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Ureterocystostomy – novel surgery for the paediatric obstructed megaureter

1 March 2018 | | Paediatric Urology, Reconstructive Urology | hydronephrosis, pediatrics, ureter, vesico-ureteral reflux
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,...

Comparison of pathological stage in patients treated with and without neoadjuvant chemotherapy for high-risk UTUC

1 March 2019 | | Urologic Oncology | carcinoma, chemotherapy, kidney neoplasms, neoadjuvant therapy, transitional cell, ureteral neoplasms
High-risk upper tract urothelial carcinoma (UTUC) has been associated with poor survival outcomes. The authors evaluated the role of neoadjuvant chemotherapy in high-risk cases prior to radical nephroureterectomy (RNU) in terms of pathological stage of the final surgical specimen. A...

Comparing treatment modalities for transplant kidney VUR in the paediatric population

1 May 2019 | | Paediatric Urology, Reconstructive Urology | Deflux injection, Renal transplant, Ureteral reimplantation, Urinary tract infection, Vesicoureteral reflux
The management of Transplant kidney vesicoureteral reflux in the paediatric population is a heavily debated issue and Deflux® injection to manage VUR is both widely described in the literature and commonly practised. In this paper, these authors have put forth...
The Journal of Urology cover image.

Robot-assisted ureterocalicostomy

11 July 2023 | | Paediatric Urology | hydronephrosis, minimally invasive surgical procedures, postoperative complications, robotic surgical procedures, Urogenital abnormalities
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...
Urologia Internationalis journal cover image.

BUS for urethral stricture

1 July 2022 | | Andrology, Trauma and Emergency Urology, Urologic Oncology
The earliest description of urethral stricture and its treatment occurred in the sixth century BC in India. A wide variety of factors can lead to stricture disease e.g. iatrogenic, urinary tract infection (UTI), sexually transmitted infections, catheters, trauma to the...

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

11 July 2023 | | Trauma and Emergency Urology
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...

Management of urological issues following genital gender affirmation surgery for individuals assigned female at birth

12 September 2023 | | Andrology
Gender incongruence arises when there is a mismatch between an individual’s gender identity and their sex assigned at birth. Genital gender affirmation surgery (GAS) is the final step of transition for transgender and non-binary individuals who experience gender incongruence. This...

A negative ureteroscopy for stone disease: is it acceptable and is it avoidable?

1 September 2018 | | Endourology and Stones
Urinary tract stone disease and the consequent demand for endoscopic intervention in the upper urinary tract is an increasing phenomenon [1]. Although ureteroscopy is generally considered to be associated with low morbidity [2], risks do exist. Recognised complications include urothelial...

A report from the second laparoscopic urology workshop in Dakar, Senegal

6 January 2023 | | Technological Developments
Hôpital Général Idrissa Pouye (HOGIP), formerly Hôpital Général de Grand Yoff – HOGGY), in Dakar, Senegal, is one of the most well-regarded teaching hospitals in West Africa. It has over 300 beds, a urology team of six consultants and attracts...

Sir Eric Riches’s cystoscope

1 May 2018 | | Functional Urology, Technological Developments
In this series of articles I am going to show you some of the exhibits contained in the Museum of Urology, hosted on the BAUS website (www.baus.org.uk). In the last history article we came across Sir Henry Morris, former President...

Moving pictures

1 July 2018 | | Technological Developments
In this series of articles I am going to show you some of the exhibits contained in the Museum of Urology, hosted on the BAUS website (www.baus.org.uk). Those of you who occasionally wander (virtually of course) into the online Museum...

Peno-scrotal extramammary Paget’s disease

1 July 2015 | | Infection
Epidemiology Extramammary Paget’s disease (EMP) is a rare intraepithelial neoplasm, which is rarely invasive and has an incidence of six per million person-years as calculated by a European SEER analysis [1]. It usually affects apocrine gland-bearing areas, especially the vulvar,...