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1、CHAPTER73UROLOGICSURGERYMichaelCoburnUROLOGICANATOMYFORurologicanatomyforthegeneralsurgeonTHEGENERALSURGEONendoscopicurologicsurgeryItisessentialforthegeneralabdominalsurgeontobeintimatelyurologicinfectiousdiseasefamiliarwithgenitourinaryanatomytocompletestandardvoidingdysfunct
2、ion,bladderoutletobstruction,generalsurgicalprocedures,avoidiatrogenicinjury,anddealbenignprostatichyperplasia,andincontinence1withabnormalanatomy.Examplesofparticularareasofriskormalereproductiveandsexualdysfunctionchallengeincludetherenalvasculatureinmajorvascularandurolithia
3、sisretroperitonealtumorsurgery,ureteralmobilizationandinjuryurologictraumaavoidanceincomplexcolonicprocedures,urethralandprostaticnontraumaticurologicemergenciesrelationshiptotherectum,andspermaticcordandscrotalcon-tentsincomplexinguinalherniasurgery.urologiconcologyUpperAbdome
4、nandRetroperitoneumThekidneysarelocatedanteriortothepsoasandquadratuslumborummuscles;adjacenttotheleftkidneyarethebodyandtailofthepancreas,spleen,splenicflexureofthecolon,andcolonicmesentery.Ontheright,thekidneyisadjacenttotheUrologyasaspecialtydisciplinehasmuchincommonwithlive
5、r,duodenum,andheadofthepancreas.Inthesettingofgeneralsurgery.Ourfocusonabdominalandretroperitonealneoplasticorinflammatoryprocessesinvolvinganyoftheseanatomy,surgicalapproach,combineduseofendoscopic,structures,orthekidney,complexadhesionscanformthatcreatelaparoscopic,robotic,an
6、dopensurgicaltechnologies,andchallengingdissectionplanesandincreasetheriskoforganremarkablediversityofdiseaseprocessesconnectsusintheinjurywithsurgicalexplorationormobilization.Althoughthesurgicalsciences.Urologistsworkcloselywithgeneralsurgeonsperirenalfascia(Gerota’sfascia)se
7、paratesthekidneycapsuleandregularly,andcanprofitgreatlyfromeachother’sskillsandparenchymafromtheseadjacentorgansandreducestheriskofknowledge.renalinjurywithlocaldissection,renalparenchymalinjuryisDuringmyexperienceasChiefofUrologyatBenTaubpossiblewithabnormalanatomy.Inthesettin
8、gofinflammatoryGeneralHospitalinHoustonoverthepast20ye
