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Are urodynamics still useful?
Two major UK randomised controlled trials, UPSTREAM and FUTURE, compared comprehensive clinical assessment (CCA) alone with CCA plus urodynamics (UDS), incorporating filling cystometry and pressure–flow studies. Both trials involved patients in whom diagnostic uncertainty suggested a potential role for UDS...Bladder cancer: the common cancer many people still miss
For Bladder Cancer Awareness Month this May, leading charity Action Bladder Cancer UK is highlighting one of the most commonly overlooked warning signs of bladder cancer – blood in the urine. Bladder cancer is one of the most common cancers...Supporting Patients Receiving Hormone Therapy: Introducing LiveWell
Androgen deprivation therapy (ADT) is a cornerstone of prostate cancer treatment, yet up to 30% of men experience significant long-term side effects affecting physical, metabolic, and psychological wellbeing. While there is strong evidence supporting exercise, lifestyle, and psychosocial interventions, access...An update on antibiotic prophylaxis in TRUS-guided prostate biopsy
Since its inception in the 1980s, transrectal ultrasound (TRUS)-guided prostate biopsy has remained the standard tool for the histological diagnosis of prostate cancer. There are several advantages to this technique which have led to the widespread use of TRUS in...The microbial syndicate: dysbiosis and origins of recurrent UTIs
Traditional dogma held that urine was sterile. However, recent molecular studies have revealed an underground microbial community, known as the urinary microbiome or ‘urobiome’ [1]. Far from being harmful, this community of microorganisms helps modulate immune responses, regulate inflammation, and...Urinary incontinence in women – part 1: terminology and diagnosis
Introduction Urinary incontinence (UI) is the involuntary and often embarrassing leakage of urine. It is a condition that is both under-reported and under-diagnosed, and when reported it is, unfortunately, often not assessed and managed adequately. Incontinence of urine is encountered...Children left waiting up to two years for NHS continence care, new data reveals
Children with bladder and bowel conditions are waiting months – and in some cases years – for specialist NHS support, as overstretched continence services struggle to meet rising demand, new Freedom of Information (FOI) data reveals. FOI responses from more...ST3 Urology Interviews: how candidates are preparing with realistic AI interview practice
With ST3 Urology interviews becoming increasingly competitive, many applicants find that the greatest challenge is not knowledge, but delivering clear, structured answers under pressure. A new digital platform from SmashUrology aims to address this gap. InterviewSuite is an avatar powered...Burnout – a personal story
My name is Michael, and I am a urology ST5 registrar based in the West Midlands. Growing up in a Far East Asian household, I watched my father, a gynaecologist, and my mother, a parasitologist, devote countless hours to their...The scent of Ethiopia: a personal story part 2
In May/June 2016 we featured a wonderful account of Zeeshan Aslam’s first trip with Urolink to the Hawassa Referral Hospital in Ethiopia (see here). One year on we are delighted that Zeeshan has once again taken the time to provide...
