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Retroperitoneal fibrosis

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...

The medical management of LUTS/BPH – an update

For many years it has been recognised by both medical professionals and the general public that the development of lower urinary tract symptoms (LUTS) is highly prevalent and is predominantly age-dependent. Medical professionals understand that in men this is often,...

Frailty in urology – part 1

Part 2 of this topic can be found here Statement of the problem Clinical frailty carries an increased risk of poor health outcomes. The pathological process resulting in frailty is often overlooked and elucidating its aetiology and natural history are...

To clamp or not to clamp – outcomes of the CLOCK trial for robotic partial nephrectomy

The benefits of partial over radical nephrectomy are well established. The CLOCK trial (CLamp vs. Off Clamp the Kidney during robotic partial nephrectomy) was designed as a multicentre, randomised controlled trial to generate evidence on the role of the off-clamp...

The importance of active investigation and follow-up in bladder injury

Bladder injury (BI) is uncommon, and patients are typically managed by large multidisciplinary teams, dealing concomitantly with other injuries or diagnoses. BI can be categorised by cause (traumatic vs. iatrogenic) or anatomical location (intraperitoneal vs. extraperitoneal), requiring differing approaches to...

Robot-assisted ureterocalicostomy

Ureterocalicostomy was first introduced by Neuwirt (1947) and further described by Jameson et al. (1957) as an alternative procedure for repair of pelviureteric junction (PUJ) obstruction associated with an intrarenal pelvis. Performing ureterocalicostomy for PUJ repair has been suggested in...

Repeat transurethral resection in non-muscle invasive bladder cancer

The authors felt this is a big problem because there is no standardised practice on re-resection following initial transurethral resection of bladder tumour (TURBT). Getting detrusor muscle in the first specimen is thought to be important. However muscle is not...

AvantSonic Z5 & Z3 Bladder Scanners

Real-time 3D automatic scanners, AvantSonic Z5 & Z3 measure bladder volume and PVR, producing fast and accurate measurements displayed on colour touch screens. Utilising advanced technology, AvantSonic Z5 & Z3 are simple to use even without scanning experience.

AvantSonic Z5 & Z3 bladder scanners

Real-time 3D automatic scanners, AvantSonic Z5 & Z3 measure bladder volume and PVR, producing fast and accurate measurements displayed on colour touch screens. Utilising advanced technology, AvantSonic Z5 & Z3...

AvantSonic Z5 & Z3 bladder scanners

Real-time 3D automatic scanners, AvantSonic Z5 & Z3 measure bladder volume and PVR, producing fast and accurate measurements displayed on colour touch screens. Utilising advanced technology, AvantSonic Z5 & Z3...

AvantSonic Z5 & Z3 bladder scanners

Real-time 3D automatic scanners, AvantSonic Z5 & Z3 measure bladder volume and PVR, producing fast and accurate measurements displayed on colour touch screens. Utilising advanced technology, AvantSonic Z5 & Z3 are simple to...

Male infertility?

Diagnose Sperm Oxidative Stress, a major cause of male infertility, using MiOXSYS™