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Erectile dysfunction part II: treatment

1 May 2014 | | Andrology
Introduction The identification of specific risk factors associated with erectile dysfunction (ED) allows patients with mild or moderate ED to undergo a series of lifestyle changes, which may provide enough improvement in the erectile function to avoid pharmacotherapies. Cessation of...

What are the long-term outcomes of TOT and TVT procedures?

1 November 2017 | | Functional Urology, Infection | Sling, Stress urinary incontinence, Surgery, TOT, TVT
This is a systematic review between 2000 and 2016 evaluating the efficacy and safety of midurethral sling (MUS) procedures in women. Studies were included if the follow-up data was five years or more. Objective cure rates showed no significant difference...

Long-term consequences of posterior urethral valves

1 May 2014 | | Paediatric Urology | Adolescent urology, Bladder dysfunction, Long-term follow-up, Malignancy, Posterior urethral valves, Renal transplant, 15D, HRQoL, LSS, PUV, QoL, Quality of life, RAND, Renal insufficiency, Urinary incontinence, health-related quality of life, life situation survey
These two papers give a very good summary of the long-term effects of posterior urethral valves (PUV) into adulthood and are worth a read. Pereira et al. It is well known that the consequences of posterior urethral valves extend well...

Retroperitoneal sepsis

1 September 2016 | | Infection
Case 1 An 80-year-old woman presented with history of recurrent and recent cystitis, low grade pyrexia, abdominal and back pain, and pain on movement of the left hip which was observed to be flexed and externally rotated. What is the...

Infections and inflammation: Part 3

1 May 2019 | Functional Urology, Infection, Andrology, Trauma and Emergency Urology
See also Part 1 and Part 2 Case 1 You review a man in the Emergency Department with scrotal pain and sepsis. His clinical examination findings are shown. What does this image show? Who was this condition named after? What...

Balanitis xerotica obliterans

1 September 2018 | | Andrology, Urologic Oncology
Balanitis xerotica obliterans (BXO) / lichen sclerosus of the male genitalia is a common cause of acquired phimosis, and was first described by Stuhmer in 1928 [1]. It is described in medical literature as a chronic inflammatory condition of unknown...

Urinary incontinence in women – part 1: terminology and diagnosis

1 July 2015 | | Functional Urology
Introduction Urinary incontinence (UI) is the involuntary and often embarrassing leakage of urine. It is a condition that is both under-reported and under-diagnosed, and when reported it is, unfortunately, often not assessed and managed adequately. Incontinence of urine is encountered...

Sustainable healthcare: what steps can urologists take?

3 November 2022 |
Human health is intrinsically linked to environmental health, making the ever-pressing climate crisis fundamentally a public health emergency. The healthcare sector is responsible for 8% of the UK’s greenhouse gas (GHG) emissions worldwide [1]. As the largest publicly funded healthcare...

22 Weymouth Street

6 November 2020 | | 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). This year, 2020, is the 75th anniversary of the formation of BAUS. It...

Inguino-scrotal sarcomas

1 May 2019 | | Andrology, Urologic Oncology, Uroradiology
A sarcoma is a malignant tumour that originates from mesenchymal cells such as adipose tissue, bone, cartilage and smooth muscle. Although these tumours histologically do not originate from the urogenital tract, urologists are often involved in their diagnosis and management...

The NICE Guideline on Urinary Incontinence: the management of urinary incontinence in women

1 May 2014 | | Functional Urology
Background Urinary incontinence (UI) is a common symptom that can affect women of all ages. It is difficult to estimate the prevalence of UI since it is often under-reported, although the Norwegian EPINCONT study looking at women over 20 reported...

Suprapubic catheterisation – a core surgical trainee’s perspective

3 November 2022 | | Functional Urology, Infection, Technological Developments
Suprapubic catheters (SPCs) are in widespread usage in medical practice and this review will focus on the pre-assessment, indications, methods and complications that are associated with the insertion of an SPC. Although suprapubic catheter insertions may be done electively or...