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Haematuria after transurethral resection of bladder tumour

Transurethral resection of bladder tumour (TURBT) is a common urological procedure, primarily for urothelial carcinoma, with smoking being the leading risk factor. Many patients are on antithrombotic agents (ATAs – antiplatelets or anticoagulants), which increase bleeding risks. Despite guidelines on...

Prevalence of germline pathogenic variants in patients with metastatic prostate cancer

In this study, 5.9% of Dutch patients with metastatic prostate cancer (mPCa) carried a germline pathogenic variant (gPV) in a DNA damage-repair (DDR) gene. Consistent with international data, gPVs in CHEK2, ATM and BRCA2 were significantly more common in mPCa...

Practice makes perfect – but does the HoLEP learning curve affect sexual function?

This article poses an interesting question: whilst we know there is an association with HoLEP and ejaculatory dysfunction (BAUS quotes a 90% risk for retrograde ejaculation), is this risk dependent on surgeon experience and their learning curve with HoLEP? This...

Comparing retroperitoneoscopic and endourological approaches for upper ureteric and renal pelvic calculi

Urinary tract stones affect approximately 5–10% of people in developed countries. Advances in urological treatment have provided several surgical options, including ureteroscopic lithotripsy (URSL), retrograde intrarenal surgery (RIRS), percutaneous nephrolithotomy (PCNL), extracorporeal shock wave lithotripsy (ESWL), and minimally invasive laparoscopic...

Upper Tract Developmental Abnormalities

Case 1 1. What is the abnormality and how common is it? 2. What is the embryological origin? 3. With what other conditions can this be associated? Case 2 1. What is the diagnosis and how common is it? 2....

MPs urge government to end continence pad ‘rationing’ after trusts found limiting supplies

A group of MPs have called on the government to intervene over what they describe as the “rationing” of continence products across the NHS, warning that thousands of patients are being left without adequate support and may be costing the...

Testicular cancer (Mar 2015)

Case 1 What does the ultrasound show? What further imaging does this patient require? Which tumour markers should be checked? What is the half-life of these markers? What does an elevation in these markers mean? Case 2 What is this...

New patient survey highlights significant unmet need among long-term male catheter users

62% of 172 UK catheter users surveyed say they wish they had another option, rising to 71% among Foley/indwelling catheter users A new patient-reported survey adds to a growing body of evidence that long-term catheter use carries a substantial and...

STIMVIA Appoints Award-Winning CEO Russ Mably to Accelerate Global Growth and Advance Personalised Neuromodulation

STIMVIA, a neuromodulation company focused on transforming the treatment of bladder dysfunction, today announced the appointment of Russ Mably as Chief Executive Officer. Mably will lead the company through its next phase of international growth, expanding access to STIMVIA's personalised...

So you want to be a urologist?

Urology is a varied, innovative and friendly speciality and it is easy to see why so many people are attracted to it. The article below is designed to help all doctors wishing to apply for an ST3 post get the...

Ureterocystostomy – novel surgery for the paediatric obstructed megaureter

Megaureter is a relatively common congenital urinary tract anomaly; obstructed non-refluxing megaureter is one variant. Initial management is conservative, with operative intervention reserved for symptomatic cases (recurrent pyelonephritis, pain, increasing dilatation or worsening renal function). Surgical options include cutaneous ureterostomy,...