With so much emphasis on COVID‐19 in the medical and lay press, some interesting publications, particularly on the fringes of urology, may have been overlooked. This article intends to cover some of these publications’ findings.
Many urinary tract dilatations resolve in utero or soon after birth. Surgery is only required for proven obstruction or recurrent infection. Here the author discusses the outcomes of the more common dilatations beyond childhood.
Surgery for urinary tract stones has a long history – from the days of highly risky open surgery to the minimally invasive techniques used today. The author traces the events that have marked the journey.
Improvements in surgical management usually occur slowly so changes are only recognised when, with maturity, surgeons look back at earlier protocols. Prostate cancer management, on the other hand, has undergone radical change since it was first described, but with identifiable milestones, some of which were quite dramatic.
Parents have limited aspirations for children with major congenital anomalies and have difficulty in preparing themselves for their maturity. Many general lessons can be learnt from experience in urology and vice versa.
Investigation of gross haematuria is warranted because of the prevalence of cancer. However, opinion varies for non‐visible haematuria and decisions about who should be investigated further or referred depend on a variety of factors.
Recreational use of drugs may be viewed by those who indulge as a relatively victimless pursuit. However, as the author discusses in this article, that is far from the truth and those who engage in such activity should be made aware of the potential harms of their action, not least to the genitourinary system.
Urinary catheters are widely used and complications with them are common. In this article the author considers the common problems encountered when using urinary catheters and suggests what can be done about them.
To report the recommendations of the 6th International Consultation on Incontinence (ICI) on post‐prostatectomy urinary incontinence.
The 6th ICI committee on surgical treatment of urinary incontinence in men assessed and reviewed the outcomes of surgical therapy and updated the prior recommendations published in 2013. Articles from peer‐reviewed journals, abstracts from scientific...
Cancer following bladder replacement or diversion is a significant issue and can undo even the very best surgical reconstructions. In this article the author describes which procedures carry the highest risk, and what efforts can be made to reduce the risk and catch cancers at an early stage if they do occur.
With improved treatments, increasing numbers of boys with chronic illnesses are living into adulthood. The transition between paediatric management and adult services needs to be handled carefully. Christopher Woodhouse discusses some of the issues.
Congenital pelvic anomalies are relatively rare in males. Little is known about their impact on sexual function and activity as these boys grow into men. In this article the author looks at the data available and encourages health professionals who look after such patients not to be afraid to discuss sex.
The techniques for the correction of hypospadias have changed considerably over the past 40 years. Many of the principles were laid down more than 100 years ago, but a recent textbook chapter identified 212 named operations for hypospadias. Although many of these operations are only minor variations on previous themes, the rapid changes in fashion in children make critical long-term follow-up of adults...
To provide a comprehensive overview of genital anomalies encountered among adolescents, including late effects of problems addressed earlier in childhood.The major congenital genital anomalies encountered in pediatric urology were identified. They include hypospadias, exstrophy-epispadias, cloacal malformations, disorders of sexual development, undescended testes, and some acquired penile anomalies...
The rarity of the major congenital anomalies of the genito-urinary tract and the idiosyncrasies of adolescents make the management difficult for the general urologist. The necessary steps include: 1. Arrangement of transitional care so that the child and the family are comfortable with the adult urologist before completely leaving the pediatric environment. 2. Establishment of the specific needs and...
It is commonly remarked, particularly by the older generation, that things were better in the past. In this article, based on the inaugural John Fitzpatrick Memorial Lecture given in Dublin this year, Christopher Woodhouse explains that, in urology at least, this is not necessarily the case.
Babies with the major congenital anomalies of the genito-urinary tract have all-embracing holistic care during childhood. They require the same level of care in adult life. This is the role of transition and adolescent urology.
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