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Publications (34)
The risk to benefit ratio of surgical treatment of muscle-invasive bladder cancer in patients aged 80 and over has not been comprehensively quantified. Herein, we aim to compare the outcomes of Robot Assisted Radical Cystectomy between patients under and ≥80 years. Data from eight United Kingdom tertiary referral uro-oncology centres was collated....
The lower urinary tract (LUT) consists of the bladder and urethra and allows for the low-pressure storage of urine with conscious control of micturition. Urodynamics is the measurement of the relevant physiological parameters of the LUT to assess its function and dysfunction. Clinicians can perform urodynamics noninvasively and invasively. The stan...
Background
Primary pure angiosarcoma of the testis is an exceptionally rare testicular malignancy, which is poorly understood. We present the fifth and youngest case in the current medical literature. Additionally, all cases of angiosarcoma of the testicle, both occurring with associated germ cell tumour and without, were compared in an extended ta...
Objective: To examine the impact and effects of the COVID-19 pandemic on urology practice around the world through
examination of published literature and personal experiences.
Subjects and methods: A literature search of EMBASE and MEDLINE was performed with search terms including “urology”,
“coronavirus”, “covid-19”, “impact” and “outcome”. All a...
Introduction
A predominantly nurse-performed LATP service for AS patients, repeat biopsy and anterior lesions, was newly started in July 2019 using PrecisionPoint. Service was expanded in March 2020 to all prostate pathway patients according to BAUS COVID guidance.
Methods
Patients underwent pre-biopsy MRI and image-review meetings. Biopsies were p...
Objective
Studies reporting increased risk of metastases in T3a disease are based on clinical staging (Digital rectal examination) in the pre-multiparametric–magnetic resonance imaging (MRI) (mp-MRI) era. The aim of our study was to assess the rate of positive bone scans in patients ascribed with T3a prostate cancer on a pre-biopsy mp-MRI.
Methods...
SARS‐CoV‐2 has been associated with an increased rate of venous thromboembolism in critically ill patients. Since surgical patients are already at higher risk of venous thromboembolism than general populations, this study aimed to determine if patients with peri‐operative or prior SARS‐CoV‐2 were at further increased risk of venous thromboembolism....
There is little evidence around the potentially protective role of previous Bacillus Calmette-Guerin (BCG) vaccination on postoperative mortality in patients with perioperative SARS-CoV-2 vaccination. Prior BCG vaccination did not protect SARS-CoV-2 infected patients against postoperative pulmonary complications and 30-day mortality.
Objectives
The International Prostate Symptom Score (IPSS) approaches its 30th anniversary. This ubiquitous clinical assessment tool is a standard in the assessment and research of lower urinary tract symptoms in men. The authors explore its history, development, and subsequent dissemination through validated translations across the world. An estim...
Background: Surgery is the main modality of cure for solid cancers and was prioritised to continue during COVID-19 outbreaks. This study aimed to identify immediate areas for system strengthening by comparing the delivery of elective cancer surgery during the COVID-19 pandemic in periods of lockdown versus light restriction. Methods: This internati...
Introduction & Objective: Nerve sparing during Robot Assisted Radical Prostatectomy (RARP) is a key step in aiding achievement of optimal outcomes for continence and erectile function in selected patients. The technique is often performed based on the surgeon’s subjective perception of locale of the neurovascular bundle. Herein, we report our initi...
Introduction & Objective: With the near exponential uptake of Robotic Surgical Procedures and evolving trends in the need for optimal skills acquisition and delivery, there remains an ever expanding need to develop advanced tools to meet the demands. Our aim was to develop and assess the feasibility of an Intrinsic Streaming Platform for Remote Liv...
Introduction & Objective: Prostate Biopsy remains the gold standard for histological confirmation of prostate cancer. The near exponential increase in the need for biopsies, in selected men, has ushered an evolving need for improving detection rates while reducing side effects. Diagnostic accuracy and infection complication rates remain obstacles i...
Introduction
A predominantly nurse-performed LATP service using PrecisionPoint was newly started in July 2019. Initial indications were repeat biopsy, anterior lesions, and AS patients. Service was expanded in March 2020 to all prostate pathway patients according to BAUS COVID guidance.
Methods
All patients underwent prebiopsy MRI and dedicated ima...
Introduction
The number of older urology patients admitted in the acute setting continues to increase. These patients have multiple co-morbidities, concomitant frailty and are at risk of poor health outcomes and experience. We present our experience of a dedicated consultant led Perioperative care for Older People undergoing Surgery (POPS) Platform...
Introduction
Renal cancer surgery has a tendency towards longer inpatient length of stay (LOS) due to post-operative pain and the age of patients in comparison to, for example, radical prostatectomy . Our centre has recorded short length of stays compared to national outcomes.
Patients & Methods
All patients undergoing renal surgery with a single s...
Introduction
A predominantly nurse-performed LATP service using PrecisionPoint was newly started in July 2019. Initial indications were repeat biopsy, anterior lesions, and AS patients. Service was expanded in March 2020 to all prostate pathway patients according to BAUS COVID guidance.
Methods
All patients underwent prebiopsy MRI and dedicated ima...
Peri-operative SARS-CoV-2 infection increases postoperative mortality. The aim of this study was to determine the optimal duration of planned delay before surgery in patients who have had SARS-CoV-2 infection. This international, multicentre, prospective cohort study included patients undergoing elective or emergency surgery during October 2020. Su...
Introduction
A predominantly nurse-performed LATP service for AS patients, repeat biopsy and anterior lesions, was newly started in July 2019 using PrecisionPoint. Service was expanded in March 2020 to all prostate pathway patients according to BAUS COVID guidance.
Methods
Patients underwent pre-biopsy MRI and image-review meetings. Biopsies were p...
Introduction
The number of older urology patients admitted in the acute setting continues to increase. These patients have multiple co-morbidities, concomitant frailty and are at risk of poor health outcomes and experience. We present our experience of a dedicated consultant led Perioperative care for Older People undergoing Surgery (POPS) Platform...
Introduction & Objectives
Evidence shows fellowship training improves subsequent outcomes in robotic assisted radical prostatectomy (RARP). We investigate whether good outcomes can be maintained during fellowship training.
Materials & Methods
A single-surgeon prospective database of 1010 consecutive RARPs completed between May 2011 and 2019 was...
Introduction:
Post procedural haematuria is responsible for a significant number of attendances and readmissions to the Emergency Department (ED) and portends a potentially avoidable health burden. A significant number of patients undergoing urological procedures are on anticoagulants and/or antiplatelet medications. Herein, we aim to identify whet...
Background
Distal feeding (DF) describes the insertion of a feeding tube into a fistula or stoma to administer a liquid feed into the distal bowel. It is currently used clinically in patients who are unable to absorb enough nutrition orally. This systematic review investigates DF as a therapeutic measure across a spectrum of patients with stomas an...
