General Medical Information

Urologic Surgery

Sam D. Graham
James F. Glenn

Section I: Adrenal
Thomas E. Keane

Section II: Kidney
Jerome P. Richie

Section III: Ureter and Pelvis
Charles B. Brendler

Section IV: Bladder
James E. Montie

Section V: Prostate
Joseph A. Smith, Jr.

Section VI: Urethra
Shlomo Raz

Section VII: Vas Deferens and Seminal Vesicle
Jon L. Pryor

Section VIII: Testes
David A. Swanson

Section IX: Penis and Scrotum
Tom F. Lue

Section X: Urinary Diversion
George D. Webster

Section XI: Pediatric Urology
Edmond T. Gonzales, Jr., and Stephen A. Kramer

Section XII: Endoscopy
Culley C. Carson III

Section XIII: Laparoscopy
Leonard G. Gomella

Section XIV: Frontiers
R. Ernest Sosa

Preface

It has been nearly 30 years since the first edition of Urologic Surgery was published in 1969. Since then, the field of urology has undergone massive transformation. We have witnessed advances and improvements in virtually every aspect of our surgical craft. An exhaustive survey of improved capabilities would include reconstructive techniques, endourology, laparoscopic surgery, mastery of multiple energy sources for transurethral surgery, and tremendous strides in pediatric urology.

However, certain fundamentals remain constant. As stated in the preface to the first edition, “Urologists are—first and foremost—surgeons.” The second edition expressed the hope that the volume “constitute the basis for further advances and that it be rendered obsolete by progress in urology.” In the third edition, it was acknowledged that progress in urology was paralleled by “advances in anesthesia, antibiosis, medical techniques, and diagnostic capability.” The fourth edition reaffirmed that “although many textbooks of urology and a number of excellent atlases dealt with surgical procedures, no single volume combined the virtues of text and illustrations that amplify the fundamental considerations and technical aspects” of urologic surgery.

In retrospect, these thoughts are verities. We are still seeing rapid advances in our specialty. Perhaps there is no greater compliment to a medical publication than to admit to obsolesence in only a matter of a few months or years, as the result of our expanding capabilities. However, it is our expressed hope that this volume will serve as a ready reference for medical students, residents in training, and even our colleagues with the most advanced surgical skills.

On a personal note, it is with great satisfaction that the editorship of Urologic Surgery passes on to Sam D. Graham, Jr., M.D., my capable friend, respected colleague, and former resident. He has assembled an outstanding group of authors for the fifth edition, and I anticipate with pleasure the prospect of further editions.

James F. Glenn, M.D.
Lexington, Kentucky