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Journal Cover Journal of Clinical Urology
  [SJR: 0.183]   [H-I: 5]   [18 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  [835 journals]
  • Editorial
    • Authors: Pearce I.
      Pages: 4 - 4
      PubDate: 2015-12-23T08:50:08-08:00
      DOI: 10.1177/2051415815624051
      Issue No: Vol. 9, No. 1 (2015)
  • Assessment of activity and outcome from a one-stop clinic for men with
           suspected prostate cancer: Five years experience
    • Authors: Shah J.
      Pages: 5 - 10
      Abstract: Objective: We have set up a weekly one stop prostate specific antigen (PSA) clinic to evaluate men with suspected prostate cancer (CaP) and report our five years of experience. Methods: Patients with an elevated PSA result, abnormal digital rectal examination, or worrisome symptoms were booked into this clinic. Prostate biopsy was done on the same day, if required. The clinic is run by a single consultant urological surgeon and an advanced nurse practitioner. A database of all patients attending this clinic has been maintained. Results: A total of 729 patients were seen. Rates of non-attendance were low at 2–5 patients each year, and 50.9%–67.1% of patients had a biopsy. Of these, 46.8%–56.1% were diagnosed with CaP, given their results and appropriately treated after multi-disciplinary meeting (MDT) discussion within 15 days. Patients who did not have a cancer diagnosis received a phone call from the consultant at a median time of 2.5 days. Patient and general practitioner (GP) satisfaction levels with this service were high. Conclusions: The one-stop clinic is feasible, efficient in quickly reassuring men without cancer, allows rapid diagnosis and starts treatment within 15 days for those who need it. This clinic reduces waiting times and the number of follow-up visits, and is highly acceptable to patients and GPs.
      PubDate: 2015-12-23T08:50:08-08:00
      DOI: 10.1177/2051415815590527
      Issue No: Vol. 9, No. 1 (2015)
  • Are we ready to predict percutaneous nephrolithotomy (PCNL) stone-free
    • Authors: Gadzhiev, N; Brovkin, S, Grigoryev, V, Dmitriev, V, Baketin, P, Obidnyak, V, Pisarev, A, Shkarupa, D, Tagirov, N, Korol, V, Petrov, S.
      Pages: 11 - 18
      Abstract: Objective: To develop a tool, both simple and reliable, for postoperative percutaneous nephrolithotomy (PCNL) stone-free failure prediction. Materials and methods: We analysed a sample of 116 patients, who underwent conventional PCNL from 2011 to 2014. Cases with residual stones
      PubDate: 2015-12-23T08:50:08-08:00
      DOI: 10.1177/2051415815584505
      Issue No: Vol. 9, No. 1 (2015)
  • An unusual presentation of a vesicouterine fistula
    • Authors: Floyd, M; Abbas, G, Connolly, S, Gana, H, McCabe, J.
      Pages: 19 - 22
      Abstract: A 26-year-old female presented with a history of cyclical incontinence following a ventouse assisted delivery. Initial investigations revealed an endometrial deposit in her bladder, which following further investigations revealed a vesicouterine fistula necessitating formal open repair.
      PubDate: 2015-12-23T08:50:08-08:00
      DOI: 10.1177/2051415815584718
      Issue No: Vol. 9, No. 1 (2015)
  • The complications of laparoscopic renal surgery: A review of 10 years of
           audit data in the UK
    • Authors: Henderson, J. M; Fabricius, M. J, Fowler, S, Keeley, F. X, Dickinson, A.
      Pages: 23 - 31
      Abstract: Objective: To report the complications of laparoscopic renal surgery from the British Association of Urological Surgeons (BAUS) database over ten years. Patients and methods: All entries for laparoscopic renal surgery between 2002 and 2012 were included for analysis. Data was refined, collated and presented in graphical or tabular form. The primary outcome measures were intra-operative, post-operative and overall complications rates. Secondary outcome measures were length of stay, conversion to open surgery and operative time. Results: A total of 16,869 cases were included for analysis. The overall complication rate was 14.7%, with intra-operative complications reported for 3.5% of procedures and post-operative complications reported for 12.1% of procedures. The overall complication rate decreased throughout the audit period, from 16.6% in 2002 to 15.1% in 2012. The capture rate is estimated at 30% and the group of surgeons motivated to self-report may not be representative of the whole group. Comparison with other series is difficult due to a lack of a standardized reporting format. Conclusion: This is the largest surgeon-reported series of laparoscopic renal surgery to date. There is an inherent bias in self-reported data which limits the conclusions that can be drawn, although the safe introduction of this technique and the continuing improvement in complication rates are suggested.
      PubDate: 2015-12-23T08:50:08-08:00
      DOI: 10.1177/2051415815585211
      Issue No: Vol. 9, No. 1 (2015)
  • Sunitinib therapy for metastatic renal cell carcinoma: A urologists
    • Authors: Darrad, M; Wilson, R.
      Pages: 32 - 39
      Abstract: Objective: Sunitinib is seldom initiated and managed by urologists, and patients with metastatic renal cell carcinoma are often referred to geographically distant centres. We present the outcomes of patients on sunitinib therapy in a single-centre urological department. To the best of our knowledge, we provide one of the only urology-led services for these patients in the United Kingdom. Method: Between August 2009 and January 2013, an unselected group of patients with metastatic renal cell carcinoma receiving sunitinib therapy were analysed. Twenty-eight patients (20 males, eight females) with an average age of 64.8 years were included in our study. Results: Patients were seen on average 10.8 days following MDT and were given fortnightly appointments to monitor progress. There were 176 cycles of sunitinib delivered. A total of 39.3% patients required at least one dose reduction. The commonest adverse events were diarrhoea (71%), mucositis (46%) and hand-foot syndrome (36%). Partial response and stable disease were observed in 27.1% and 45.8% of patients, respectively. Progression-free survival (PFS) and overall survival (OS) were 8.6 months and 15.2 months, respectively. Compared to the literature, there were lower rates of haematological adverse events in our study; however, PFS and OS, response rates and dose reductions were comparable. Conclusions: This study highlights that such patients can be safely and effectively managed in a local hospital setting with a dedicated urological team, allowing for better continuity of care.
      PubDate: 2015-12-23T08:50:08-08:00
      DOI: 10.1177/2051415815589899
      Issue No: Vol. 9, No. 1 (2015)
  • Autologous mid-urethral sling for stress urinary incontinence: Preliminary
           results and description of a contemporary technique
    • Authors: Malde, S; Moore, J. A.
      Pages: 40 - 47
      Abstract: Objective: The objective of this article is to describe the preliminary results of a contemporary technique for autologous rectus fascial sling insertion for stress urinary incontinence (SUI). Methods: We retrospectively reviewed the case notes of all patients who underwent autologous mid-urethral sling (aMUS) insertion by a single surgeon at our institution over a four-year period (2008–2012). Our novel technique utilises a minimal suprapubic incision, a specially designed reusable retropubic needle and mid-urethral sling positioning in a tension-free fashion as opposed to a tensioned bladder neck sling. Results: Thirty-eight patients were identified. Fifty per cent reported pure SUI whilst 47% had mixed urinary incontinence. Patients used an average of four pads per day (one to eight), and 26% of patients had at least one previously failed SUI procedure. Post-operative symptom questionnaires revealed mean Patient Global Impression of Improvement (PGI) scores of 1.8 (1–4), indicating that the majority of patients were very much or much improved. Only 8% of patients reported de novo OAB symptoms. Intraoperative bladder perforation occurred in only two patients. There was no incidence of chronic pain, sexual dysfunction or erosion. Conclusion: In a heterogeneous group of women with primary or recurrent stress urinary incontinence, the aMUS was found to have good subjective short-term cure rates with acceptable patient-reported satisfaction scores. We report a low rate of de novo OAB symptoms, no cases of erosion and no chronic pelvic, groin, or vaginal pain. We believe that aMUS is a good alternative to synthetic mid-urethral sling surgery and could be offered to women contemplating surgery for SUI.
      PubDate: 2015-12-23T08:50:08-08:00
      DOI: 10.1177/2051415815589900
      Issue No: Vol. 9, No. 1 (2015)
  • Radical cystectomy: Analysis of trends in UK practice 2004-2012, from the
           British Association of Urological Surgeons (BAUS) Section of Oncology
    • Authors: Cresswell, J; Mariappan, P, Thomas, S, Khan, M, Johnson, M, Fowler, S, on behalf of the BAUS Section of Oncology
      Pages: 48 - 56
      Abstract: Objective: To analyse the British Association of Urological Surgeons’ (BAUS) radical cystectomy (RC) dataset, to examine the trends in patient selection, use of neoadjuvant chemotherapy (NAC) and operative technique. Methods: Data for RC were entered into a database voluntarily, by operating surgeons. A comparison was made to the Hospital Episode Statistics (HES) data, to estimate the proportion of cases captured by the dataset. Results: From 2004 to 2012, data was collected on 5321 patients undergoing RC. This constituted 37.1% of all HES RC cases during the corresponding time period. Notable trends were: An increasing use of NAC, the introduction of minimally-invasive surgery (23.5% in 2012), a dramatic reduction in blood transfusion rates and the increasing yields from lymph node dissection. The ileal conduit urinary diversion predominated as the urinary diversion of choice (80% of cases). Conclusions: This analysis of a large multi-centre dataset provides insight into RC practice in the UK, over 8 years. The major weaknesses of the study were that only one-third of cases were recorded and that outcome data was very limited. Mandatory publication of outcome data from 2016 should increase the recording of cases and provide material for a more complete analysis.
      PubDate: 2015-12-23T08:50:08-08:00
      DOI: 10.1177/2051415815595325
      Issue No: Vol. 9, No. 1 (2015)
  • A testicular metastasis from a primary leiomyosarcoma of the thigh
    • Authors: Eyre, K. S; Henderson, J. M, Athanasou, N, Gibbons, M, Sullivan, M. E.
      Pages: 57 - 58
      PubDate: 2015-12-23T08:50:08-08:00
      DOI: 10.1177/2051415814532251
      Issue No: Vol. 9, No. 1 (2015)
  • Isolated peripheral nerve sheath tumour involving the urinary bladder neck
    • Authors: Georgiadis, G; Bonatsos, V, Koulouris, A, Girling, J, Foroutan-Sabzevari, H, Gupta, S.
      Pages: 59 - 61
      PubDate: 2015-12-23T08:50:08-08:00
      DOI: 10.1177/2051415814528326
      Issue No: Vol. 9, No. 1 (2015)
  • Letter to the editor re: 'A rare finding of spiral tacks in bladder and an
           innovative method of removal
    • Authors: Floyd M. S.
      Pages: 62 - 63
      PubDate: 2015-12-23T08:50:08-08:00
      DOI: 10.1177/2051415815603601
      Issue No: Vol. 9, No. 1 (2015)
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