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The Mitrofanoff procedure: a continent revolution

1 January 2018 | Rachel Barratt, Theresa Marsden, Tamsin Greenwell | URO - Functional / Reconstructive Urology, URO - Neurourology, URO - Paediatric Urology

Prior to 1980, surgeons had been struggling to provide a catheterisable, continent channel as an alternative to the native urethra, primarily for paediatric patients with congenital neuropathic bladder. In 1980, Professor Paul Mitrofanoff described the continent supravesical antireflux appendicovesicostomy [1]...

Challenges of catheter associated urinary tract infection: is prevention better than cure?

1 November 2017 | Euan Fisher, Philipp Dahm, Muhammad Imran Omar | URO - Infection, URO - Functional / Reconstructive Urology

Catheterisation is a common medical procedure in which a catheter (a hollow flexible tube) is inserted into the bladder in order to facilitate the drainage of urine. Catheters are usually passed into the bladder via the urethra, either to be...

Endoscopic management of upper tract urothelial carcinoma

1 January 2014 | Miles Goldstraw, Eleanor Ray, Susie Longhorn, Timothy Philp, Simon Choong, Daron Smith | URO - Urologic Oncology

Upper tract urothelial carcinoma (UTUC) is a rare disease accounting for 5-10% of all urothelial carcinomas and has an annual incidence in Western countries of 1-2 per 100,000 [1,2]. It occurs more commonly in the pelvicalyceal system as opposed to...

Priapism

7 January 2021 | Kate McMurrugh (Dr), Torath Ameen, Rozh Jalil | URO - Andrology

Priapism is defined as an abnormally persistent erection lasting greater than four hours, not associated with sexual desire [1]. Although relatively uncommon with an incidence of 1.5 per 100,000 [2], priapism has a risk of complications which can have a...

COVID-19: the impact on a junior registrar

26 May 2020 | Lisa Bibby | URO - Covid-19

Prior to the coronavirus pandemic I was a trust grade junior registrar, using this year at a district general hospital to gain experience, skills and portfolio points for round two of National Selection. My urology registrar on-call duties would consist...

Retroperitoneal fibrosis

1 September 2017 | Jane Belfield | URO - Endourology & Stones, URO - Uroradiology

Introduction Retroperitoneal fibrosis (RPF) is a condition that occurs when extensive fibrosis develops in the retroperitoneum, usually centred over the anterior aspect of the fourth and fifth lumbar vertebrae. The fibrotic tissue typically surrounds the infrarenal aorta, inferior vena cava...

Optimising weight loss advice in obese women with urinary incontinence: a review

1 November 2018 | Hannah Montague | URO - Infection, URO - Functional / Reconstructive Urology

Background The National Institute for Health & Care Excellence (NICE) guidance specifies that women with a body mass index (BMI) of over 30, combined with urinary incontinence or overactive bladder, should be advised to lose weight [1]. A BMI over...

Prostate cancer

8 November 2021 | Conor Devlin, Marcelino Yazbek Hanna | URO - Urologic Oncology

Case 1 A 65-year-old man is referred to your two-week wait (2WW) clinic with a PSA of 7.0ng/mL. He has no lower urinary tract symptoms (LUTS), no past medical history, no family history of prostate cancer (PCa) and his performance...

How to organise a urology taster week as a foundation trainee

5 November 2019 | Edward Caplan | URO - Core Urology

Current exposure to urology in medical undergraduate curriculums is relatively sparse in comparison to the other surgical specialties with one study reporting just 42% of students having a compulsory attachment. These attachments were an average length of just one week...

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