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Do stones still kill?

1 September 2016 | | Basic Science Research, Endourology and Stones | epidemiology, mortality, sepsis, urinary calculi, urolithiasis
This paper is a retrospective analysis of deaths ascribed to stone disease in England and Wales over a 15-year period. The data was obtained from the Office of National Statistics, based on mortality derived from death certificates. One thousand, nine...

The impact of seat belts and airbags on renal injuries and nephrectomy rate

1 May 2015 | | Trauma and Emergency Urology | accidents, kidney, nephrectomy, seat belts, traffic, wounds and injuries
Motor vehicle collisions (MVC) account for 3.6 million emergency department attendances and 34,000 deaths annually. The combination of lap / shoulder seat belts and airbag deployment reduces mortality by more than 80%. MCVs are responsible for 48-66% of all renal...

The current state of surgical practice for neonatal torsion

1 September 2014 | | Paediatric Urology | Perinatal testicular torsion, Postnatal torsion, Prenatal torsion
Perinatal testicular torsion may be subdivided into prenatal (73%) and postnatal (28%) up to 30 days post birth. Aetiology in the former is universally extra vaginal around the whole of the tunica vaginalis with testicular salvage rate of <5%. Postnatal...

Early complications following ambulatory hypospadias repair

5 November 2019 | | Paediatric Urology, Reconstructive Urology | Complications, Hypospadias repair, Readmission, Reoperation
Most hypospadias repairs are undertaken on a day case ambulatory basis. Roth et al. have studied clinically significant events occurring within 30 days of operation. Data was obtained from the Paediatric Health Information System (PHIS), an administrative database that contains...
The Journal of Urology book cover with Editor's Choice stamp.

Risk stratified approach to early intervention for renal colic

3 March 2021 | | Endourology and Stones, Trauma and Emergency Urology | emergency treatment, renal colic, therapeutics, ureteral calculi, ureteroscopy
Existing guidance on this topic is based on older and smaller studies, and there remains variation in practice. This review of database outcomes of 1168 out of 3081 (38%) patients who underwent early intervention after presentation to nine Canadian emergency...

Is outpatient robotic surgery feasible in children?

12 October 2022 | | Paediatric Urology | ambulatory surgical procedures
Minimally invasive surgery has helped to achieve shorter hospitalisations, reduce postoperative pain and analgesia requirements and provides better cosmetic results. Robotic urological outpatient surgery has been examined in recent times in the adult population; here Neheman et al. look at...
European Urology journal front cover image with Editor's Choice stamp.

Phase two trial of SAbR for primary RCC

2 November 2023 | | Urologic Oncology
A study focused on stereotactic ablative radiotherapy (SAbR) as a treatment for primary renal cell carcinoma (RCC) has yielded significant findings. The primary objective of the study was successfully met, demonstrating a 94% local control rate at one year among...

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...

ICS updates on continence care: making sense of detrusor underactivity and the underactive bladder

1 July 2016 | | Functional Urology
Countless epidemiological studies have established the frequent occurrence of lower urinary tract symptoms (LUTS) and the significant burden these symptoms incur. For the most part of the past three decades, there has been an overwhelming focus on detrusor overactivity (DO)...

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...

Penile cancer: a practical approach

6 November 2020 | | Urologic Oncology
Penile cancer is rare and accounts for less than 1% of all new cancer cases in males in the UK, with around 640 new cases diagnosed every year [1]. In England and Wales, the annual incidence is between 1.2 and...

Meeting in the middle: a review of the rendezvous technique to treat impassable ureteric strictures and transected ureters

1 August 2015 | | Endourology and Stones, Reconstructive Urology
Introduction Complex ureteric strictures present a significant challenge with some patients undergoing multiple separate urological and radiological procedures to try to cross a stricture without success. Cross-departmental collaboration with uroradiology may allow a decrease in the number of separate interventions....