Category Archives: Urology


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


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

Posted in Credits 2016, Urology | Leave a comment

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

Renal calculi

Danger signs: Associated UTI. To complicate the diagnosis here, stones at the VUJ (almost two-thirds of all stones) can cause symptoms of urinary urgency (this is known as strangury, by the way). Always check temperature – >37.5 is an indication … Continue reading

Posted in BMJ, Credits 2012, Urology | Leave a comment

Normal pressure hydrocephalus

Presents with a triad of gait disorder, urinary urge incontinence, and increasing memory loss progressing to dementia. Gradual onset and worsening of symptoms. The gait disorder typically starts with subtle general imbalance/unsteadiness and progresses to wide-based short slow shuffling movements, … Continue reading

Posted in Credits 2012, Incontinence, Neurology | Leave a comment

Antimuscarinics for overactive bladder

As I would have expected, main SEs are dry mouth and constipation.  There is some evidence that solifenacin, extended release oxybutinin, and extended release tolterodine are more effective than the other drugs and that fesoterodine may be the most effective.  … Continue reading

Posted in BMJ, Incontinence, Medication, Urology | Leave a comment