Journal Reviews

The Journal of Urology cover image.

Can transcutaneous peroneal nerve stimulation treat OAB?

13 December 2023 | | Functional Urology, Infection | ower urinary tract symptoms, overactive, peroneal nerve, solifenacin succinate, transcutaneous electric nerve stimulation, urinary bladder

The peroneal nerve follows sacral, pudendal, and tibial nerves as a target for overactive bladder (OAB) treatment. This multicentre prospective randomised RCT compared a transcutaneous electrical neuromodulation system (eTNM) at-home treatment once daily for 30 minutes to solifenacin 5mg once...

The Journal of Urology cover image with Editor's Choice stamp.

Cardiac failure and medical therapy for LUTS / BPH

11 August 2021 | | Functional Urology, Infection | 5-alpha reductase inhibitors, adrenergic alpha-antagonists, heart failure, lower urinary tract symptoms, prostatic hyperplasia

Alpha blockers (AB), 5-alpha reductase inhibitors (5-ARI) and combination therapy are widely prescribed for lower urinary tract symptoms (LUTS) considered consequent to prostatic enlargement and are the mainstay of first-line therapy. This retrospective interrogation of a large population-based dataset of...

The Journal of Urology image.

Vitamin D and LUTS

14 April 2021 | | Functional Urology | dietary supplements, lower urinary tract symptoms, vitamin D, vitamin D deficiency

Lower urinary tract symptoms (LUTS) and vitamin D deficiency have been thought to be connected, but the association has been inconsistent. Vitamin D receptors have been identified in the bladder, prostate and pelvic floor muscles, and it has been linked...

European Urology cover image with Editor's Choice stamp

Prostatic artery embolisation versus sham

7 July 2020 | | Functional Urology, Uroradiology | Benign prostatic hyperplasia, Clinical trial, International prostate symptom score, Lower urinary tract symptoms, Prostate arterial embolisation

Randomised trials with use of sham is uncommon in the surgical literature, which makes this paper more interesting. Many different treatments are available for treating lower urinary tract symptoms / benign prostatic hyperplasia (LUTS / BPH). Prostatic artery embolisation (PAE)...

Performance of non-invasive tests in diagnosing BOO in men with LUTS

1 September 2017 | | Endourology and Stones, Functional Urology | Bladder outlet obstruction (BOO), Diagnosis, Lower urinary tract symptoms, Men, Noninvasive, Systematic review, Urodynamics

A large proportion of urology involves the treatment of bladder outflow obstruction (BOO) in men. Yet BOO in men is very difficult to accurately quantify with the only regular non-invasive test being uroflowmetry. Pressure flow urodynamics may be considered the...

Intermittent self-catheterisation

1 January 2016 | | Functional Urology, Infection | intermittent catheterisation, lower urinary tract symptoms, quality of life, urinary tract infection

Intermittent self-catheterisation (ISC) is used in everyday practice for bladder dysfunction. This study from Southampton, UK presents a Cochrane review of different catheter designs, user satisfaction and incidence of urinary tract infection (UTI), etc. The following factors were looked at:...

Prostate alpha-1 receptors: what is new?

1 March 2015 | | Functional Urology | benign prostatic hyperplasia (BPH), benign prostatic syndrome (BPS), contraction, lower urinary tract symptoms (LUTS), smooth muscle, α1-adrenoceptor, α1-blocker

This article from the west of Germany will be of interest to many of us who use alpha-blockers for bladder outflow symptoms. The classic model of understanding of alpha receptors has been challenged recently. Further models have been identified, including...