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Metastatic spinal cord compression – a review

1 March 2014 | | Trauma and Emergency Urology, Urologic Oncology
Introduction Metastatic spinal cord compression (MSCC) is an oncological emergency that, unless diagnosed early and treated appropriately, can lead to significant morbidity and mortality, including paralysis and bladder and bowel dysfunction. MSCC can be defined as spinal cord or cauda...

Surgery in disorders of sexual development with gender issues

1 March 2017 | | Andrology, Paediatric Urology | 17β hydroxy steroid dehydrogenase, 17βHSD, 5α reductase deficiency, AIS, Androgen insensitivity syndrome, CAH, Chromosomal anomalies, Congenital adrenal hyperplasia, DSD, Disorders of sex development, Genital surgery in children, Gonadal dysgenesis, Gonadal dysplasia, Hypospadias, Micropenis, Mixed gonadal dysgenesis, Ovo-testicular DSD
After the initial consensus meeting of 10 years ago on disorders of sex development (DSD) with the introduction of the new terminology and classification there are still abundant controversial issues associated with the management of children with these conditions. This...

Radiation in paediatric urology – PURSE study

1 November 2016 | | Paediatric Urology | diagnostic techniques, urological, endoscopy, nephrolithiasis, pediatrics, radiation exposure
Urological operative procedures often use fluoroscopy for diagnosis and treatment of stone disease and structural anomalies. Paediatric tissues are sensitive to the effects of ionising radiation. Paediatric radiation safety has gained concerns due to the possible long-term effects such as...

Near-infrared fluorescence in robotic surgery

1 July 2015 | | Reconstructive Urology, Urologic Oncology
This is a systematic review and critical analysis of the current evidence on the applications of near-infrared fluorescence (NIRF) in robotic urologic surgery. It uses indocyanine green (ICG), a sterile water-soluble dye which has been tested in various fields. In...

The current state of surgical practice for neonatal torsion

1 September 2014 | | Paediatric Urology | Perinatal testicular torsion, Postnatal torsion, Prenatal torsion
Perinatal testicular torsion may be subdivided into prenatal (73%) and postnatal (28%) up to 30 days post birth. Aetiology in the former is universally extra vaginal around the whole of the tunica vaginalis with testicular salvage rate of <5%. Postnatal...
The Journal of Urology cover photo

What should we do with the incidentally detected renal cyst in a child?

9 March 2020 | | Paediatric Urology | classification, cystic, kidney diseases, treatment outcome, ultrasonography, watchful waiting
The introduction of routine prenatal screening in the early 1980s resulted in paediatric urologists being confronted with the dilemma of what to do with antenatally-detected urinary tract dilatation, many of whom, we now know, do not require long-term surveillance or...

Testicular cancer (Jan 2016)

1 January 2016 | | Andrology, Basic Science Research, Endourology and Stones, Functional Urology, Infection, Neurourology, Paediatric Urology, Reconstructive Urology, Technological Developments, Trauma and Emergency Urology, Urologic Oncology, Uroradiology
Case 1 A 26-year-old male presented with a two-week history of testicular pain and swelling. On examination the right testicle was enlarged, indurated and tender. Erythema of the scrotum on that side was also noted. Ultrasound of the testis reported...

BAUS 2023 Annual Scientific Meeting

4 May 2023 |
BAUS June 2022 was certainly noteworthy for me personally, as Tim O’Brien passed on the baton of Presidency. It was also a very special meeting for everyone who participated. The event felt so refreshing after two years of COVID and...

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...

Functional and reconstructive urology

4 May 2023 | | Functional Urology, Reconstructive Urology
Case 1 A 45-year-old female presents with a one-year history of urinary leakage, especially worse on coughing. She is otherwise well, with no co-morbidities. What is the International Continence Society (ICS) definition of stress urinary incontinence (SUI)? What are the...

The role of transperineal template biopsies in the diagnosis of prostate cancer

1 March 2014 | | Urologic Oncology
The case In 2002, Mr A, a 64-year-old software engineer, was referred by his GP for further investigation of a raised prostate specific antigen (PSA) of 6.2. His prostate felt benign. He underwent transrectal ultrasound guided (TRUS) prostate biopsies. This...

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...