestions to add many more sections. Hence we decided that when we come out with second edition, we will not restrict to instruments but add many other sections which are useful for students when they appear for exam.
So this book is now, no longer restricted only to instruments in urology. Apart from revamping Instruments section other 3 sections area added. In Instruments section, we have added many new chapters which will be useful to practicing urologists also. Section on Uropathology covers all specimens and specimen related questions and answers to them. Similarly in Uroradiology, we have included all typical and common X-rays, CT scans…etc. Each imaging study has details of what questions can be asked and how those can be answered. Last Miscellaneous section, we have added chapter on Biostatistics which is now not only important aspect in practical, but this chapter elaborates many common statistical methods in simplified manner. If someone has conduct a study and analyze it, then this chapter will be very helpful. Lastly various important and landmark trials and common chemotherapy regimes are given. This will give readymade information at one glance.
Thus this book is now named as “Practical Urology (Instruments, Pathology, Radiology) A Comprehensive Guide”. Because of all new added sections, we feel, this book will not only be useful to Trainees of MCh or DNB courses but also be useful to practicing urologists, who wish to remain updated with latest information. Biggest benefit is, all this information is available in a comprehensive manner in one book. This book will also be useful to urology trainee abroad who have similar exit exam pattern.
It would be unfair if we fail to acknowledge that hard work of our assistant editors and contributors towards completion of this book. We thank Dr P Venugopal, Dr MR Desai, Dr Prokar Dasgupta, and Dr Thomas Herman for going through the book and writing forward. We also thank M/s Jaypee Brothers Medical publications (P) Ltd, New Delhi, India to have accepted the project and come out with his book.
Ravindra B Sabnis
Arvind P Ganpule
Sujata K Patwardhan
Preface to the First Edition
During various National Boards, University and mock examinations as an examiner, we realized that most students become shaky when they appear for instrument viva. This is probably because there is no dedicated book for reading. They go through various atlas/catalogues provided by companies, that contains lots of unnecessary information, and hence, students are under pressure to face this viva.
Over the years, we realized that there is need to have a book on this topic. We decided to write a small booklet to give information about commonly asked instruments in examination. While writing the booklet, suggestions came from many colleagues about not restricting scope of the book only to those examination-going trainees but expand it to give full information about all urological instruments. We accepted suggestions and decided to have this compressive guide of all urological instruments. We also decided to add chapters such as disposables, laparoscopic/robotic instruments, energy sources, sterilization methods, etc. so as to give value to the book.
Urology is rapidly advancing branch and it is more so in urological instrumentations. Within short-time, new instruments come which makes whole armamentarium quite big. In our attempt to provide updated information, we have referred to various catalogues and textbooks, however, as medical facts keep changing, newer things keep adding, some information may be lacking or may be old, hence the book should be viewed keeping this in mind.
We feel, the book will not only be useful to the trainees of MCh or DNB courses but also to all urologists, who wish to remain updated with various instruments in urology. We also feel that the book will be useful abroad especially in countries, where examination pattern is somewhat similar to ours.
It would be unfair, if we fail to acknowledge the hardwork of our assistant editors and contributors towards completion of the project. We thank Glenn M Preminger, Michael YC Wong, Mahesh R Desai, Olivier Traxer, Steeve Doizi, Percy Jal Chibber and P Venugopal for going through the book and writing forewords. We also thank M/s Jaypee Brothers Medical Publishers (P) Ltd, New Delhi, India to have accepted to publish this rather unusual book.
Ravindra B Sabnis
Sujata K Patwardhan
Arvind P Ganpule