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It does not matter if you are the kind of person who gets excited by books on urodynamics or someone who just wants to learn a new skill, you need to get your hands on this book as it blows most other textbooks on the subject out of the water.

Don’t let the fact that it is the size and weight of a brick put you off, the hardback format and compact size makes the 844 pages of text very easy to handle. What makes this book stand out by a mile is that it presents a comprehensive diagnostic approach in a case-based format, which is how we learn urodynamics in practice. It includes numerous illustrations of clinical features (e.g. presacral skin abnormalities), diagrams (e.g. how to elicit reflexes, neural pathways), cystoscopy findings, various imaging techniques and videourodynamic images alongside urodynamic traces to demonstrate how a urodynamic diagnosis is developed using information from a variety of sources rather than just a urodynamic trace. It enables the reader to appreciate the correlation between, say, a particular cystoscopy finding, faecal impaction on CT or an ultrasound report and the urodynamic readings, which is sometimes not given much thought.

The book starts with a section on neurophysiology which is well illustrated and easy to understand, followed by an overview of urodynamic technique. The findings of what would be expected to be normal is explained, as well as artefacts and pitfalls and practical difficulties of urodynamic practice. The case-based content covers almost all urological conditions with clear explanations of the diagnostic process. Some of the more complex topics are discussed in greater detail; the distinction between pseudo - detrusor sphincter dyssynergia (DSD) and true DSD, or delayed relaxation of the urethral sphincter has not been explained better anywhere else, in my opinion. Lower urinary tract dysfunction is the bread and butter of urological practice, yet trainees sometimes approach it with some trepidation; reading this book will put paid to that.

I would revise my original statement to say that all urologists should have a copy of this book. Not only is it interesting, it is actually enjoyable to read, and it will vastly increase your knowledge of a variety of subjects.

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Jay Khastgir

Princess of Wales Hospital, Bridgend & Swansea University School of Medicine.

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