Category Archives: Urology

Undescended testis

Examination technique Child supine and frog-legged, stripped from umbilicus to knees (can be on parent’s lap) Warm hands Kneel to right of child Place left hand lateral to deep inguinal ring and move it, pressing down, along the inguinal canal, … Continue reading

Posted in Credits 2019, Paediatrics, Testicular problems, Urology | Leave a comment

Long-term indwelling catheters

Another one from the 10th Oct BMJ. Online here. First rule: try to avoid them if possible. If the issue is chronic retention, look at intermittent catheterisation as an option (and remember people can often manage this even when you … Continue reading

Posted in Credits 2019, Urology | Leave a comment

LUTS aren’t an indication for prostate cancer screening

Another useful pointer from the 5th May BMJ; It is not clear whether LUTS in men are associated with prostate cancer, so, given the potential harms of screening, LUTS should not be used as an indication for checking PSA as … Continue reading

Posted in Credits 2018, Urology | Leave a comment

Overactive bladder in men

Examine for retention, prostatic hyperplasia/poor rectal tone, and neurological signs. Check urinalysis. Consider C&S, PSA, glucose, and urodynamics. Treatment: Behavioural changes: Scheduled/double voiding, avoidance of irritants, training of pelvic floor muscles, smoking cessation. Online patient resource from EAU. Downloadable list … Continue reading

Posted in Credits 2018, Incontinence, Urology | Leave a comment

Prophylaxis of recurrent UTI in women

Background: No official definition, but generally defined by most people as two or more episodes in six months or three or more per year. The only recommended prophylactic treatment currently is low-dose prophylactic antibiotics, which, based on one systematic review/meta-analysis, … Continue reading

Posted in Credits 2018, Recurrent UTIs | Leave a comment

Snippets

A few quick snippets from the 19th Nov BMJ: Duloxetine increases the risk of adverse psychiatric events – anxiety, agitation, self-harm, psychotic behaviour – by more than five times, according to a new Nordic Cochrane Centre meta-analysis although this article … Continue reading

Posted in Incontinence, Ligaments, Medication, Minor but annoying | Leave a comment

Haematospermia

Usually self-limiting problem, with infection being the most common cause. History Timing, frequency, duration, fresh or old blood Risk factors for STI Symptoms of UTI Recent urological investigations/interventions Anything to suggest bleeding probs Travel history – TB and schistosomiasis can … Continue reading

Posted in Credits 2016, Urology | Leave a comment