Benign Prostatic Hyperplasia: (Churchill's in Clinical Practice Series)

The management of men with lower urinary tract symptoms (LUTS), commonly referred to as benign prostatic hyperplasia (BPH), is part of everyday clinical practice in the primary care setting. With the advent of safe and effective medical therapies, the majority of these patients are managed by their primary care physician. In order to maximize quality and efficiency of care, primary care providers must continue to gain expertise and update their knowledge regarding male voiding dysfunction. This "In Clinical Practice" book provides the physician with practical guidance to the assessment and treatment of men with lower urinary tract symptoms. The text is complete, and is presented in a succinct and practical fashion. Illustrations and tables are frequently utilized to highlight clinically important material.

Table of Contents:
Introduction and background. Functional anatomy of the male lower urinary tract. The urinary bladder. The prostate gland. Aetiology and epidemiology of LUTS and BPH. Aetiology of LUTS. Natural history of BPH (including prevalence). Complications of BPH. Impact of acute urinary retention. Management of LUTS/BPH in primary care - the UK perspective. What causes men to present to their doctor with LUTS?. Management of BPH in the UK. Office-based work-up of BPH (primary care patient evaluation). History and symptom assessment. Physical examination. Blood urea and electrolytes. Urinalysis. Prostatic-specific antigen. Optional tests. More sophisticated tests. EAU guidelines on assessment, therapy and follow-up of men with LUTS suggestive of BPO. Lower urinary tract symptoms: what is not BPH?. Differential diagnosis of men with LUTS. Referral guidelines for the primary care physician. BPH management strategies. Goals of therapy. Treatment selection. Medical management of BPH. Alpha1-adrenergic antagonists. 5-Alpha reductase inhibitors. Complementary and alternative therapies for male LUTS. Herbal remedies for LUTS. Prostatectomy (including laser). Minimally invasive alternatives to prostatectomy. EAU guidelines for treatment 2004. Cases studies. Appendix 1 - drugs and surgical methods used in BPH management/treatment, with all appropriate details/information (e.g. dosage, side effects, relevant comments). Appendix 2 - EAU guidelines on treatment options for BPH. Appendix 3 - Herbal remedies used in male LUTS. Appendix 4 - Useful websites or addresses of relevant organizations.

About the Author :
Dr. MacDiarmid is a renowned global authority in the field of urodynamics and voiding dysfunction. With his extensive knowledge and expertise, he has gained international recognition for his contributions to the field. One of his notable achievements includes co-authoring the highly acclaimed book, "Urodynamics Made Easy," alongside Professor Chris Chapple. Widely regarded as the most widely read UDS book in print, this publication has become an invaluable resource for both professionals and students alike. Currently serving as the director of the Alliance Urology Specialists Bladder Control and Pelvic Pain Center in Greensboro, NC, Dr. MacDiarmid has an impressive educational background. He completed fellowships in reconstructive urology and urodynamics at renowned institutions such as Duke University Medical Center in Durham, NC, the University of Otago in Christchurch, New Zealand, and the University of Sheffield in England. In addition to his clinical practice, Dr. MacDiarmid holds the position of clinical professor of Urology in the Department of Urology at the University of North Carolina in Chapel Hill, NC. His expertise lies in male and female voiding dysfunction, neurogenic bladder, and complex lower urinary tract and pelvic floor reconstruction. Beyond his dedication to patient care and research, Dr. MacDiarmid is deeply passionate about addressing physician burnout. In his book, "Fist Pumps.The Prescription for Physician Burnout," he explores this important issue and offers valuable insights and solutions. Dr. MacDiarmid frequently speaks at academic and regional meetings, sharing his knowledge and advocating for the well-being of healthcare providers. Dr. MacDiarmid's ultimate aspiration is to create a world that uplifts and supports physicians and other healthcare professionals who tirelessly serve their communities. Through his clinical, educational, and academic endeavors, he continues to make a significant impact on the field of urology and beyond.