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Recent developments in bladder cancer – MIBC

5 September 2022 | | Urologic Oncology
This article takes a look back over recent years at new innovations and developments relating to muscle-invasive bladder cancer (MIBC) specifically, and will also touch upon what the future may hold. This article is also written as a continuation of...

The risk of tumour recurrence in patients undergoing renal transplantation for end-stage renal disease

1 September 2018 | | Reconstructive Urology, Urologic Oncology | Prostate cancer, Renal cancer, Renal transplantation, Systematic review, Testicular cancer, Urothelial carcinoma
End stage renal disease (ESRD) patients in need of a kidney transplant who have a previous history of urological cancer should undergo a cancer-free waiting period before receiving a kidney transplant. Currently the recommended waiting time is based on the...
World Journal of Urology cover image.

Urinary tuberculosis and the busy urologist!

3 September 2021 | | Infection | Endoscopic, Mycobacterium tuberculosis, Reconstructive or ablative surgical interventions, Urinary
This article is a very good read for any busy urologist. When in medical school, we were taught that tuberculosis (TB) was rare in the UK and other developed countries. We have come full circle; now there are increasing cases...

Cystoplasty

3 March 2021 | | Reconstructive Urology, Trauma and Emergency Urology
Case 1 A 48-year-old female, having previously had an augmentation ileocystoplasty 10 years ago, has been referred with right loin pain by the emergency department. A venous blood gas is performed shortly after triage with the following values: What is...

Demanding cases or nightmares in endourology? Nov/Dec 2017

1 November 2017 | | Endourology and Stones
Case 1 A 78-year-old male was transferred from a referring hospital. He had a cystectomy and ileal conduit performed 15 years previously and had recently been admitted with a clinical diagnosis of an infected obstructed kidney. The referring hospital had...

Recurrent urinary tract infections in women

1 May 2016 | | Functional Urology, Infection
This review article defined women who had recurrent urinary tract infections (UTIs) as having either ≥ two episodes in the last six months or ≥ three episodes in the last 12 months. Using a number of databases, including the Cochrane...

A guide to local anaesthetic transperineal prostate biopsy

2 November 2023 | | Urologic Oncology
In the UK, nearly 100,000 men undergo a prostate biopsy annually, a figure projected to double in the next decade [1]. In recent years, we have observed a paradigm shift in urological practice in numerous UK hospitals. The conventional transrectal,...

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

1 November 2018 | | Infection, Functional 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...

Female and functional

13 March 2023 |
Case 1 A 65-year-old woman presents with an 18-month history of “recurrent urinary tract infections” (rUTI). She is otherwise fit and well with no underlying medical problems and no lower urinary tract symptoms. What is the definition of a UTI...

Cutting-edge or over-hyped? Evaluating the role of robotic surgery in the management of renal cell carcinoma

3 May 2024 | | Urologic Oncology
The quest for a minimally-invasive approach to major abdominal surgery finds its roots at the start of the previous century, when Georg Kelling first described the technique of ‘ceolioscopy’ to inspect intraabdominal organs in 1901 [1]. Since those early days,...

Use of Clavien-Dindo classification in urology part 2 – upper tract

1 May 2016 | | Urologic Oncology
A classification system of surgical complications was proposed by Clavien in 1992 [1] and further modified by Dindo in 2004 [2]. Clavien-Dindo classification has since then been validated through many retrospective case series as well as in comparative studies to...

Frailty in urology – part 1

5 September 2022 | | Endourology and Stones, Functional Urology, Infection, Reconstructive Urology, Trauma and Emergency Urology, Urologic Oncology
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...