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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...

MAPLe – the pelvic floor in high definition. One probe, all dysfunctions

11 July 2022 | Research & Development
The MAPLe high-definition technology enables you to diagnose and view a patient’s individual pelvic floor muscle EMG activity at a glance, making it possible for you to provide a more...

Thomas Molyneux and the lost bodkin

1 January 2019 | | Endourology and Stones, 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 an earlier article we looked at one of the medals in the...

Patient decision aids in the management of stress urinary incontinence

9 March 2020 | | Functional Urology, Reconstructive Urology
Urinary incontinence is a common condition faced by up to 20-50% of women, which impairs quality of life and poses a significant socioeconomic burden to both the individual women involved and more widely to the NHS [1]. The overall cost...

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...

The risk of failure after primary orchidopexy

1 September 2014 | | Paediatric Urology | Orchidopexy, complication, cryptorchidism, recurrence, undescended testes
Surgical standards for revalidation are growing in the UK. For paediatric surgery, primary orchidopexy is thought to be one procedure that could be used as a ‘plumb line’ for this. These authors looked at 1538 boys who underwent 1886 orchidopexies...

An overview of daytime wetting in children

1 January 2017 | | Functional Urology, Paediatric Urology
It is estimated that daytime wetting affects one in seventy-five children over the age of five years [1]. Daytime wetting is commoner in younger children (1 in 7 aged 4.5 years, 1 in 20 aged 9.5 years) [1]. Many younger...

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...

Urinary incontinence in women – part 1: terminology and diagnosis

1 July 2015 | | Functional Urology
Introduction Urinary incontinence (UI) is the involuntary and often embarrassing leakage of urine. It is a condition that is both under-reported and under-diagnosed, and when reported it is, unfortunately, often not assessed and managed adequately. Incontinence of urine is encountered...

Management of urological issues following genital gender affirmation surgery for individuals assigned female at birth

12 September 2023 | | Andrology
Gender incongruence arises when there is a mismatch between an individual’s gender identity and their sex assigned at birth. Genital gender affirmation surgery (GAS) is the final step of transition for transgender and non-binary individuals who experience gender incongruence. This...

Read all about it May/Jun 2016

1 May 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
It can be awkward when a patient asks you about a report in their favourite tabloid detailing an amazing research breakthrough or a ‘cutting-edge’ new treatment / test and you don’t know what they are talking about! So this section...

The bulbocavernosus reflex

6 January 2023 | | Neurourology
Despite its first discovery predating the early-1940s, clinical application of the bulbocavernosus reflex (BCR) has been limited to date. The BCR traditionally involves contraction of the bulbo- and ischiocavernosus pelvic floor muscles, often referred to as the ‘bulbocavernosus muscle’, in...