Men are living longer and increasingly developing larger prostates, which are initially managed with medications. When they then present acutely these bigger prostates are often extremely challenging to manage. All urologists doing diagnostics and general urology will have come across this issue. This book will explore and explain the best diagnostic and treatment strategies for men presenting with a big prostate. This is generally taken to be over 100gms/cc. These men present a huge diagnostic challenge when presenting with elevated PSAs, lower urinary tract symptoms, bleeding and retention. There are several strategies for treating and managing men with these issues. This book will include chapters on diagnostics including assessment by Trans rectal ultrasound, PSA, flow tests, flexible cystoscopy in addition to clinical examination.
Veeru Kasivisvanathan, MBBS, BSc, MRCS, MSc, PGCert NIHR Doctoral Fellow in Urology, University College London and University College Hospital London Mr Kasivisvanathan's main area of expertise is the diagnosis and management of benign and malignant prostatic diseases. He is extensively published in the field and has experience of the latest technologies used to manage men with benign prostate hyperplasia. Ben Challacombe, BSc (hons), MBBS (Hons), MRCS (ed), MS, FRCS (Urol) Consultant Urological Surgeon and Honorary Senior Lecturer, Guy's and St Thomas' Hospitals, Kings College London Surgical Tutor, Guys' and St Thomas' NHS Foundation Trust Mr. Challacombe's main area of expertise is the diagnosis and management of benign and malignant prostatic diseases, robotic prostatectomy, robotic partial nephrectomy and other renal surgery, homium laser prostatectomy (HoLEP) and dynamic prostate brachytherapy.