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Journal of Clinical Urology    [9 followers]  Follow    
  Hybrid Journal Hybrid journal (It can contain Open Access articles)
     ISSN (Print) 2051-4158 - ISSN (Online) 2051-4166
     Published by Sage Publications Homepage  [718 journals]
  • Editorial
    • Pages: 75 - 75
      PubDate: 2014-02-27T01:13:08-08:00
      DOI: 10.1177/2051415814524133|hwp:resource-id:spuro;7/2/75
      Issue No: Vol. 7, No. 2 (2014)
  • Cuffs, slings, pills and electric shocks: an update on male urinary
    • Authors: Abedin, A; Almallah, Y. Z.
      Pages: 80 - 89
      PubDate: 2014-02-27T01:13:08-08:00
      DOI: 10.1177/2051415813517024|hwp:master-id:spuro;2051415813517024
      Issue No: Vol. 7, No. 2 (2014)
  • Falling bladder cancer incidence from 1990 to 2009 is not producing
           universal mortality improvements
    • Authors: Eylert, M; Hounsome, L, Persad, R, Bahl, A, Jefferies, E, Verne, J, Mostafid, H.
      Pages: 90 - 98
      Abstract: Objective: The objective of this article is to obtain up-to-date epidemiological statistics of bladder cancer in England. Methods: We collected incidence from the National Cancer Data Repository (NCDR), survival from the national Cancer Information System (CIS), ethnicity information from the Hospital Episode Statistics (HES), mortality and smoking rates from the Office for National Statistics (ONS). Results: Incidence of bladder cancer has fallen continuously. Mortality has reduced less, leading to worsening survival. Bladder cancer mainly affects men, the most deprived, and the elderly. The gender gap is decreasing, and the deprivation gap is unchanged. Mortality is unchanged in the youngest, oldest and least deprived females. Mortality has recently increased in the oldest males. The highest incidence and mortality is found in industrial areas. This study is limited by i) its retrospective design using existing databases, allowing identification of associations and statistical differences, but not causation; and ii) very restricted ethnicity data. Conclusion: Reductions in bladder cancer incidence and mortality in England coincide with a decrease in high-risk occupations and public health measures to reduce smoking. Some risk factors in modern living may as yet be unidentified. It remains paramount to ensure equity of access and treatment regardless of gender, age, region and social deprivation to further improve mortality.
      PubDate: 2014-02-27T01:13:08-08:00
      DOI: 10.1177/2051415813492724|hwp:master-id:spuro;2051415813492724
      Issue No: Vol. 7, No. 2 (2014)
  • A comparative study between holmium laser enucleation of the prostate and
           transurethral resection of the prostate: 12-month follow-up
    • Authors: Hamouda, A; Morsi, G, Habib, E, Hamouda, H, Emam, A. B, Etafy, M.
      Pages: 99 - 104
      Abstract: Background: This was a prospective randomized clinical trial to compare the safety and efficacy of holmium laser enucleation of the prostate and transurethral resection of the prostate for surgical treatment of patients with bladder outlet obstruction due to benign prostatic hyperplasia (BPH). Patients and methods: From December 2009 to October 2010, 60 consecutive patients with lower urinary tract obstruction (LUTs) due to BPH were randomized to either surgical treatment with HOLEP (group 1, n = 30) or standard TURP (group 2, n = 30). Preoperative assessments included American Urological Association (AUA) symptom score, serum prostate-specific antigen, (SPSA), post-void residual urine volume (PVR), transrectal ultrasound (TRUS) and uroflowmetry. Perioperative parameters included total operating time, resected tissue weight, hemoglobin loss, presence or absence of blood transfusion, time of catheter removal and duration of hospital stay. Postoperative evaluations were conducted at one, three, six and 12 months. Results: Patients in the HOLEP group had shorter catheterization time and hospital stay, but longer operating time. Mean hemoglobin loss was lower in the HOLEP group (0.900 ± 0.419 g/dl vs 1.157 ± 0.918 g/dl). The follow-up results up to 12 months regarding AUA symptom score, PVR urine volume and Qmax showed that both groups were comparable. Complications: Complications were similar between the two procedures with no significant difference. Conclusion: HOLEP proved to be a safe and highly effective technique for surgical treatment of bladder outlet obstruction due to BPH.
      PubDate: 2014-02-27T01:13:08-08:00
      DOI: 10.1177/2051415813512302|hwp:master-id:spuro;2051415813512302
      Issue No: Vol. 7, No. 2 (2014)
  • Laparoscopic and open partial nephrectomy: a UK centre's experience
    • Authors: Youssef, F; Smith, D, Oakley, N.
      Pages: 105 - 111
      Abstract: Introduction: Laparoscopy allows minimally invasive approaches for procedures traditionally performed openly, with associated lower morbidity. Nephron-sparing surgery (NSS) is mostly regarded as an open procedure because laparoscopic partial nephrectomy (LPN) is technically challenging. We evaluated our centre’s experience with LPN and open partial nephrectomy (OPN). Methods: All patients over five years (2005–2010) undergoing NSS were identified retrospectively from our operating room management information system. Case notes, diagnostic and post-operative surveillance imaging were reviewed. Post-operative morbidity, histopathology and serum full blood count and urea and electrolyte reports were recorded. Results: A total of 97 OPNs and 23 LPNs were performed. Median length of stay was six days for OPNs and three days for LPNs (p = 0.005). Mean drop in haemoglobin (Hb) was 2.6 g/dl for both OPNs and LPNs. No significant difference in transfusion rates was observed. Median warm ischaemia time (WIT) for OPNs was 14 minutes and 32 minutes for LPNs (p < 0.0001). No significant difference was seen in changes from baseline serum creatinine when comparing OPNs with LPNs at day 1 (p = 0.7572) and at 12 months (p = 0.7406) post-operatively. Surgical margins were positive in 20 (21.5%) OPNs and negative in all LPNs (p = 0.038). One patient developed local recurrence following OPN (clear margins) and two patients developed distant metastases. Conclusions: Benefits of LPN include shorter hospital stay and satisfactory long-term preservation of renal function, despite longer WITs. This demonstrates the benefits of LPNs in patients with single exophytic renal tumours performed by highly experienced, regionally selected laparoscopists.
      PubDate: 2014-02-27T01:13:08-08:00
      DOI: 10.1177/2051415813495678|hwp:master-id:spuro;2051415813495678
      Issue No: Vol. 7, No. 2 (2014)
  • Active surveillance: a cautionary tale
    • Authors: Segaran, S; Jelski, J, Burns-Cox, N.
      Pages: 112 - 115
      Abstract: Objective: To determine if the practice of active surveillance for prostate cancer (PCa) at the District General Hospital (DGH) level produces outcomes in keeping with those published from clinical trials. Subjects: A cohort of 47 patients started on active surveillance for prostate cancer in 2002–2003. Methods: Retrospective review of case notes, electronic records and the regional cancer register. Results: This cohort of patients had significantly higher disease-specific mortality and greater progression to palliative forms of management compared to previously published studies. Conclusion: The implementation of AS in routine clinical practice may be inconsistent, potentially leading to compromised patient outcomes.
      PubDate: 2014-02-27T01:13:08-08:00
      DOI: 10.1177/2051415813496412|hwp:master-id:spuro;2051415813496412
      Issue No: Vol. 7, No. 2 (2014)
  • Changing trends in antibiotic resistance for urinary E. coli infections
           over five years in a university hospital
    • Authors: Teoh, P; Basarab, A, Pickering, R, Ali, A, Hayes, M, Somani, B. K.
      Pages: 116 - 120
      Abstract: Objective: We wanted to look at the antibiotic resistance patterns in our university teaching hospital for E. coli cultured from urine to assess the resistance profiles to common antibiotics used in the hospital. Patients and methods: Results were obtained of all positive urine cultures between January 2007 and December 2011 both from the hospital and urology department. Trends in susceptibility and resistance data for E. coli to trimethoprim, amoxicillin, ciprofloxacin, gentamicin and nitrofurantoin were examined. Results: A total of 40,722 hospital urine specimens were culture positive in the five-year period, of which 15,311 (37.6%) grew E. coli. Across the hospital there was no evidence of change in resistance to trimethoprim over the five-year period (38.1% in 2007 compared to 36.6% in 2011; p = 0.313). The percentage resistance to amoxicillin rose slightly (52.6% to 54.4%), and this was statistically significant (p = 0.011). Overall there was a statistically significant fall in resistance to ciprofloxacin but resistance has remained stable for the last three years (15.5% to 13.5%, p = 0.013). A trend of increasing resistance to gentamicin (p = 0.002) resulted from the 2007 baseline of 3.4% to 4.9% in 2008, but resistance remained stably low thereafter. Resistance to nitrofurantoin fell significantly (from 10.4% to 1.6%; p ≤ 0.0005). Conclusions: The number of E. coli-positive urine cultures from hospital in-patients remained broadly stable over this five-year period. Resistance to trimethoprim and amoxicillin remains high. Gentamicin resistance remains low, but the statistically significant rise over the five-year period suggests resistance rates should continue to be carefully monitored. Nitrofurantoin resistance is very low and has significantly decreased. This narrow-spectrum antibiotic should be considered the mainstay for treating uncomplicated urinary tract infections in females.
      PubDate: 2014-02-27T01:13:08-08:00
      DOI: 10.1177/2051415813514578|hwp:master-id:spuro;2051415813514578
      Issue No: Vol. 7, No. 2 (2014)
  • Vesico-peritoneal fistula: a rare cause of chronic abdominal pain
    • Authors: Ooi, W; Sherwood, B, Stanley, J, Baskaranathan, S.
      Pages: 121 - 122
      PubDate: 2014-02-27T01:13:08-08:00
      DOI: 10.1016/j.bjmsu.2012.03.001|hwp:master-id:spuro;j.bjmsu.2012.03.001
      Issue No: Vol. 7, No. 2 (2014)
  • Antegrade retrieval of a distal ureteric stone during laparoscopic radical
           nephrectomy: a novel approach to a rare but important problem
    • Authors: Dyer, J; Kocklebergh, R.
      Pages: 123 - 124
      Abstract: A concurrent diagnosis of renal cancer and ipsilateral obstructing ureteric calculi is rare. This scenario poses questions about order and approach of treating each condition. We present the case of a 51-year-old man who was thought to have passed a ureteric stone prior to undergoing left radical nephrectomy for cancer. On-going ureteric obstruction, however, became apparent intraoperatively. Rather than electing for retrograde treatment we were able to successfully remove the stone in an antegrade fashion, using a laparoscopic port to facilitate antegrade flexible ureteroscopy.
      PubDate: 2014-02-27T01:13:09-08:00
      DOI: 10.1177/2051415813498875|hwp:master-id:spuro;2051415813498875
      Issue No: Vol. 7, No. 2 (2014)
  • Torsion of both ipsilateral testicles in a polyorchid male
    • Authors: Stanford, R. F; Green, W. J, Watson, N. F, Abdulla, K. E, Singh, S.
      Pages: 125 - 126
      PubDate: 2014-02-27T01:13:09-08:00
      DOI: 10.1016/j.bjmsu.2012.03.003|hwp:master-id:spuro;j.bjmsu.2012.03.003
      Issue No: Vol. 7, No. 2 (2014)
  • Synchronous presentation of acute appendicitis and left ureteric stone
    • Authors: Anjum, F; Campos, P, Sellaturay, S, Thebe, P, Bhardwaj, R, Sriprasad, S.
      Pages: 127 - 128
      PubDate: 2014-02-27T01:13:09-08:00
      DOI: 10.1016/j.bjmsu.2012.04.001|hwp:master-id:spuro;j.bjmsu.2012.04.001
      Issue No: Vol. 7, No. 2 (2014)
  • Percutaneous CT-guided renal mass cryoablation in a patient with crossed
           fused renal ectopia
    • Authors: Sandkuyl, R; van Swijndregt, A. M, Ronkes, B, Blomjous, J, Kock, G, Lagerveld, B.
      Pages: 129 - 131
      Abstract: Case adapted management is required in the rare occasion of a T1a parenchymal tumour in a crossed fused renal ectopia (CFRE). According to guidelines, a partial nephrectomy is the primary treatment method. However, the anatomical complexity of the tumour and also of the anomaly itself can reduce the surgical safety and efficacy of a partial nephrectomy. A patient with CFRE bearing a solid mass of 41 mm diameter was treated by using computed tomography (CT) guided percutaneous cryoablation.
      PubDate: 2014-02-27T01:13:09-08:00
      DOI: 10.1016/j.bjmsu.2012.04.007|hwp:master-id:spuro;j.bjmsu.2012.04.007
      Issue No: Vol. 7, No. 2 (2014)
  • Corrigendum
    • Pages: 132 - 132
      Abstract: Corrigendum to Gumber AO, Khafagy R, Morgan R et al. Case report of penile corporal Fournier’s gangrene. J Clin Urol 2013; 6(5) 322-324.
      DOI [10.1177/2051415813483465].
      PubDate: 2014-02-27T01:13:09-08:00
      Issue No: Vol. 7, No. 2 (2014)
  • BAUS Section of Endourology Annual Meeting 20-21 March 2014, Queen's
           College, Cambridge, UK
    • Pages: 133 - 143
      PubDate: 2014-02-27T01:13:09-08:00
      DOI: 10.1177/2051415814522149|hwp:resource-id:spuro;7/2/133
      Issue No: Vol. 7, No. 2 (2014)
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