Standard Urology, 6th Edition, Ishiyaku Publishers Supervised by Kenkichi Koiso Edited by Seiichi Orikasa, Susumu Kagawa This is a used item, but it is in relatively clean condition with no noticeable writing or stains. However, since it was stored at home, there is a possibility of scratches and aging deterioration that occurred during storage. Also, because it is inspected by an amateur, there is a possibility of oversight. Please consider purchasing only if you understand the above. Instant purchase is welcome. I am a non-smoker. I do not have any pets.