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PREDICT Prostate – individualised, evidence-based estimates of survival and treatment benefit

5 November 2019 | | Technological Developments, URO - Urologic Oncology
Earlier this year ‘PREDICT Prostate’ was launched online alongside a high-profile publication in PLOS Medicine. The prognostic model and decision-aid has been designed to inform treatment decision-making among men newly diagnosed with non-metastatic prostate cancer. David Thurtle and Vincent Gnanapragasam...

Treatment of varicocele in children and adolescents

1 March 2018 | | Paediatric Urology, Reconstructive Urology | Adolescent, Hydrocele, Radiological intervention, Surgical intervention, Varicocele, Varicocele recurrence
Varicocele occur in about 15% of all adolescents. These authors searched Medline, Embase and a number of platforms reporting on varicoses in children and adolescents, including only randomised controlled trials with patients under 21 years. After an initial 198 studies...

Predictors of vaginal mesh exposure after mid-urethral sling placement

1 March 2017 | | Functional Urology, Infection | Bariatric surgery, Complication, Midurethral sling, Vaginal exposure
Vaginal mesh exposure following mid-urethral sling (MUS) insertion can be a difficult complication to treat. The aim of this study was to identify possible risk factors in patients who had unfortunately developed vaginal mesh exposure following MUS surgery. This was...

Should maximal urethral closure pressure be performed before mid-urethral sling surgery for stress incontinence?

1 January 2017 | | Functional Urology, Infection | Maximum urethral closure pressure, Midurethral slings, Stress incontinence
Maximum urethral closure pressure (MUCP) is a means of trying to provide an objective assessment of urethral integrity. In some centres it is used as a tool to help predict outcomes after mid-urethral sling (MUS) placement. The authors propose that...

Robot assisted radical prostatectomy – could it be gold standard?

1 May 2015 | | Urologic Oncology | Minimally invasive surgery, Prostate cancer, Prostatectomy, Robotics
Prostate cancer (PCa) is still the second leading cause of cancer-related death in men in the United States. Most of the PCa are organ confined at the time of diagnosis. To watch (observation / active surveillance) or fry (radiotherapy) or...

Post prostatectomy outcomes of patients with high-risk prostate cancer treated with neoadjuvant androgen blockade

1 September 2019 | | Urologic Oncology
This is an interesting paper reporting on the use of neoadjuvant androgen blockage in patients with high-risk prostate cancer undergoing radical prostatectomy. Previous work in the literature has shown an improvement in the rate of organ-confined disease and decreased positive...

Ipsilateral ureteroureterostomy: does function of the obstructed moiety matter?

1 September 2019 | | Paediatric Urology, Reconstructive Urology | Duplex kindey, Ectopic ureter drop, Obstructed moiety function, Ureteroureterostomy
Upper pole nephrectomy has been the traditional surgical management of children with poorly functioning upper pole moieties in duplex renal collecting systems having ureteral ectopia and ureterocele. However, ablative surgery confers a risk of functional loss to the remnant moiety...
The Journal of Urology cover image.

Prodromal period of Fournier’s gangrene

4 May 2023 | | Infection | Fournier gangrene, delayed diagnosis, diagnostic errors, fasciitis, necrotizing, prodromal symptoms
Necrotising soft tissue infections of the genitalia (NSTIG), commonly known as Fournier’s gangrene, is a rare but important surgical emergency associated with significant morbidity and mortality. It is estimated that every six hours of delay in surgical debridement leads to...

Urological trauma – part 1

1 September 2015 | | Trauma and Emergency Urology
Part 2 of this topic is available here. Case 1 A 45-year-old male presented with acute onset abdominal pain following a fall whilst out drinking. A CT cystogram was arranged as he developed haematuria and acute renal impairment. 1. What...

RALPN (Robotic Assisted Laparoscopic Partial Nephrectomy) Ultrasound Course

3 April 2019 | Endourology and Stones, Technological Developments
Course Directors: Mr Omer Karim, Consultant UrologistMr Lemke Solomon, Consultant Urologist This unique one-day training course combines live surgery robotic-assisted laparoscopic partial nephrectomy (RALPN) procedures with intraoperative ultrasound imaging. Aimed at consultants wishing to develop their expertise and improve surgical...

An update on robotic surgery in urology

2 November 2023 | | Technological Developments, URO - Urologic Oncology
The early adoption of new technology has long been a trademark of urological surgeons. Like the introduction of the cystoscope, lasers and flexible endoscopy, the field of urology has witnessed a revolutionary transformation with the advent of robotic surgery. Robotic-assisted...

Endourology Academy – a modern-day solution to modern-day training

2 November 2023 | | Endourology and Stones, Technological Developments
In 2021, as a core trainee in urology, I found myself facing challenges due to the coronavirus pandemic, which led to limited theatre times for surgical exposure. Trying to grasp the basics of surgery with such restricted operative experience was...