Clinical case scenarios with expert discussion
Chapters written by experts in their field
Topics important for the care of the elderly urologic patient
Geriatric urology represents one of the largest overall sectors of care provided within the specialty of urology. As the incidence and prevalence of many clinical urologic conditions increase significantly in older adults, the practice of urology involves a need for advanced knowledge of the basic principles of geriatrics. Geriatric Urology outlines important topics in the care of elderly urology patients. The first section covers the biology of aging, changes in the genitourinary system, and common diseases including urologic conditions that may serve as warning signs of other disorders. Section two covers geriatric syndromes and implications for urologic care including frailty, polypharmacy, dementia, , and wound healing. Urologic conditions in older adults are explored in detail including urinary incontinence, pelvic organ prolapse, urinary tract infection, nocturia, and benign prostate diseases. Other topics covered include obtaining informed consent, development of advance directives, palliative medicine and care of the dying patient. Geriatric Urology is of great value to urologists, geriatricians, internists, residents and family practitioners.

TABLE OF CONTENTS
Section 1 Urology and The Aging Process

1. Geriatric Urology and Aging Societies

2. Biology of Aging and the Genitourinary System

3. Disease Screening and Atypical Presentation of Disease in the Elderly


Section 2 Geriatric Syndromes and Urology

4. Comorbidity and Underlying Medical Disease

5. Frailty

6. Polypharmacy

7. Delirium, Dementia, and Depression

8. Mobility, Gait, Balance and Falls

9. Pressure Ulcers, Wound Healing and Nutrition

10. Osteoporosis and Endocrinology

11. Bowel Function, Fecal Incontinence and Constipation

12. Elder Abuse and Neglect


Section 3 Urologic Conditions in Older Adults

13. Urinary Incontinence

14. Pelvic Organ Prolapse

15. Urinary Tract Infection

16. Nocturia

17. Benign Prostate Diseases

18. Prostate Cancer

19. Bladder Cancer

20. Kidney Cancer

21. Penile, Testis and Other Urologic Malignancies

22. Renal Failure, Dialysis, and Transplantation

23. Stones and Endourology

24. Sexual Health in Elderly Women

25. Sexual Health in Elderly Men

26. Sexually Transmitted Diseases and HIV in Older Adults

27. Genitourinary Trauma in the Elderly


Section 4 Surgical and Perioperative Care in Geriatric Urology

28. The Comprehensive Geriatric Assessment

29. Preoperative Evaluation and Clinical Decision Making

30. Anesthesia and Intraoperative Care

31. Postoperative Care and Pain Management

32. Critical Care in Elderly Urology Patients


Section 5 Common Clinical Issues in Geriatric Urology

33. Discharge Planning and Transitions of Care

34. Rehabilitation

35. Environments of Care

36. Palliative Medicine and Care of the Dying Patient

37. Health Care Financing and Public Policy