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Reliability of grading of VUR and other findings on VCUG

1 November 2017 | | Paediatric Urology | Vesico-ureteral reflux, Voiding cystourethrogram, Urinary tract infection, Radiology, Concordance, Classification
The gold standard for diagnosing VUR is still the voiding cycstogram (VCUG). These authors looked at the inter observer variability of grading of vesicoureteral reflux (VUR) using a VCUG and highlight the implications for treatment and prognosis as a results....

The Mitrofanoff procedure: a continent revolution

1 January 2018 | | Functional Urology, Neurourology, Paediatric Urology, Reconstructive Urology
Prior to 1980, surgeons had been struggling to provide a catheterisable, continent channel as an alternative to the native urethra, primarily for paediatric patients with congenital neuropathic bladder. In 1980, Professor Paul Mitrofanoff described the continent supravesical antireflux appendicovesicostomy [1]...

Demanding cases or nightmares in uro-oncology? Sep/Oct 2022

5 September 2022 | | Urologic Oncology
Treatment of prostate cancer in renal transplant recipients is challenging due to a lack of knowledge of the natural history of cancer in these patients, the anatomical position of the graft in the iliac fossa and its proximity to the...
The Journal of Urology cover image with Editor's Choice stamp.

Cardiac failure and medical therapy for LUTS / BPH

11 August 2021 | | Functional Urology, Infection | 5-alpha reductase inhibitors, adrenergic alpha-antagonists, heart failure, lower urinary tract symptoms, prostatic hyperplasia
Alpha blockers (AB), 5-alpha reductase inhibitors (5-ARI) and combination therapy are widely prescribed for lower urinary tract symptoms (LUTS) considered consequent to prostatic enlargement and are the mainstay of first-line therapy. This retrospective interrogation of a large population-based dataset of...

Thermal ablative techniques for small renal masses

1 July 2017 | | Technological Developments, Urologic Oncology
The incidence of renal cell carcinoma has increased over the past decade which can be partly attributed to the increased use of imaging modalities [1,2]. Nephron sparing procedures for the management of small renal tumours have gained popularity which include...

Renal calculi: the role of imaging in pregnancy

5 May 2021 | | Endourology and Stones, Uroradiology
Nephrolithiasis is the most common cause of non-obstetric abdominal pain in pregnancy. Accurate diagnosis is imperative as stone related complications can lead to pre-eclampsia, urosepsis, and premature labour [1,2]. In the general population, non-contrast cross sectional imaging is recommended by...

Frailty in urology – part 2

6 January 2023 | | Endourology and Stones, Functional Urology, Infection, Reconstructive Urology, Trauma and Emergency Urology, Urologic Oncology
The first article in this series defined frailty and introduced the concept and importance of identifying patients living with frailty who undergo surgery, including those undergoing urological procedures. In the second part of this series we outline how to identify...

Supporting return to clinical practice

8 November 2021 |
There are many reasons for a clinician to take time away from clinical practice. These include parental leave, research, a period of ill health, a career break, or the opportunity to spend time pursuing other interests. At any one time,...

The effect of COVID-19 on urology training

7 July 2020 | | COVID-19 - Urology News
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...

Lifestyle interventions for UI in women

1 March 2018 | | Infection, Functional Urology, Neurourology
Lifestyle interventions for urinary incontinence (UI) are supported by all major guidelines. The National Institute for Health and Care Excellence (NICE) guideline (CG171) from September 2013 (updated November 2015) [1] recommends lifestyle advice including dietary modifications such as caffeine reduction,...

Fournier’s gangrene

1 May 2015 | | Infection
Introduction Fournier’s gangrene (FG) is a rare but fulminant form of infective necrotising fasciitis affecting the perineum and external genitalia, which can rapidly progress along fascial planes. It most commonly affects men, but can occur in women and children, with...

The surgical trainer – are we still evolving?

1 September 2016 | | Andrology, Basic Science Research, Endourology and Stones, Functional Urology, Infection, Neurourology, Paediatric Urology, Reconstructive Urology, Technological Developments, Trauma and Emergency Urology, Urologic Oncology, Uroradiology
“We need a system and we will surely have it – which will produce not only surgeons, but surgeons of the highest type” William Halsted MD William Halsted, a famous American surgeon, is widely credited with developing the first formal...