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Androgen insensitivity in patients with proximal hypospadias

1 March 2015 | | Paediatric Urology, Reconstructive Urology | Androgen resistance, Glans width, Hypospadias, Testosterone
A number of surgeons use preoperative androgen stimulation for a period of time prior to hypospadias surgery. The aim is to increase glans circumference, penile length and improve prepucial vascularisation pre-surgery. Data confirming the results of these aims is scarce....

The GMS hypospadias score

1 May 2014 | | Paediatric Urology | Children, Chordee, Complications, Grade, Hypospadias, Score
Hypospadias surgery has been carried out for decades. Descriptive parameters for hypospadias severity are variable and difficult to reproduce. The severity of abnormalities lies along a continuous spectrum. The paediatric urological fraternity is attempting to develop more reliable comparators for...

Prostate alpha-1 receptors: what is new?

1 March 2015 | | Functional Urology | benign prostatic hyperplasia (BPH), benign prostatic syndrome (BPS), contraction, lower urinary tract symptoms (LUTS), smooth muscle, α1-adrenoceptor, α1-blocker
This article from the west of Germany will be of interest to many of us who use alpha-blockers for bladder outflow symptoms. The classic model of understanding of alpha receptors has been challenged recently. Further models have been identified, including...

The NICE Guideline on Urinary Incontinence: the management of urinary incontinence in women

1 May 2014 | | Functional Urology
Background Urinary incontinence (UI) is a common symptom that can affect women of all ages. It is difficult to estimate the prevalence of UI since it is often under-reported, although the Norwegian EPINCONT study looking at women over 20 reported...

Male urethrograms

1 January 2016 |
An ascending urethrogram is the best initial radiographic technique to image a male patient’s urethra and is indicated for strictures, fistulae, trauma and urethral obstruction [1]. It is quick and straightforward to perform and is performed using an 8Fr Foley...

Hail the Portfolio Pathway!

3 May 2024 |
In the United Kingdom, the pursuit of a surgical career traditionally follows a conventional pathway, primarily through the completion of specialty programmes accredited by the Royal College of Surgeons or the Intercollegiate Surgical Curriculum Programme (ISCP). However, for doctors with...

Artists in urology

1 July 2021 | | 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/museum). For July/August 2021, I’m joined by Lucy Brooks, Urology Trainee, who was keen...

Challenges of catheter associated urinary tract infection: is prevention better than cure?

1 November 2017 | | Infection, Functional Urology
Catheterisation is a common medical procedure in which a catheter (a hollow flexible tube) is inserted into the bladder in order to facilitate the drainage of urine. Catheters are usually passed into the bladder via the urethra, either to be...

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...

Management of urological issues following genital gender affirmation surgery for individuals assigned female at birth

12 September 2023 | | Andrology
Gender incongruence arises when there is a mismatch between an individual’s gender identity and their sex assigned at birth. Genital gender affirmation surgery (GAS) is the final step of transition for transgender and non-binary individuals who experience gender incongruence. This...

Recent developments in bladder cancer – MIBC

5 September 2022 | | Urologic Oncology
This article takes a look back over recent years at new innovations and developments relating to muscle-invasive bladder cancer (MIBC) specifically, and will also touch upon what the future may hold. This article is also written as a continuation of...

The pioneer women in British urology

5 January 2022 |
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). This month, I am joined by Kassie Ball, a urology trainee, who approached...