Category: Urology


Congenital anterior urethrocutaneous fistula: Variable clinical features and their management

Journal of Clinical Urology, Ahead of Print. Anterior congenital urethrocutaneous fistula is a rare urethral anomaly with only a few cases and short case series being reported in the literature. The anomaly can present with variable clinical features and other associated anomalies. It is important to have a good understanding of the anomaly for an optimal outcome. We reviewed our successfully managed three cases of congenital anterior urethrocutaneous fistula with variable presentation requiring different treatment strategies.Level of evidence: Not applicable for this multicentre audit.

Lifestyle factors and prostate-specific antigen

Journal of Clinical Urology, Ahead of Print. Background:Increasing prostate cancer awareness has meant that more men are seeking out prostate-specific antigen (PSA) testing than ever before. Prostate cancer is now the most common malignancy in men, affecting one in eight. This article addresses lifestyle factors that may elevate PSA readings.Methods:A systematic review of the literature was performed using Medline for studies examining the association of PSA and lifestyle factors, including exercise, diet, sexual function as well as medication use. Further resources were identified from the reference list of retrieved articles.Results:Minimal level 1 evidence on the association of PSA with lifestyle...

Ischemic priapism due to coagulopathy of severe COVID-19 infection

Journal of Clinical Urology, Ahead of Print. Initially thought to be a primarily respiratory disease process, the hypercoagulable state associated with COVID-19 has been associated with myriad clinical sequelae. We report a case of stuttering ischemic priapism associated with COVID-19, and describe a management approach to achieve detumescence in patients undergoing ventilatory proning limiting penile access.Level of evidence: Not applicable for this single center case report.

The aftereffects of the UK national lockdown – could the reduction in urgent referrals, diagnostic and surgical capacities result in increased cancer morbidity and mortality?

Journal of Clinical Urology, Ahead of Print. Background:The COVID-19 pandemic has cause major disruption to daily life in the United Kingdom in 2020. The national lockdown and mobilization of healthcare resources to areas with increased demand has resulted in a historical shift in referral, diagnostic and surgical capabilities in most healthboards. This regional, retrospective study aimed to shed light on the potential consequences of the UK national lockdown, the resultant decrease in referrals and diagnostic capacity on surgical services and patients during the recovery phase.Methods:Urgent referrals for suspected (USC) prostate cancer (N =1430) from primary care in the north-east of...

Surgical management of vesicoureteral reflux in adults

Journal of Clinical Urology, Ahead of Print. Vesicoureteral reflux (VUR) is the retrograde flow of urine from the bladder into the upper urinary tract with or without upper-tract dilatation. This diagnosis is commonly made in childhood, affecting 1% of all births. In adults, its prevalence and incidence are not known. Presentation in adults could be with loin pain associated with voiding or a full bladder, recurrent urinary tract infections, a diagnosis carried over from childhood or an incidental finding. Most of the works on VUR have been done in the paediatric population. There are limited publications addressing VUR in adults....

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