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ASAP: is a repeat biopsy necessary?

1 May 2016 | Pravisha Ravindra | URO - Urologic Oncology

This study examined the validity of current US and European guidelines on the management of patients diagnosed with atypical small acinar proliferation (ASAP). Current guidance states that these patients should undergo repeat biopsy within three to six months due to...

Comparing NSAIDs with antibiotics in the treatment of uncomplicated UTIs in women

1 March 2016 | Sophia Cashman | URO - Functional / Reconstructive Urology

Uncomplicated urinary tract infections (UTIs) are a common presentation in primary care, however there is increasing concern regarding antibiotic use and resistant organisms. In this double-blind randomised German study, the authors seek to establish if ibuprofen 400mg three times a...

Activity of enzalutamide in men with mCRPC is affected by prior treatment with abiraterone and / or docetaxel

1 September 2015 | Pravisha Ravindra | URO - Urologic Oncology

This study reported on the real-world clinical outcomes of patients at seven academic institutions who were treated with enzalutamide, with the primary objective being to assess the effect of prior therapies (namely abireterone and docetaxel). Three hundred and ten patients...

Functional and reconstructive urology

4 May 2023 | Sanad Saad, Altaf Mangera | URO - Functional / Reconstructive Urology

Case 1 A 45-year-old female presents with a one-year history of urinary leakage, especially worse on coughing. She is otherwise well, with no co-morbidities. What is the International Continence Society (ICS) definition of stress urinary incontinence (SUI)? What are the...

Retroperitoneal sepsis

1 September 2016 | Sana J Khan | URO - Infection

Case 1 An 80-year-old woman presented with history of recurrent and recent cystitis, low grade pyrexia, abdominal and back pain, and pain on movement of the left hip which was observed to be flexed and externally rotated. What is the...

Urological trauma – part 2

1 November 2015 | Maitrey Darrad | URO - Trauma & Emergency

Part 1 of this topic is available here. Case 1 A 29-year-old male was attacked and kicked in his left flank. He presented to the emergency department with left flank pain and frank haematuria. He remained haemodynamically stable. 1. What...

Prostate cancer

1 July 2015 | David Mak, Nick Rukin | URO - Urologic Oncology

Case 1 What is prostate specific antigen (PSA) and what is its function? According to the ERSPC Trial (at 13 years), what was the number needed to screen and diagnosed to prevent one prostate cancer death and what was the...

The importance of active investigation and follow-up in bladder injury

11 July 2023 | Eve Robertson-Waters, Benjamin Lamb, Nikesh Thiruchelvam | URO - Trauma & Emergency

Bladder injury (BI) is uncommon, and patients are typically managed by large multidisciplinary teams, dealing concomitantly with other injuries or diagnoses. BI can be categorised by cause (traumatic vs. iatrogenic) or anatomical location (intraperitoneal vs. extraperitoneal), requiring differing approaches to...

Developing a risk calculator to predict cancer in patients with haematuria: The IDENTIFY Study

4 May 2023 | Sinan Khadhouri | URO - Urologic Oncology

Patients with haematuria require investigations to rule out urinary tract cancer. We know that the most common cancer found during these investigations is bladder cancer, whereas upper tract cancers such as renal cell carcinoma and upper urinary tract urothelial cancer...

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