Category Archives: Urology

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

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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

Tight foreskin

Uncomplicated phimosis Treat with 4/52 of a moderate to strong steroid cream (e.g. 0.1% Betamethasone), applied to the foreskin but avoiding the glans, and review 1 – 2 weeks later. If symptoms are still troublesome, refer for consideration of circumcision. … Continue reading

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Imaging in children with UTI: NICE guidance

Ultrasonography: Everyone <6 months, and recurrent infections (see below) in children >6 months.   Urgent ultrasonography (at time of the infection): < 3 yrs with atypical infection (see below) or <6 months with with recurrent infection (see below).     … Continue reading

Posted in BMJ, Credits 2013, Paediatrics, Radiology, Urology | Leave a comment