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Upper tract abnormalities

11 July 2023 | | Paediatric Urology, Reconstructive Urology
Case 1 Figure 1. A 26-year-old female presents to A&E with loin pain. What do the CT images in Figures 1 (left, centre and right) show? What is the prevalence of the congenital anomaly in the general population, and is...

Thiazide diuretic prophylaxis for kidney stones and the risk of diabetes mellitus

1 May 2015 | | Endourology and Stones | calculi, diabetes mellitus, diuretics, thiazides
Thiazide diuretics have been used to reduce calcium nephrolithiasis recurrence as it is tolerated well, inexpensive and reduces calcium excretion in urine. It has been linked with increased risk of diabetes mellitus (DM) in the presence of hypertension (ALLHAT study),...

Imaging and radiology

1 March 2016 | Imaging, Uroradiology
Case 1 What radiological test is this and what does it show? What is the typical radio-nucleotide used for this study, what is its half-life and how is it excreted? Approximately how long does this study take to perform? What...

Urinary incontinence in women – part 2: management

1 September 2015 | | Functional Urology
In the second part of our comprehensive overview of urinary incontinence (UI) the authors explore the plethora of treatment options for this complex condition. (Part 1 available here). Conservative management Initial treatment of incontinence should be conservative. Caffeine reduction and...

Impact of case volume on outcomes of ureteroscopy for ureteral stones

1 May 2015 | | Endourology and Stones | Case volume, Clavien grade, Complications, Treatment outcome, Ureteral stones, Ureteroscopy
With the ever-increasing focus on patient safety, centralisation of services for major procedures is becoming more common. Using data from the Clinical Research Office of the Endourological Society (CROES) Ureteroscopy Global Study database, a prospective observational multicentre study created to...

Bladder cancer

5 November 2019 | Urologic Oncology
Case 1 A 78-year-old female presents with a week history of painless haematuria. She’s a smoker and used to work in the textiles industry. She underwent a flexible cystoscopy. What does this image show? What are the two-week wait National...

Tamsulosin and spontaneous passage of ureteral stones in children

1 May 2015 | | Endourology and Stones, Paediatric Urology | comparative effectiveness research, nephrolithiasis, tamsulosin
This was a retrospective analysis of data for five years from four institutions comparing stone passage rates in children with ureteric stones ≤10mm, aged 2-18, treated with tamsulosin vs. analgesia alone. The study identified 449 children, of whom 334 were...

Ketamine uropathy – an update

29 January 2020 | | Functional Urology, Reconstructive Urology
The first two case series that documented the association between urinary tract damage and recreational ketamine use were published 12 years ago [1,2]. Since then ketamine has maintained a controversial profile as an essential medication of expanding utility but with...

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...

‘The Rise of a Specialty’ – Exhibition at the Royal Society of Medicine

4 May 2020 | | Technological Developments
The founding of the Royal Society of Medicine’s (RSM) Urology Section 100 years ago this year was crucial to the establishment of urology as a specialty in Great Britain in its own right. To mark this anniversary, earlier this year...

Józef Dietl – more than one crisis

5 September 2022 | | 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). To urologists, the name Dietl is linked with the eponym of Dietl’s crisis,...

Clear cell urothelial carcinoma: a highly aggressive morphological variant in the bladder and upper urinary tract

2 November 2023 | | Urologic Oncology
Clear cell urothelial carcinoma (CCUC) is a rare morphological variant of transitional cell carcinoma (TCC). It can occur anywhere along the urothelial tract and is characterised histologically by high grade carcinoma with an abundance of clear, glycogen-rich cytoplasm [1]. Alternative...