000			04377nam a22001697a 4500
008			210519b |||||||| |||| 00| 0 eng d
020			_a9783319121048
020			_a9783319121055
100			_aDavid A. Schulsinger _910025
245			_aKidney Stone Disease _bSay NO to Stones!
260			_aLondon _b Springer International Publishing Switzerland _c2015
300			_a248 Pages
500			_aIncludes Index
520			_aAbout one person in ten will have a urological stone over their lifetime. Also about 60–70 % of those individuals will have recurrent stones! This well written, clearly articulated and comprehensive book about urolithiasis, urological stones, by an expert in the field, David Schulsinger, and his co-authors discusses all aspects of stone disease, directed to patients with this condition and their families. In my 40 years in the practice of urology there is no area that has changed as much as the management of patients with stone disease. When I began practice, most kidney and ureteral stones were removed by open, invasive, surgical procedures requiring incisions through several layers of muscles, often with the removal of a rib and incisions into the kidney or ureter. Patients could easily have spent days in the hospital while recovering from these surgeries. In addition, often we could not remove all the stones requiring additional treatment! The first change was when we discovered we could insert small tubes into the kidney, enlarge the tract and look directly at the stone and destroy it with newly invented forms of energy, a procedure called percutaneous lithotripsy. Then small tubes, called ureteroscopes, were developed so we could look into the ureter and kidney and again fragment and remove ureteral stones. Before these advances, we would blindly insert a small tube into the ureter, open a basket, and move the basket up and down “trolling” for the stone, when we felt the resistance we would close the basket, pull down the tube with our fingers crossed and hope to remove the stone! The third advance came from “thinking out of the box” and Dr. Christian Chaussy in Munich discovered that focused shock waves on a stone without an incision could fragment stones to small pieces, which would pass. Extracorporeal shock wave lithotripsy was born. As a consequence, open stone surgery is rarely needed today and “blind” basketry is only of historical interest, all to the benefit of the patient. At the same time we learned more about stone prevention, developed new medical drugs to prevent the recurrence of stones and finally developed drug regimens for enhancing the spontaneous passage of small ureteral stones, known as medical expulsive treatment. This book illustrates all aspects of stone disease from inherited factors and personal habits, especially dietary factors, including medical treatments for prevention of both stone formation and stone recurrences. The relevant anatomy is clearly shown, and the different types of stones described and complimented by excellent illustrations. The book continues with clear descriptions of the various interventional forms of treatment including the pros and cons _bof each. The chapters are often punctuated with relevant comments from patients who unfortunately have suffered from urological stones. Medical management and necessary life style changes are then reviewed for patients with different types of stones. Finally, in a unique chapter the authors give advice as to who should treat your stone and where. Additional changes that have taken place since I began my practice has been the development of “subspecialists.” Thus, across the country there are experts, such as Dr. Schulsinger, who specialize in the area of stone disease. Moreover, we now know the success of various procedures with lower complications occurring in hospitals with high volume of care for a specific problem performed by “high volume” surgeons. Finally, although this book is primarily directed to patients and their families, I feel it will be an excellent reference book for primary care physicians who without a doubt will take care of patients with stone disease. In addition, urologists will also benefit from the book, a great deal of highly valuable informative information in one concise package
654			_xKidney Stone Disease
942			_2ddc _cBK
999			_c13562 _d13562