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Endoscopic management of upper tract urothelial carcinoma

1 January 2014 | Miles Goldstraw, Eleanor Ray, Susie Longhorn, Timothy Philp, Simon Choong, Daron Smith | Urologic Oncology

Upper tract urothelial carcinoma (UTUC) is a rare disease accounting for 5-10% of all urothelial carcinomas and has an annual incidence in Western countries of 1-2 per 100,000 [1,2]. It occurs more commonly in the pelvicalyceal system as opposed to...

A guide to percutaneous nephrolithotomy

1 July 2019 | Vimoshan Arumuham, Daron Smith | Endourology and Stones

Percutaneous nephrolithotomy (PCNL) is now the gold standard approach to treating large renal stones. Since its development in the 1970s, it has undergone a series of refinements that could only have been possible with the symbiosis of both radiological and...

The surgical trainer – are we still evolving?

1 September 2016 | Craig McIlhenny | 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...

Urethral diverticulum: a review of the literature and local experience

1 May 2016 | Lenetta Boyce, Jane Belfield | Functional Urology, Uroradiology

Urethral diverticula are an uncommon finding on imaging. They are focal outpouchings of the urethra into the periurethral / urethrovaginal space, occurring more frequently in females (up to 6% of women) [1]. These diverticula are becoming more prevalent in clinical...

Imaging of varicoceles

1 January 2017 | Jane Belfield | Uroradiology

A varicocele is a collection of dilated, tortuous spermatic veins of the pampiniform venous plexus. It is seen in 10-15% of the general population and is associated with both primary and secondary infertility. A varicocele is the most common cause...

Preparing for the FRCS (Urol) viva

1 September 2017 | Saiful Miah, Manit Arya, Hashim U Ahmed (Prof)

Ping! You look down to your phone and you have just received an email saying, “Congratulations, you have now successfully completed The Joint Committee on Intercollegiate Examinations section 1 of the Fellowship of the Royal College of Surgeons (Urol) exam.”...

Introduction to prostate cryotherapy

1 May 2015 | Taimur Shah, Maneesh Ghei, Hashim U Ahmed (Prof), Manit Arya | Urologic Oncology

Introduction Cryotherapy was first described by Dr James Arnott in 1850 where he used crushed ice and salt to get temperatures as low as -24oC, in the treatment of cervical and breast tumours [1]. The literature on prostatic cryotherapy dates...

Assessment of the incidental adrenal lesion

1 September 2014 | Simon Greenwood, Jane Belfield | Urologic Oncology, Uroradiology

Introduction The adrenal glands are seen on CT or MRI surrounded by fat in the peri-renal space. The right adrenal gland lies medial to the right lobe of the liver, lateral to the right crus of the diaphragm and superior...

Demanding cases or nightmares in uro-oncology? May/Jun 2022

3 May 2022 | Vincent Chong, Youssef Ibrahim, Majid Shabbir | Urologic Oncology

Delayed diagnosis of testicular cancer Testicular cancer is considered rare in the general population but is the most common cancer affecting males between 24 and 49 years. The diagnosis of testicular cancer depends on physical examination, ultrasound findings and tumour...

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