Table Of ContentHINMAN’S ATLAS OF
UROLOGIC
SURGERY
Fourth Edition
HINMAN’S ATLAS OF
UROLOGIC
SURGERY
Joseph A. Smith, Jr., MD
Professor of Urologic Surgery
Vanderbilt University
Nashville, Tennessee
Stuart S. Howards, MD
Professor of Urology
Wake Forest University
Winston-Salem, North Carolina
Glenn M. Preminger, MD
Professor of Surgery
Chief, Division of Urologic Surgery
James F. Glenn, MD, Professor of Urology
Duke University School of Medicine
Durham, North Carolina
Roger R. Dmochowski, MD, FACS
Professor of Urologic Surgery
Vice Chair, Section of Surgical Sciences
Associate Surgeon in Chief
Associate Chief of Staff
Vanderbilt University
Nashville, Tennessee
1600 John F. Kennedy Blvd.
Ste 1800
Philadelphia, PA 19103-2899
HINMAN’S ATLAS OF UROLOGIC SURGERY, 4th EDITION ISBN: 978-0-12-801648-0
Copyright © 2018 by Elsevier, Inc. All rights reserved.
Previous editions copyrighted 2012, 1998, and 1992
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Notices
Knowledge and best practice in this field are constantly changing. As new research and experience broaden
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Library of Congress Cataloging-in-Publication Data
Names: Smith, Joseph A., Jr., 1949- editor. | Howards, Stuart S., 1937- editor. | Preminger, Glenn M., editor. |
Dmochowski, Roger R., editor.
Title: Hinman’s atlas of urologic surgery / [edited by] Joseph A. Smith, Jr., Stuart S. Howards,
Glenn M. Preminger, Roger R. Dmochowski.
Other titles: Atlas of urologic surgery
Description: 4th edition. | Philadelphia, PA : Elsevier, [2017] | Includes index.
Identifiers: LCCN 2016035420 | ISBN 9780323392310 (hardcover : alk. paper)
Subjects: | MESH: Urogenital System—surgery | Urogenital Surgical Procedures | Atlases
Classification: LCC RD571 | NLM WJ 17 | DDC 617.4/6—dc23 LC record available at https://lccn.loc.
gov/2016035420
Content Strategist: Sarah Barth
Content Development Specialist: Katie DeFrancesco
Publishing Services Manager: Patricia Tannian
Project Manager: Ted Rodgers
Design Direction: Maggie Reid
Printed in United States of America
Last digit is the print number: 9 8 7 6 5 4 3 2 1
Dedication
Professor John Fitzpatrick was for decades one of the best-known urologists in the world. He was
a major contributor to the field, and he was unparalleled in his conviviality. His gregarious nature
and ubiquitous presence around the world permitted him to present and discuss his work at many
major universities and as part of virtually every major urology meeting. His own department in
Dublin was widely respected and thrived under his leadership. He served as editor of the British
Journal of Urology International.
John Fitzpatrick was without question a bon vivant but he was also recognized as a premiere surgeon.
In recognition of what he had contributed to urologic surgery and the respect with which he was
viewed, John was asked to write the Foreword for the third edition of Hinman’s Atlas of Urologic
Surgery. His words perfectly provided valuable context on the role of the text in urologic surgery.
Tragically, he passed away suddenly on May 14, 2014.
All of the editors knew John, had enormous respect for him, and considered him a friend. We are
honored to dedicate this edition to his memory.
v
Contributors
Haidar M. Abdul-Muhsin, MBChB Monish Aron, MD
Endourology Fellow Professor and Vice Chair
Mayo Clinic Department of Urology
Phoenix, Arizona University of Southern California
54: Laparoscopic/Robotic Radical Cystectomy Los Angeles, California
59: Robotic Urinary Diversion
A. Lenore Ackerman, MD
Assistant Professor Raed A. Azhar, MD, MSc, FACS, FRCSC
Cedars-Sinai Medical Center Assistant Professor of Urology
Adjunct Assistant Professor King Abdulaziz University
Pelvic Medicine and Reconstructive Surgery at UCLA Jeddah, Saudi Arabia
Los Angeles, California Adjunct Assistant Professor of Clinical Urology
85: Bulbocavernosus Muscle and Fat Pad Supplement Keck School of Medicine of the University of Southern
California,
Mark C. Adams, MD, FAAP Los Angeles, California
Professor of Urology and Pediatrics 71: Laparoscopic and Robotic Simple Prostatectomy
Vanderbilt University
Nashville, Tennessee Demetrius H. Bagley, Jr., MD
61: Colocystoplasty The Nathan Lewis Hatfield Professor of Urology and Radiology
Sidney Kimmel Medical College at Thomas Jefferson University
Hashim U. Ahmed, PhD, FRCS(Urol), BM, BCh, BA(Hons) Philadelphia, Pennsylvania
MRC Clinician Scientist 44: Ureteroscopic Management of Upper Tract Urothelial
Division of Surgery and Interventional Science Carcinoma
University College London
Honorary Consultant Urological Surgeon Clinton D. Bahler, MD, MS
University College London Hospitals NHS Foundation Trust Assistant Professor of Urology
London, England Indiana University School of Medicine
81: Focal Therapies in the Treatment of Prostate Cancer Indianapolis, Indiana
14: Percutaneous Resection of Upper Tract Urothelial Carcinoma
Husain Alenezi, MD
Endourology, Laparoscopy, and Robotic Surgery John M. Barry, MD
Sabah Al-Ahmad Urology Center and Al-Adan Hospital Professor of Urology
Al Ahmadi Governorate, Kuwait Oregon Health and Science University
20: Endoscopic Management of Ureteral Strictures Portland, Oregon
19: Renal Transplant Recipient
Uzoma A. Anele, MD
Resident in Urology Edward J. Bass, MBChB, BSc (Hons)
Virginia Commonwealth University Medical Center Research Fellow
Richmond, Virginia Department of Surgery and Interventional Science
127: Operations for Priapism University College London
London, England
Jacob T. Ark, MD 81: Focal Therapies in the Treatment of Prostate Cancer
Resident in Urologic Surgery
Vanderbilt University Medical Center Aaron P. Bayne, MD
Nashville, Tennessee Assistant Professor of Urology
10: Open and Laparoscopic Nephroureterectomy Oregon Health and Sciences University
Portland, Oregon
Angela M. Arlen, MD 121: Penile Curvature in Pediatric Patients
Assistant Professor
Urology and Pediatrics Anthony J. Bella, MD, FRCSC
University of Iowa Hospitals and Clinics Greta and John Hansen Chair in Men’s Health Research
Iowa City, Iowa Divsion of Urology, Department of Surgery
39: Endoscopic Management of Vesicoureteral Reflux University of Ottawa
Ottawa, Ontario, Canada
125: Penile Arterial Revascularization
vi
Contributors vii
Michael Belsante, MD John W. Brock, III, MD, FAAP, FACS
Urology Associates Professor and Chief of Pediatric Urologic Surgery
Nashville, Tennessee Director of Pediatric Urology
105: Botox Injection for Urologic Conditions Monroe Carell, Jr., Professor and Surgeon-in-Chief
Monroe Carell, Jr., Children’s Hospital at Vanderbilt
Richard Bihrle, MD Nashville, Tennessee
Dr. Norbert M. Welch, Sr., and Louise A. Welch Professor of 130: Repair of Proximal Hypospadias
Urology
Indiana University Gregory A. Broderick, MD
Indianapolis, Indiana Professor of Urology
55: Ileocecal Reservoir Mayo Clinic College of Medicine
Jacksonville, Florida
Michele Billia, MD, FEBU 124: Inflatable Penile Prosthesis Implantation
Consultant Urological Surgeon
Maggiore della Carità Hospital Joshua A. Broghammer, MD
University of Eastern Piedmont Associate Professor of Urology
Novara, Italy University of Kansas Medical Center
80: Cryotherapy Kansas City, Kansas
128: Repair of Genital Injuries
Andrew Blackburne, MD
Resident in Urology Elizabeth Timbrook Brown, MD, MPH
Mayo Clinic Assistant Professor
Rochester, Minnesota Department of Urology
38: Ureterolithotomy MedStar Georgetown University Hospital
Washington, D.C.
Michael L. Blute, Sr., MD 83: Vaginal Reconstruction
Chief of Urology 90: Enterocele Repair
Massachusetts General Hospital 91: Rectocele Repair
Walter S. Kerr, Jr., Professor of Urology 96: York–Mason Closure of Rectourinary Fistula in the Male
Harvard Medical School 101: Bulking Agents for Incontinence
Boston, Massachusetts
11: Vena Caval Thrombectomy Victor M. Brugh, III, MD
Assistant Professor of Urology
Alex Borchert, MD Eastern Virginia Medical School
Resident Norfolk, Virginia
Henry Ford Hospital-Wayne State University 110: Vasectomy
Detroit, Michigan
7: Basics of Robotic Surgery Jill C. Buckley, MD
Associate Professor of Urology
Michael S. Borofsky, MD UC San Diego Health System
Assistant Professor of Urology San Diego, California
University of Minnesota 17: Repair of Renal Injuries
Minneapolis, Minnesota
26: Percutaneous Renal Access Fiona C. Burkhard, MD
Vice Chair and Professor
Steven B. Brandes, MD Department of Urology
Professor of Urology University Hospital of Bern
Columbia University Medical Center Bern, Switzerland
New York, New York 58: Ileal Orthotopic Bladder Substitution
3: Reconstructive Techniques
Arthur L. Burnett, MD, MBA
William O. Brant, MD, FACS, FECSM Patrick C. Walsh Professor of Urology
Associate Professor of Surgery (Urology) Johns Hopkins School of Medicine,
University of Utah Baltimore, Maryland
Salt Lake City, Utah 127: Operations for Priapism
125: Penile Arterial Revascularization
Fernando Cabrera, MD
Matthew Bream, MD Urologist
Resident in Urology Cleveland Clinic Florida
Case Western Reserve University School of Medicine Weston, Florida
Cleveland, Ohio 22: Laparoscopic and Robotic Pyeloplasty
2: Suture Techniques
viii Contributors
Jeffrey A. Cadeddu, MD Christopher R. Chapple, BSc, MD, FRCS(Urol)
Professor of Urology and Radiology Consultant Urological Surgeon
University of Texas Southwestern Medical Center Royal Hallamshire Hospital
Dallas, Texas Honorary Professor
30: Renal Radiofrequency Ablation University of Sheffield
Sheffield, England
Noah E. Canvasser, MD 95: Reconstruction of Pelvic Fracture Urethral Distraction Defect
Assistant Instructor of Urology
University of Texas Southwestern Medical Center Earl Y. Cheng, MD
Dallas, Texas Professor of Urology
30: Renal Radiofrequency Ablation Lurie Children’s Hospital of Chicago
The Feinberg School of Medicine at Northwestern University
Peter A. Caputo, MD Chicago, Illinois
Glickman Urologic and Kidney Institute 45: Endoscopic Incision of Ureteroceles
Cleveland Clinic
Cleveland, Ohio Ben H. Chew, MD, MSc, FRCSC
32: Open and Laparoscopic Approaches to the Adrenal Associate Professor of Urologic Sciences
Gland (Malignant) University of British Columbia
Vancouver, British Columbia, Canada
Culley C. Carson III, MD, FACS, FRCS(hon) 40: Ureteroscopic Instrumentation
Rhodes Distinguished Professor of Urology
University of North Carolina Kelly A. Chiles, MD
Chapel Hill, North Carolina Assistant Professor of Urology
123: Insertion of Semirigid Penile Prostheses George Washington University
Washington, D.C.
Patrick C. Cartwright, MD 107: Sperm Retrieval
Professor and Chief
Division of Urology Joseph L. Chin, MD, FRCSC
University of Utah Professor of Urology and Oncology
Surgeon-in-Chief Western University
Primary Children’s Hospital London, Ontario, Canada
Salt Lake City, Utah 80: Cryotherapy
60: Ileocystoplasty
Sameer Chopra, MD, MS
Clint Cary, MD, MPH Research Fellow
Assistant Professor of Urology Department of Urology
Indiana University University of Southern California
Indianapolis, Indiana Los Angeles, California
55: Ileocecal Reservoir 59: Robotic Urinary Diversion
118: Retroperitoneal Lymph Node Dissection
Alison M. Christie, MD
Erik P. Castle, MD Director of Robotic Surgery and Staff Urologic Surgeon
Professor of Urology Naval Medical Center Portsmouth
Mayo Clinic Arizona Portsmouth, Virginia
Phoenix, Arizona
46: Transurethral Resection of Bladder Tumors
54: Laparoscopic/Robotic Radical Cystectomy
Kai-wen Chuang, MD
Paul Cathcart, MD, FRCS (Urol)
Pediatric Urology
Consultant Urological Surgeon
University of California, Irvine/Children’s Hospital of Orange
Guy’s and St. Thomas’ Hospitals
County
London, England
Los Angeles, California
79: Robotic-Assisted Laparoscopic Prostatectomy
115: Reduction of Testicular Torsion
Ben Challacombe, MD, FRCS (Urol)
Bilal Chughtai, MD
Consultant Urological Surgeon
Assistant Professor of Urology
Guy’s and St. Thomas’ Hospitals
Weill Cornell Medicine
London, England
New York, New York
79: Robotic-Assisted Laparoscopic Prostatectomy
70: Retropubic Prostatectomy
Sam S. Chang, MD, FACS
Peter E. Clark, MD
Professor of Urologic Surgery
Professor of Urologic Surgery
Vanderbilt University Medical Center
Vanderbilt University Medical Center
Nashville, Tennessee
Nashville, Tennessee
48: Radical Cystectomy in Male Patients
51: Pelvic Lymphadenectomy
49: Radical Cystectomy in Female Patients
Contributors ix
Marisa Clifton, MD Teresa L. Danforth, MD
FPMRS Fellow in Urology Clinical Assistant Professor of Urology
Cleveland Clinic State University of New York at Buffalo
Cleveland, Ohio Buffalo, New York
63: Transvaginal Repair of Vesicovaginal Fistula 102: Artificial Urinary Sphincter
Joshua A. Cohn, MD Christopher B. Dechet, MD, FACS
Clinical Fellow Co-Director, Multidisciplinary Urologic Oncology Group
Department of Urologic Surgery Associate Professor of Urologic Oncology
Vanderbilt University Medical Center Hunstman Cancer Hospital/University of Utah
Nashville, Tennessee Salt Lake City, Utah
83: Vaginal ReconstructionJoshua 50: Urethrectomy
90: Enterocele Repair
91: Rectocele Repair Jessica M. DeLong, MD
96: York–Mason Closure of Rectourinary Fistula in the Male Assistant Professor of Urology
101: Bulking Agents for Incontinence Eastern Virginia Medical School
Norfolk, Virginia
Molly M. Cone, MD 92: Reconstruction of the Fossa Navicularis
Assistant Professor of Surgery
Division of General Surgery, Colon and Rectal John D. Denstedt, MD, FRCSC, FACS
Vanderbilt University Medical Center Professor of Urology
Nashville, Tennessee Western University
4: Bowel Stapling and Closure Techniques London, Ontario, Canada
20: Endoscopic Management of Ureteral Strictures
Michael S. Cookson, MD, MMHC
Professor and Chairman Mahesh R. Desai, MS, FRCS, FRCS
Department of Urology Medical Director and Managing Trustee
University of Oklahoma Muljibhai Patel Urological Hospital
Oklahoma City, Oklahoma Nadiad, India
72: Anatomy and Principles of Excision of the Prostate 21: Percutaneous Endopyeloplasty
76: Radical Retropubic Prostatectomy
Mihir M. Desai, MD
Hillary Copp, MD, MS Professor of Clinical Urology
Associate Professor of Urology Director, Center For Advanced Robotics
University of California, San Francisco Keck School of Medicine of the University of Southern
San Francisco, California California
115: Reduction of Testicular Torsion Los Angeles, California
21: Percutaneous Endopyeloplasty
Sean T. Corbett, MD 59: Robotic Urinary Diversion
Associate Professor of Urology
University of Virginia School of Medicine Colin P.N. Dinney, MD
Charlottesville, Virginia Chairman and Professor
114: Undescended Testis Department of Urology
The University of Texas MD Anderson Cancer Center
Raymond A. Costabile, MD Houston, Texas
Jay Y. Gillenwater Professor of Urology 47: Partial Cystectomy
University of Virginia
Charlottesville, Virginia Roger R. Dmochowski, MD,FACS
111: Vasovasostomy and Vasoepididymostomy Professor of Urologic Surgery
Vice Chair, Section of Surgical Sciences
Brian W. Cross, MD Associate Surgeon in Chief
Assistant Professor of Urology Associate Chief of Staff
University of Oklahoma Vanderbilt University
Oklahoma City, Oklahoma Nashville, Tennessee
72: Anatomy and Principles of Excision of the Prostate 83: Vaginal Reconstruction
76: Radical Retropubic Prostatectomy 90: Enterocele Repair
91: Rectocele Repair
Deepansh Dalela, MD 96: York–Mason Closure of Rectourinary Fistula in the Male
Vattikuti Urology Institute 101: Bulking Agents for Incontinence
Henry Ford Health System
Detroit, Michigan
7: Basics of Robotic Surgery
x Contributors
James A. Eastham, MD Richard S. Foster, MD
Chief of Urology Service Professor of Urology
Memorial Sloan Kettering Cancer Center Indiana University
Professor of Urology Indianapolis, Indiana
Weill Cornell Medical Center 118: Retroperitoneal Lymph Node Dissection
New York, New York
78: Pelvic Lymph Node Dissection Luke Frederick, MD
Resident
Sean P. Elliott, MD, MS Southern Illinois University School of Medicine
Urologist Springfield, Illinois
University of Minnesota 69: Suprapubic Prostatectomy
Minneapolis, Minnesota
93: Reconstruction of Strictures of the Penile Urethra Drew A. Freilich, MD
Instructor of Urology
Donald A. Elmajian, MD, FACS Medical University of South Carolina
Professor of Urology Charleston, South Carolina
LSU Health Shreveport 86: Female Urethral Diverticulum
Shreveport, Louisiana
117: Radical Orchiectomy Arvind P. Ganpule, MD
Vice-Chairman, Department of Urology
Mark Emberton, MD, FRCS Chief of Laparoscopic and Robotic Surgery
Director of the Division of Surgery and Interventional Science Muljibhai Patel Urological Hospital
University College London Nadiad, India
London, England 21: Percutaneous Endopyeloplasty
81: Focal Therapies in the Treatment of Prostate Cancer
Oscar Dario Martin Garzón, MD
Ekene A. Enemchukwu, MD, MPH Professor of Clinical Urology
Fellow in Urologic Surgery Clínica Cooperativa de Colombia
New York University Langone Medical Center Universidad Cooperativa de Colombia-Facultad de Medicina.
New York, New York Villavicencio, Colombia.
64: Transvesical Repair of Vesicovaginal Fistula 71: Laparoscopic and Robotic Simple Prostatectomy
Dena Engel, MD Geoffrey Steven Gaunay, MD
Urologist The Smith Institute for Urology
Sharp Rees-Stealy Medical Group Hofstra North Shore-LIJ School of Medicine
San Diego, California Long Island, New York
52: Excision of Vesical Diverticulum 119: Laparoscopic and Robotic Retroperitoneal Lymph Node
Dissection
Jairam R. Eswara, MD
Assistant Surgeon Timothy M. Geiger, MD
Division of Urology Chief, Division of General Surgery
Brigham and Women’s Hospital Associate Professor of Surgery
Boston, Massachusetts Director, Colon and Rectal Surgery
3: Reconstructive Techniques Vanderbilt University Medical Center
Nashville, Tennessee
Sarah F. Faris, MD 4: Bowel Stapling and Closure Techniques
Assistant Professor of Urology
University of Chicago Francisco J. Gelpi, MD, MPH
Chicago, Illinois Urologic Oncology Fellow
53: Cystolithotomy Massachusetts General Hospital
Boston, Massachusetts
Michael N. Ferrandino, MD 11: Vena Caval Thrombectomy
Assistant Professor
Division of Urologic Surgery Khurshid Ridwan Ghani, MBChB, MS, FRCS(Urol)
Duke University Medical Center Assistant Professor of Urology
Durham, North Carolina University of Michigan
22: Laparoscopic and Robotic Pyeloplasty Ann Arbor, Michigan
28: Laparoscopic Access
Margit Fisch, MD
Director and Chair
Department of Urology and Pediatric Urology
Hamburg-Eppendorf Medical School University of Hamburg
Hamburg, Germany
57: Ureterosigmoidostomy and Mainz Pouch II
