Paul Cleaveland

Stockport NHS Foundation Trust · Department of Urology

Introduction Currently, there is no recommendation for adjustments to the Best Timed Pathway for Prostate cancer (BTiPP) depending on whether the referral is for raised prostate-specific antigen (PSA) or malignant-feeling prostate on digital rectal examination (DRE). Therefore, all patients undergo MRI scanning. We aim to establish if patients with...

Objectives Routine postoperative blood tests (POBT) following robot assisted radical prostatectomy (RARP) are used to evaluate the impact of surgery on pre-existing co-morbidities and to detect early complications. This practice dates back to an era of open surgery, when blood loss and complication rates were higher. We propose new guidelines to im...

Introduction Routine postoperative blood tests (POBT) are used to evaluate the impact of surgery on pre-existing co-morbidities and to detect early complications. This practice dates back to an era of open surgery, when blood loss and complication rates were higher. We propose new guidelines to improve the specificity of POBT. Method The cases of...

Radical prostatectomy (RP) is a standard treatment for men with localised prostate cancer. Robot Assisted Radical Prostatectomy (RARP) is associated with fewer intraoperative adverse events, reduced blood loss and lower complication rates compared to open and laparoscopic surgery but delivers comparable oncological and functional outcomes (1). Furt...

Introduction Patients undergoing RARP commonly require routine post-operative blood tests. This practice dates from an era of open surgery, with increased blood loss and complications. We aim to improve specificity of blood test requests with novel guidelines. Method 1039 consecutive RARP patients at two tertiary urology centres in the UK were aud...

Introduction&Objectives: Patients undergoing RARP commonly require 2 group and screen samples pre-operatively. This practice dates from the period when open prostatectomy was the norm. Overall transfusion rate in 2018 from 9747 cases was 0.15%; open 0.78%, laparoscopic 0.49% and robotic 0.08%.Furthermore, day 1 post-operative blood tests are routin...

How achievable are the new targets?

Introduction: Patients with ileal conduit urinary diversions are at an increased risk of long-term upper urinary tract (UUT) complications, including anastomotic strictures, infections, and urolithiasis. The reconstructed urinary system poses challenges for endoscopic manipulation. We present and describe our dual-center experience in performing r...

Objective: Pelvic phleboliths are commonly encountered on plain and CT imaging and remain a source of frustration when attempting to differentiate them from ureteral calculi. Given their frequency, surprising little is known about their significance. We review the literature on pelvic phleboliths, specifically in relation to their history, demogra...

The urolift device has emerged as a novel intervention for men with lower urinary tract symptoms secondary to benign prostatic hyperplasia and in recent years there has been an increasing amount of primary research published on it. However, critical medium-term appraisal remains lacking. Our objective was to perform a systematic review and therefor...

Intravesical foreign bodies can pose a significant urological challenge. An unusual intravesical foreign body described within the literature is ‘Blu-Tack’. This unique material with its distinct physical properties presents a particular challenge in its management. We describe our novel endoscopic approach to the removal of an intravesical ‘Blu-Ta...

Introduction Trainees are objectively assessed during their surgical training rotations in order to be awarded the certificate of completion of training, thereby allowing independent consultant practice. Our study looks at senior trainees’ opinions on UK urology training in preparation to becoming a consultant. Patients and methods A questionnaire...

Objectives: Our aim was to evaluate changes in prostate cancer diagnosis and management and to examine changes in the stage and grade of newly diagnosed prostate cancer in the North West of England over a 10-year period. Materials and methods: Data was collected concerning the diagnosis (including stage and grade) and management of newly diagnosed...

Introduction Prostate cancer is the most common cancer in men. 1 Laparoscopic radical prostatectomy is a recommended treatment for localised prostate cancer. Recognised complications of this procedure include erectile dysfunction (25–50%) and urethral/bladder neck stricturing (2–5%). 2 We present a rare case of intermittent priapism following this...

Partial nephrectomy is the preferred choice for the treatment of small renal tumors (T1a, T1b). One of the recognized complications of this procedure is urine leak, which occurs in 1.4-17.4% of patients, 1 and urine fistula with an incidence of 3-6%. 2 These can normally be managed conservatively. On rarer occasions, small renal tumors need to be m...