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Prostatic urethral lift provides good alternative to TURP for men with LUTS

1 November 2015 | | Endourology and Stones | Benign Prostatic Hyperplasia, Ejaculation, Minimally-Invasive, Quality of Life, TURP
Lower urinary tract symptoms (LUTS) due to prostatic enlargement resulting in bladder outflow obstruction are common. Transurethral resection of the prostate (TURP) remains the gold standard in operative management, however it is not without its risks. In this multicentre European...

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...

Priapism in children

1 November 2014 | | Paediatric Urology | Leukaemia, Priapism, Prolonged erection, Sickle cell disease, Trauma
I have to state a conflict of interest here for obvious reasons, being one of the authors. This paper reviews the English literature between 1980 and 2013 and summarises the clinical classification, aetiology, physiology and pathophysiology of paediatric priapism –...
Smith's Textbook of Endourology front cover

Smith’s Textbook of Endourology, 2 Volume Set, 4th Edition

1 September 2019 | | Endourology and Stones
Since the founding fathers of endourology first published this textbook in 1996, the surgical vista has been changed unrecognisably by technological advances. Laparoscopic approaches have become commonplace for renal, ureteric, bladder and prostatic surgery, and robotic-assisted techniques have developed with...

ASAP: is a repeat biopsy necessary?

1 May 2016 | | Urologic Oncology
This study examined the validity of current US and European guidelines on the management of patients diagnosed with atypical small acinar proliferation (ASAP). Current guidance states that these patients should undergo repeat biopsy within three to six months due to...

Endoscopic injection of bulking agent for recurrent paediatric epididymitis

1 November 2018 | | Infection, Paediatric Urology | Children, Dextranomer-hyaluronic acid copolymer, Epididymitis, Urethrovasal reflux, Urogenital abnormalities
Paediatric recurrent epididymitis is frequently observed in several urogenital conditions, and may result in deterioration of long-term fertility. The management of recurrent epididymitis is still a therapeutic challenge for paediatric urologists, and as yet there is no consensus for treatment....

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...

Ambulatory local anaesthetic implantation of percutaneous sacral nerve stimulators

11 July 2023 | | Functional Urology
Background The current treatment paradigm for detrusor overactivity (DO) and dysfunctional voiding (DV) includes conservative measures, pharmacotherapy, intravesical onabotulinum toxin A (Botox®), sacral nerve modulation (SNM / SNS) and urinary diversion as a last resort [1]. Incidence of DO is...

Burnout: an increasing problem in urology

5 November 2019 |
“What we mean, man,” said Chuck forcefully, “is this: how can we care for patients if nobody cares for us?” – Samuel Shem, The House of God, 1978. Samuel Shem’s (Steven Bergman, MD) satirical novel The House of God, has...

Urethroplasty: a review of indications, techniques and outcomes

1 March 2018 | | Reconstructive Urology
Urethral stricture is the most common cause of lower urinary tract obstruction in men aged between 20 and 40, carrying an estimated overall prevalence of 0.5% in the UK [1] and results in around 17,000 hospital admissions annually [2]. Endoscopic...

Emphysematous pyelonephritis: a review

1 May 2014 | | Endourology and Stones, Infection
Introduction Emphysematous pyelonephritis (EPN) is an acute, severe, necrotising, bacterial infection of the renal parenchyma and surrounding tissues, with gas in the renal parenchyma, collecting system or perinephric tissue. Although it is rare, it is potentially life threatening and early...

Mechanisms and prevention of catheterisation associated urethral injury (CAUI)

5 November 2019 | | Functional Urology, Infection, Neurourology, Technological Developments
Urethral catheterisation is a common procedure performed by health professionals across different grades and specialties in a variety of clinical settings. An estimated 15-25% of hospitalised patients have a urinary catheter inserted during their inpatient stay and up to 13%...