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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...
The Journal of Urology cover image.

Botox® instillation into the bladder

4 May 2023 | | Basic Science Research, Functional Urology, Infection, Neurourology | botulinum toxins, overactive, type A, urinary bladder, urinary incontinence
Patients with refractory overactive bladder (OAB) may be offered OnabotulinumtoxinA (Botox®) as one of the third-line options. Given the invasive nature of requiring cystoscopy, injections via a needle and local anaesthesia, it would be simpler, more convenient and more accessible...

Prostatic artery embolisation – an option for select BPO patients

1 November 2014 | | Endourology and Stones
Few proponents of prostatic artery embolisation (PAE) regard it as a potential standard in future for benign prostatic obstruction (BPO) / benign prostatic hyperplasia (BPH) treatment. Present guidelines from the National Institute for Health & Care Excellence (NICE) and the...

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.

Is robotic pyeloplasty in the under-ones as good as open repair?

2 March 2022 | | Paediatric Urology | hydronephrosis, kidney, pediatrics, robotic surgical procedures, ureteral obstruction
Pelviureteric junction obstruction (PUJO) is a common cause of paediatric hydronephrosis. Indications for intervention include reduced renal function (<40%), symptoms (urinary tract infection or pain) and increasing dilatation. Although the Anderson-Hynes open pyeloplasty (OP) has long been the gold standard...

Priapism in sickle cell disease

2 March 2022 | | Andrology
What is sickle cell disease? Sickle cell disease (SCD) is one of the most common single-gene disorders in the UK affecting approximately one in every 2000 live births. Approximately 20-25 million people worldwide have SCD. It predominately affects those of...

What’s in a name?

1 March 2016 |
Kate Granger is a doctor and the founder of the #hellomynameis campaign; she is also a cancer patient. In this article she explains why she started the campaign, and why patient-centred care starts with an introduction. Chris and me the...

History of prostate biopsy – part 1

1 January 2018 | | Basic Science Research, Technological Developments, Urologic Oncology
Part 2 of this topic is available here. Prostate biopsy (PBx) to exclude cancer has been part of clinical practice since the beginning of the 20th Century. PBx techniques have evolved over time to optimally address some of the unique...

Trials offering cytoreductive surgery for men with de novo synchronous metastatic prostate cancer

8 November 2021 | | Basic Science Research, Urologic Oncology
Life expectancy in men diagnosed with de novo synchronous metastatic hormone-sensitive prostate cancer (mHSPC) has risen to a median of 4.8 years with upfront systemic agents (such as docetaxel) in addition to standard androgen deprivation therapy (ADT) [1-3]. Within this...

RSM Paediatric Urology Meeting and Presidential Address 2023

4 March 2024 | | Paediatric Urology
The academic year of the Urological Section of the Royal Society of Medicine (RSM) started with a bang in October last year with the Paediatric Urology meeting, co-organised by Shabnam Undre (Paediatric Representative for BAUS and Consultant Paediatric Urologist East...

The assessment and medical treatment of LUTS secondary to BPH

1 November 2016 | Functional Urology
The term benign prostatic hyperplasia (BPH) describes prostate enlargement due to non-cancerous processes. Several aetiological mechanisms are involved, including hormonal and vascular alterations; abnormal regulation of apoptosis; and prostatic inflammation, which may stimulate cellular proliferation. With ageing, prostate enlargement can...

The role of conservative renal colic treatment

1 January 2018 | | Endourology and Stones, Trauma and Emergency Urology
Acute renal colic is a common emergency condition, which can arise from a variety of underlying conditions that affect the urinary tract, but it is usually associated with the passage of ureteral stones. Before considering expectant management or active intervention,...