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Interpretation of Urodynamic Studies

19 November 2020 | | Functional Urology, Infection, Neurourology
It does not matter if you are the kind of person who gets excited by books on urodynamics or someone who just wants to learn a new skill, you need to get your hands on this book as it blows...

Predictive factors for conservative treatment failure in paediatric blunt renal trauma

1 March 2017 | | Paediatric Urology, Trauma and Emergency Urology | Complications, Kidney, Pediatrics, Treatment outcome, Wounds and injuries
Blunt renal trauma is managed conservatively in children in the vast majority of cases. Grade IV renal injury is also generally managed non-operatively although occasionally intervention is needed for a urinoma that fails to settle. These authors retrospectively looked at...

Uncovering the fate of small residual fragments

1 January 2017 | | Endourology and Stones
The concept of ‘stone free’ remains an enigma. To some urologists this refers to complete removal of all visible fragments, to others its removal of all ‘clinically significant’ fragments (generally regarded as fragments >2mm), and to some it is absence...

Bladder urothelial neoplasms in children

1 January 2016 | | Paediatric Urology | Bladder tumors, Children, Painless hematuria, Transurethral resection, Urothelial tumors
Urothelial bladder neoplasms are rare in children, occurring in 0.1-0.4% of the population before the age of 20. There are no current paediatric guidelines to their management. This study retrospectively reviews the files of patients from three tertiary centres between...

CRP to predict the need for surgical intervention in acute renal colic

1 May 2015 | | Endourology and Stones | Renal colic, c-reactive protein, urolithiasis
A previous paper has suggested that C-reactive protein (CRP) is a useful serum marker for determining the likelihood of a patient with renal colic requiring surgical intervention, the cut-off level being >28mg/l (specificity 88.9%, sensitivity 75.8%). This prospective observational study...

Paediatric chronic orchalgia

1 May 2015 | | Paediatric Urology, Reconstructive Urology | Chronic pain, Nerve block, Orchialgia, Pediatrics
Testicular or scrotal / groin pain is common in children and often there is no apparent cause. This paper describes the authors’ experience over 10 years of boys >10 years seeking medical attention with testicular pain without anatomical abnormality or...
The Journal of Urology front cover

Patterns of relapse and implications for post-nephrectomy surveillance in patients with high-risk NCC-RCC

1 September 2019 | | Urologic Oncology
The natural history of non-clear cell renal cell carcinoma (NCC-RCC) post-nephrectomy with curative intent remains poorly defined. The surveillance protocols are largely dependent on guidelines followed for clear cell RCC (CC-RCC). In this study, the authors evaluated the relapse patterns...

Demanding cases or nightmares in endourology? Sep/Oct 2016

1 September 2016 | | Endourology and Stones
In this issue the authors will present once in a career cases that can truly haunt a urologist. “Mistakes are like bad loves, the more you learn from them, the more you wish they’d never happened. “ Gregory David Roberts*...

Prostate cancer

8 November 2021 | | Urologic Oncology
Case 1 A 65-year-old man is referred to your two-week wait (2WW) clinic with a PSA of 7.0ng/mL. He has no lower urinary tract symptoms (LUTS), no past medical history, no family history of prostate cancer (PCa) and his performance...

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

11 July 2023 | | Trauma and Emergency Urology
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...

Demanding cases or nightmares in endourology? Jan/Feb 2017

1 January 2017 | | Endourology and Stones
In the fifth article in this series the authors describe some of the most complex cases they have encountered. Case 1 A 45-year-old woman was admitted under the care of the medical team with shortness of breath, renal failure and...

Urological trauma – part 1

1 September 2015 | | Trauma and Emergency Urology
Part 2 of this topic is available here. Case 1 A 45-year-old male presented with acute onset abdominal pain following a fall whilst out drinking. A CT cystogram was arranged as he developed haematuria and acute renal impairment. 1. What...