The use of prosthetic devices in urology has become a major element in reconstructive surgery, contributing a great deal to the effort to restore normal genitourinary function. This book is a compilation of articles and chapters by various authors, each a recognized expert in the field.
A wide variety of topics are covered. These include the use of periurethral injections for stress incontinence, metal stents for neurogenic voiding dysfunction and benign disease of the prostate, testicular and penile prostheses, and artificial urinary sphincters. One unique chapter deals with advances in tissue engineering and the possible future use of autologous or allogeneic materials in reconstruction.
The coverage of periurethral injectable agents is excellent, providing an up-to-date review of the agents available, techniques, and clinical outcomes for both men and women. There is an extensive review of penile prostheses. Various authors give their opinions on indications for surgery and on the technical aspects, including why one model may be superior to another. Possible complications are discussed, including how to avoid them and how to manage them. There are chapters on problems with prostheses, including reoperation and the management of infections of penile prostheses.
The only downside to this text is that of repetition. Each chapter was written independently, so information such as historical perspective, products available and even clinical outcomes is often repeated. That aside, this is an excellent review of the topic for the surgeon with minimal or moderate experience with urologic prostheses. Even for those with considerable experience, useful advice can be gleaned from the experience of these expert contributors.