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Prognostic impact of preoperative neutrophil-to-lymphocyte ratio after radical prostatectomy

1 May 2017 | | URO - Urologic Oncology
Neutrophil-to-lymphocyte ratio has been shown to be a prognostic factor in a number of different cancers. This is one of the largest studies to date to evaluate its effect on overall survival in patients who have undergone radical prostatectomy (RP)...

Should maximal urethral closure pressure be performed before mid-urethral sling surgery for stress incontinence?

1 January 2017 | | URO - Functional / Reconstructive Urology, URO - Infection
Maximum urethral closure pressure (MUCP) is a means of trying to provide an objective assessment of urethral integrity. In some centres it is used as a tool to help predict outcomes after mid-urethral sling (MUS) placement. The authors propose that...

Research needs you

1 May 2016 | | URO - Basic Science Research
This was an eye-catching front cover headline for the BMJ. Is research as important as clinical duties? The answer has to be yes. Research takes place in every NHS hospital, albeit in a fragmented way. All of us have to...

What is the significance of prostatic calcification?

1 September 2015 | | URO - Basic Science Research, URO - Functional / Reconstructive Urology
This prospective study on men undergoing transrectal ultrasonography (TRUS) biopsies was performed to evaluate the prevalence and to classify prostatic calcification (PCalc) on TRUS and correlate the findings with histology. Images of the prostate were saved at three defined regions:...

Buccal grafts for urethroplasty in pre-pubertal boys

1 May 2015 | | URO - Paediatric Urology, URO - Functional / Reconstructive Urology
Buccal mucosa graft (BMG) is often used as the primary graft in complex hypospadias surgery. It is not clear what the response of this BMG is during puberty androgen surge and whether or not differential penile growth occurs with secondary...

Oestrogens and OAB

1 January 2015 | | URO - Functional / Reconstructive Urology
This is a multicentre study from Europe. The female genitals and lower urinary tract have a common embryological origin arising from urogenital sinus. Therefore, both could be sensitive to female sex steroid hormones. Oestrogens and progesterone receptors have been demonstrated...
The BMJ cover

Urinary tract infections and antibiotics – the debate goes on

5 November 2019 | | URO - Functional / Reconstructive Urology, URO - Infection
A large number of hospital patients and primary care patients suffer from recurrent urinary tract infection (UTI) and urosepsis. Some of these patients end up in intensive care units with multi-organ failure. New draft guidance from the National Institute for...
The Journal of Urology cover image

Psychosocial distress in parents of children with DSD

4 May 2020 | | URO - Paediatric Urology
Disorders of sex development (DSD) are a rare set of medical conditions with prevalence rates ranging between 1:00 to 1:5000 births. Secondary atypical genitalia is seen in a subset. Psychosocial aspects have until recently been understudied. We know that some...

Erectile dysfunction part II: treatment

1 May 2014 | | URO - 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...

Nocturia – the Cinderella of lower urinary tract symptoms

1 March 2014 | | URO - Functional / Reconstructive Urology
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...

Update on immunotherapy for non-muscle invasive transitional cell carcinoma of the bladder

7 January 2021 | | URO - Urologic Oncology
Patients with high-risk non-muscle invasive bladder cancer (NMIBC) that have failed Bacillus Calmette-Guérin (BCG) treatment are a difficult group to treat, and many may not be suitable for the preferred treatment option of radical cystectomy. Bladder-preserving treatments for BCG-unresponsive high-risk...

Conference apps

1 March 2018 | | URO - Technology
With conference season soon starting I thought I would run through some of the apps I think would be useful for delegates attending a urology conference in the coming year. The conference app It is often useful to download the...