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Retropubic versus transobturator mid-urethral slings for stress incontinence

1 November 2014 | | Functional Urology | Midurethral slings, Randomized multicenter trial, Retropubic and transobturator procedures
Mid-urethral slings are commonly used in the surgical management of stress urinary incontinence. This multicentre, randomised trial aimed to compare the safety and efficacy of the retropubic tension-free vaginal tape (TVT) with the transobturator tension-free vaginal tape (TVT-O) in a...

Pelviva® pelvic floor muscle trainer

30 October 2019 | Research & Development
Female urinary incontinence affects one in three women. Pelviva is a pioneering single use, intra-vaginal medical device that provides one combined treatment for both stress and urgency urinary incontinence.

Repeat transurethral resection in non-muscle invasive bladder cancer

1 November 2018 | | Uroradiology | Bladder, Cancer, Detrusor, Muscle, Progression, Re-resection, Recurrence, Upstaging
The authors felt this is a big problem because there is no standardised practice on re-resection following initial transurethral resection of bladder tumour (TURBT). Getting detrusor muscle in the first specimen is thought to be important. However muscle is not...

A new treatment for genitourinary syndrome of menopause

6 June 2019 | Research & Development
Genitourinary syndrome of menopause (GSM) [1] is defined as a collection of symptoms and signs mainly associated with the progressive decrease in oestrogen levels. The lack of hormones, usually produced by the ovaries in fertile age, may lead to genital symptoms...

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...

Cystoplasty

3 March 2021 | | Reconstructive Urology, Trauma and Emergency Urology
Case 1 A 48-year-old female, having previously had an augmentation ileocystoplasty 10 years ago, has been referred with right loin pain by the emergency department. A venous blood gas is performed shortly after triage with the following values: What is...

Ejaculatory dysfunction – too swift, too slow and the no-show

1 July 2021 | | Andrology
Timing is everything.’ Although an expression most frequently linked to comedy, timing also seems just as critical in the business of sexual climax. Indeed, many men worry about ejaculating. Too soon is embarrassing. Too slow is frustrating. And not ejaculating...

Wax candles, horsewhips and sounding a note

2 November 2023 | | 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). There are certain instruments we use in urology which carry unusual names; you...

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...

Challenges of upper tract urothelial carcinoma

1 July 2022 | | Urologic Oncology
Upper tract uroepithelial carcinoma (UTUC) is a fairly common disease which traditionally had poorer outcomes compared to bladder cancer. This is due to various factors leading to delayed diagnosis and problems in risk stratification. Continuing efforts have focused on early...

The assessment and medical treatment of LUTS secondary to BPH

1 November 2016 | Functional Urology
The term benign prostatic hyperplasia (BPH) describes prostate enlargement due to non-cancerous processes. Several aetiological mechanisms are involved, including hormonal and vascular alterations; abnormal regulation of apoptosis; and prostatic inflammation, which may stimulate cellular proliferation. With ageing, prostate enlargement can...

A report from the second laparoscopic urology workshop in Dakar, Senegal

6 January 2023 | | Technological Developments
Hôpital Général Idrissa Pouye (HOGIP), formerly Hôpital Général de Grand Yoff – HOGGY), in Dakar, Senegal, is one of the most well-regarded teaching hospitals in West Africa. It has over 300 beds, a urology team of six consultants and attracts...