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Surgical and pathological outcome of partial nephrectomy: robotic versus laparoscopic approach

1 March 2014 | | Urologic Oncology
Nephron sparing surgery has become the standard surgical treatment for small renal masses (<4cm). Laparoscopic partial nephrectomy (LPN) is shown to be superior to the open approach (OPN) in peri and postoperative morbidity; however, it requires advanced skills and has...

Cryotherapy for small renal masses: better than surveillance?

1 March 2014 | | Basic Science Research, Urologic Oncology | percutaneous cryoablation, percutaneous image-guided ablation, renal tumours
With the rapid rise in incidental small renal mass detection, some of which have malignant potential, comes the need to either survey or treat these masses safely and with minimal morbidity. This large series of 147 patients with 171 masses,...

Is routine renal tumour biopsy associated with lower rates of benign histology following nephrectomy for small renal masses?

1 May 2019 | | Basic Science Research, Urologic Oncology | biopsy, carcinoma, kidney neoplasms, nephrectomy, pathology, renal cell, surgical
There has been a considerable increase in the detection of small renal masses (SRM). Approximately 20% of these turn out to be benign lesions on final histopathological analysis. Therefore upfront surgery can be overtreatment in such a group of patients....

Comparing treatment modalities for transplant kidney VUR in the paediatric population

1 May 2019 | | Paediatric Urology, Reconstructive Urology | Deflux injection, Renal transplant, Ureteral reimplantation, Urinary tract infection, Vesicoureteral reflux
The management of Transplant kidney vesicoureteral reflux in the paediatric population is a heavily debated issue and Deflux® injection to manage VUR is both widely described in the literature and commonly practised. In this paper, these authors have put forth...
The Journal of Urology cover image.

Stenting prior to URS or ESWL – does it increase ED visits and opiate prescriptions?

11 July 2023 | | Paediatric Urology | high-energy shock waves, lithotripsy, pediatrics, stents, ureteroscopy
Ureteral stents are used to bypass obstructive stones, to dilate the ureter in order to facilitate ureteroscopy (URS), and to maintain patency / low intrarenal pressure following stone surgery. However, there can be morbidity (pain / voiding symptoms). Tasian et...

Balanitis xerotica obliterans

1 September 2018 | | Andrology, Urologic Oncology
Balanitis xerotica obliterans (BXO) / lichen sclerosus of the male genitalia is a common cause of acquired phimosis, and was first described by Stuhmer in 1928 [1]. It is described in medical literature as a chronic inflammatory condition of unknown...

History of prostate biopsy – part 2

1 September 2018 | | Basic Science Research, Technological Developments, Urologic Oncology
For Part 1 of this topic is available here. The major limitations of the transrectal ultrasound (TRUS) guided prostate biopsy (PBx) protocols are the risk of profound sepsis and the risk of persistently significant false negative rates, related to the...

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...

Surgical video – part 2: Tips on how to edit and create a finished surgical video for teaching or publication

1 November 2015 | | Technological Developments
A well-made and informative video can be one of the most valuable promotional tools for a department of urology. Having to resort to an external commercial source to produce a video can be prohibitively expensive. With the extensive computing power...

Pushing the boundaries of urological research with trainee-led collaboration in the BURST Research Collaborative

1 March 2016 |
Background: the concept of trainee-led research Over the past five years a novel and exciting collaborative approach to delivering research has been developed in the UK. Trainee-led regional and national research networks have been introduced, with the greatest success seen...

Erectile dysfunction part II: treatment

1 May 2014 | | Andrology
Introduction The identification of specific risk factors associated with erectile dysfunction (ED) allows patients with mild or moderate ED to undergo a series of lifestyle changes, which may provide enough improvement in the erectile function to avoid pharmacotherapies. Cessation of...

The life of a urology trainee in Singapore

1 November 2014 |
Despite the political and cultural differences between the United Kingdom and Singapore, the quality and nature of the medical training systems remain uniquely similar. It will come as no surprise to those of you who have either worked in Singapore...