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Thermal ablative techniques for small renal masses

1 July 2017 | | Technological Developments, Urologic Oncology
The incidence of renal cell carcinoma has increased over the past decade which can be partly attributed to the increased use of imaging modalities [1,2]. Nephron sparing procedures for the management of small renal tumours have gained popularity which include...

What is new in lasers for endourology: looking into the future

7 January 2021 | | Endourology and Stones, Technological Developments
From the first cystoscopic argon and neodymium-YAG (yttrium-aluminium-garnet) laser used for bladder tumours in 1976 by Staehler et al. [1], lasers have proven to be a versatile and an evolving tool in the therapeutic management of a variety of urological...

Antimuscarinics and behaviour in patients with spinal dysraphism

1 May 2014 | | Reconstructive Urology | CBCL, CNS, Child Behavior Checklist, SD, antimuscarinic antagonists, behavior, central nervous system, meningomyelocele, neurogenic, spinal dysraphism, urinary bladder
Since the 1980s patients with spinal dysraphism have had aggressive bladder management with clean intermittent catheterisation and anticholinergic therapy from early on in life. This strategy aims at improving lower and therefore upper urinary tract function thus decreasing the risk...
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Changing concepts in endourological training – SIMULATE trial

4 September 2020 | | Endourology and Stones | ISCRTN 12260261, randomised controlled trial, simulation, surgery, urology
Skill acquisition for endourological procedures is markedly different from traditional open surgical procedures, questioning the applicability of the presently used apprenticeship model. The lack of a universal simulation training curriculum has hampered its adoption into mainstream urological training. This study...

The impact of menopause on bladder symptoms

11 July 2023 | | Functional Urology, Infection
The menopause is a natural process of ageing when the ovaries completely stop producing reproductive hormones (oestrogen and other sex steroids), and there are no monthly periods for 12 consecutive months. It normally occurs between the ages of 45-55 years...

Use of Clavien-Dindo classification in urology part 1 – pelvic surgery

1 March 2016 | | Urologic Oncology
There is no widely accepted system to classify postoperative complications. It is necessary to compare the outcome and complications while validating a new surgical procedure or one of the surgical approaches of a particular condition. Several parameters have long been...

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,...

Biomarkers in prostate cancer detection

1 July 2018 | | Basic Science Research, Technological Developments, Urologic Oncology
Prostate cancer (PCa) is the second most common cancer in men with an estimated prevalence of 1.1 million worldwide in 2012. This heterogeneous disease resulted in approximately 307,000 deaths, making it the fifth leading cause of cancer-related death in men...

Challenges of upper tract urothelial carcinoma

1 July 2022 | | Urologic Oncology
Upper tract uroepithelial carcinoma (UTUC) is a fairly common disease which traditionally had poorer outcomes compared to bladder cancer. This is due to various factors leading to delayed diagnosis and problems in risk stratification. Continuing efforts have focused on early...

The Mitrofanoff procedure: a continent revolution

1 January 2018 | | Functional Urology, Neurourology, Paediatric Urology, Reconstructive Urology
Prior to 1980, surgeons had been struggling to provide a catheterisable, continent channel as an alternative to the native urethra, primarily for paediatric patients with congenital neuropathic bladder. In 1980, Professor Paul Mitrofanoff described the continent supravesical antireflux appendicovesicostomy [1]...

Post-prostatectomy incontinence

4 May 2020 | | Functional Urology, Urologic Oncology
Urinary incontinence following prostate surgery (post-prostatectomy incontinence or PPI) is a significant complication that can have a profoundly negative impact on the quality of life of patients suffering with it. It may become a barrier to physical activity and social...

The impact of FGM on the genitourinary system: a 2021 perspective

3 March 2021 | | Functional Urology, Reconstructive Urology, Trauma and Emergency Urology
Awareness of female genital mutilation (FGM) in European countries has increased over recent decades as a result of globalisation and migration of populations. The World Health Organization (WHO) describes FGM as procedures that involve partial or total removal of the...