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Transplant urology at Guy’s Hospital: making the most of a year out before specialty training

It was gutting to miss out on urology at national selection on my first attempt. The ST3 application has become increasingly competitive and this means more appointable trainees find themselves looking to plan B. The options available can be daunting...

Clinical trials 1

Clinical Trials 2 is available here. Case 1 1. What are the levels of clinical evidence based on the 2009 definitions from the ‘Oxford CEBM’? 2. What is the null hypothesis? 3. What are type 1 and type 2 errors?...

COVID-19: cancer and corticosteroids

Under the prevailing COVID-19 crisis, this article is well worth reading. The current World Health Organization (WHO) guidance is not to start steroids in cancer cases, but there is no clear evidence of risks with steroids in cancer patients having...

Neuromodulation for lower urinary tract dysfunction – an ICS update

Non-invasive and invasive electro-stimulation techniques have been extensively studied in the treatment of lower urinary tract and bowel dysfunction, including overactive bladder syndrome (OAB), non-obstructive chronic urinary retention, faecal incontinence and chronic pelvic pain. Currently, the most common indication for...

de smit medical: Assessment of female pelvic floor muscle dysfunction, vaginal examination (practical course) Jul 25

Course tutor: Julia Herbert, Grad Dip Phys., MSc. MCSP, MPOGP. Consultant Physiotherapist Pelvic Health This 1½ day course is aimed at practitioners new to the speciality of pelvic health and those wishing to update their skills in vaginal pelvic floor...

de smit medical: Assessment of lower bowel dysfunction, anorectal examination and initial treatment (practical course) Jun 25

Course tutor: Julia Herbert, Grad Dip Phys., MSc. MCSP, MPOGP. Consultant Physiotherapist Pelvic Health This two-day course is aimed at practitioners wishing to expand their skills to include the theory of anorectal assessment of male and female pelvic floor muscles...

de smit medical: Assessment of female pelvic floor muscle dysfunction, vaginal examination (practical course) Apr 25

Course tutor: Julia Herbert, Grad Dip Phys., MSc. MCSP, MPOGP. Consultant Physiotherapist Pelvic Health This 1½ day course is aimed at practitioners new to the speciality of pelvic health and those wishing to update their skills in vaginal pelvic floor...

de smit medical: Assessment of lower bowel dysfunction, anorectal examination and initial treatment (practical course) Feb 25

Course tutor: Julia Herbert, Grad Dip Phys., MSc. MCSP, MPOGP. Consultant Physiotherapist Pelvic Health This two-day course is aimed at practitioners wishing to expand their skills to include the theory of anorectal assessment of male and female pelvic floor muscles...

de smit medical: Assessment of female pelvic floor muscle dysfunction, vaginal examination (practical course) Jan 25

Course tutor: Julia Herbert, Grad Dip Phys., MSc. MCSP, MPOGP. Consultant Physiotherapist Pelvic Health This 1½ day course is aimed at practitioners new to the speciality of pelvic health and those wishing to update their skills in vaginal pelvic floor...

de smit medical: Assessment of female pelvic floor muscle dysfunction, vaginal examination (practical course) Nov 24

Course tutor: Julia Herbert, Grad Dip Phys., MSc. MCSP, MPOGP. Consultant Physiotherapist Pelvic Health This 1½ day course is aimed at practitioners new to the speciality of pelvic health and those wishing to update their skills in vaginal pelvic floor...

Intravesical glycosaminoglycan analogue instillations for recurrent cystitis

Introduction The symptoms of recurrent cystitis can be triggered by inflammatory or infective causes. Bladder pain syndrome (BPS) and bacterial recurrent lower urinary tract infection can both present with symptoms of recurrent cystitis and cause significant morbidity in affected individuals....

Neurourology

Case 1 What are the urological indications for use of this medication? What is the mechanism of action when used in the bladder? What is the average duration of action? What are the contraindications to the use of this medication?...