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Transfer to tertiary paediatric hospitals for patients with testicular torsion

1 November 2017 | | Paediatric Urology, Reconstructive Urology, Trauma and Emergency Urology | Hospital transfer, Testicle salvage, Testicle torsion, Testicular loss, Testicular torsion
Although this articles comes from a tertiary centre in Columbus, USA, there are similarities with the current controversies in the UK. The authors carried out a five-year retrospective review looking at the surgical transfer of 125 patients (mean age 13.4,...

Who should be taking care of the adolescent with testicular torsion?

1 March 2017 | | Paediatric Urology, Trauma and Emergency Urology | certification, pediatrics, referral and consultation, spermatic cord torsion, urology
From time to time (as paediatric surgeons), we receive referrals from regional hospitals to explore the testis in older boys. Given the time-critical nature of the condition, patients should benefit from assessment and surgery performed locally (when possible). Inter-hospital transfer...

New concepts, emerging technologies and potential therapeutics in testicular torsion

1 September 2014 | | Paediatric Urology, Trauma and Emergency Urology | testicular torsion, orchiectomy, orchiopexy, fertility
This review article is worthy of reading in its entirety. It addresses current concepts in the management of one of the few paediatric urological emergencies. For every 100,000 males <25 years, 4.5 will have testicular torsion per year. Given that...

Demanding cases or nightmares in endourology? Jan/Feb 2017

1 January 2017 | | Endourology and Stones
In the fifth article in this series the authors describe some of the most complex cases they have encountered. Case 1 A 45-year-old woman was admitted under the care of the medical team with shortness of breath, renal failure and...

Urological trauma – part 1

1 September 2015 | | Trauma and Emergency Urology
Part 2 of this topic is available here. Case 1 A 45-year-old male presented with acute onset abdominal pain following a fall whilst out drinking. A CT cystogram was arranged as he developed haematuria and acute renal impairment. 1. What...

History of prostate biopsy – part 2

1 September 2018 | | Basic Science Research, Technological Developments, Urologic Oncology
For Part 1 of this topic is available here. The major limitations of the transrectal ultrasound (TRUS) guided prostate biopsy (PBx) protocols are the risk of profound sepsis and the risk of persistently significant false negative rates, related to the...

ICS updates on continence care: what’s hot in physiotherapy after 80 years?

1 March 2016 | | Functional Urology
Origins of pelvic floor physiotherapy Physiotherapy, and in particular pelvic floor muscle training (PFMT) is nowadays first-line management for pelvic floor dysfunction (PFD). PFMT is originally attributed to Dr Arthur Kegel, hence the term Kegel exercises. Indeed, he was the...

Focal therapies in prostate cancer

1 November 2018 | | Technological Developments, Urologic Oncology
The standard of care in the management of prostate cancer has, to date, always been to treat the whole gland. This has ranged from surveillance, surgical excision / prostatectomy or external beam radiotherapy / whole gland brachytherapy. With the evolution...

I wasn’t expecting that! A series of unexpected radiology findings

1 July 2017 | Uroradiology
Case 1 A 76-year-old diabetic man with a long-term catheter presents to the Emergency Department with rigors and non-specific abdominal pain. He has an elevated white cell count (WCC) and C-reactive protein (CRP). An abdominal and pelvic CT scan was...

From body snatchers to conservative surgery: the life of Sir William Fergusson

7 January 2020 | | Endourology and Stones, 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). I’ve only recently paid full attention to Sir William Fergusson (1808-1877). He was...

Prostates at the OK Corral

11 July 2023 | | 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 this article, we are looking at an American urologist whose story was,...

Priapism

7 January 2021 | | Andrology
Priapism is defined as an abnormally persistent erection lasting greater than four hours, not associated with sexual desire [1]. Although relatively uncommon with an incidence of 1.5 per 100,000 [2], priapism has a risk of complications which can have a...