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A guide to percutaneous nephrolithotomy

Percutaneous nephrolithotomy (PCNL) is now the gold standard approach to treating large renal stones. Since its development in the 1970s, it has undergone a series of refinements that could only have been possible with the symbiosis of both radiological and...

The assessment and medical treatment of LUTS secondary to BPH

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...

Prostate biopsies without antibiotic cover – are we there yet?

Transperineal (TP) prostate biopsies are widely replacing the traditional transrectal route due to definite evidence of reduced infective complications. TP biopsies are usually performed with a single dose of antibiotic pre-procedure in most centres. In this article the authors attempt...

An update on robotic surgery in urology

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...

Nocturia – the Cinderella of lower urinary tract symptoms

Nocturia is defined as waking during the night (at least once) to urinate. The important part of the definition relates to the necessity of sleep to precede the episode (although whether sleep must follow the episode is less clear). The...

The effect of COVID-19 on urology training

COVID-19 has affected all aspects of medicine. Urologists have been called upon to work in vastly different working environments including acute pan-surgical teams, intensive care and medical wards. The strategies put in place by hospital management teams vary significantly across...

Radiological appearances of renal vascular anatomical variants

The purpose of this article is to explain and illustrate common renal vascular variants that can be depicted with imaging. Renal vessels commonly present a wide range of variations [1]; before major renal or vascular surgery is undertaken, accurate portrayal...

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...