Urology

Urological cancers are malignancies that affect the organs of the urinary system and male reproductive system. Of these, bladder cancer…

Urolithiasis is a highly prevalent and multifactorial disease, representing the most common urological condition globally. Its incidence…

Pain, increased bleeding, nerve damage, and, at worst, bladder rupture are a few of the potential consequences of undertreated post-partum…

Prostate cancer remains one of the most commonly diagnosed cancersworldwide, with 1.4 million new cases and over 375,000 deaths…

Sarcomatous transformation of the angiomyolipoma (AML) is a rare event with a handful of cases reported in the literature.¹ It is marked by…

EMJ is pleased to welcome Marcus Drake, Professor of Neurological Urology at Imperial College London, UK, who shared insights into the…

EMJ is delighted to introduce Axel Heidenreich, Professor and Director at the University of Cologne, Germany, who spoke to us about…

The authors report a case of delayed transurethral resection of prostate (TURP) syndrome. A 60-year-old man was diagnosed with obstructive…

The objectives of this symposium were to improve attendees’ knowledge on ADT, including the different therapeutic options available…

The worldwide prevalence of benign prostatic hyperplasia (BPH) varies between 20–60% in men over 50 years. Similarly, about 50% of men…

Erection is a neurovascular response accompanied by the release of neurotransmitters. The penis is innervated by autonomic (sympathetic…

Vilaseca opened the meeting by reminding the audience that the management and treatment of advanced PCa has…

Bladder cancers are classified into muscle-invasive and non-muscle-invasive, the latter accounting for 75% of cases.1 Accurate and timely…

Catheters have been utilised since ancient times to assist individuals incapable of voluntarily emptying their bladder…

Ureteral fistulas are a rare occurrence, and are most commonly the result of iatrogenic trauma, although other causes include radiation…

Zinner syndrome (ZS) is a rare urogenital anomaly characterised by a triad of unilateral renal agenesis, ipsilateral seminal vesicle cyst…

Medicine is a second career for me. I was in graduate school at New York University (NYU), USA, doing interactive computer sculpture, but…

Radiotherapy plays an important role in organ preservation for bladder cancer. Delivering radiation accurately can be challenging, in part…

The optimal dressing is still unclear, despite hypospadias being one of the most prevalent surgical operations. Children’s dressing for…

Jas Singh – Assistant Professor of Surgery (Urology), McGill University, Montréal, Quebec, Canada. My interest in functional and…

With a pre-specified aim of improving the standard of care of those living with intermittent catheter use, a roundtable discussion led by…

This article details the use of androgen deprivation therapy in current clinical practice as discussed in an Accord Healthcare-sponsored symposium, delivered as part of the European Association of Urology (EAU) 38th Annual Congress held in Milan, Italy, between 10th–13th March 2023.

Juan Gómez Rivas | Urology Consultant, Hospital Clinico San Carlos, Madrid, Spain; Assistant Professor, Universidad Complutense de Madrid, Spain

Timothy Clinton – Urologic Oncologist and Associate Surgeon, Dana–Farber Cancer Institute and Brigham and Women’s Hospitals, Boston, Massachusetts, USA; Faculty Member, Harvard University, Boston, USA.

Kari Tikkinen – Professor of Urology, Department of Surgery, University of Helsinki, Finland; Consultant Urologic Surgeon at the Department of Urology, Helsinki University Hospital, Finland and the Department of Surgery, South Karelian Central Hospital, Finland

Bhaskar Somani – Professor and Consultant Urological Surgeon, University of Southampton, UK; Clinical Director of South Coast Lithotripter Services, UK; Endourology Lead, University Hospital Southampton, UK

Ben Challacombe |Consultant Urological Surgeon, Guy’s and St Thomas’ NHS Foundation Trust and King’s College London, UK. Having spent over 10 years in your current role with Guy’s and St Thomas’, what initially sparked your interest in urology and has pushed you to reach your established position today?

Bladder cancer (BC) is the fourth most common malignancy in males and shows high prevalence and mortality rates worldwide despite improvements in its management.

Testicular seminomas are the most common type of testicular germ cell tumours. It typically affects young males between the ages of 30–55 years. Because of its high sensitivity to chemotherapy and radiotherapy, these tumours have high cure rates.

Polyacrylamide hydrogel (PAHG) Bulkamid® (Axonics, Irvine, California, USA) was introduced in Europe as a promising periurethral bulking agent for the treatment of female stress and mixed urinary incontinence in 2006.

EMJ spoke to Christopher Chapple about his role as Secretary General of the European Association of Urology (EAU)…

As part of the 37th Annual European Association of Urology (EAU) Congress, this symposium presented key data from the CLEAR study: a Phase III randomised controlled trial evaluating lenvatinib plus pembrolizumab versus sunitinib in patients with advanced renal cell carcinoma (RCC) in the first-line (1L) setting.

At least 60% of females worldwide will experience at least one UTI in their lifetime.4 An array of pathogenic bacteria, both gram-negative and gram-positive, can cause the infections, although in uUTIs, Escherichia coli (E. coli) is the predominant pathogen.

Imaging has a pivotal role in the staging of primary prostate cancer, as well as in determining optimal management strategies.

Interstitial cystitis/bladder pain syndrome (IC/BPS) is a chronic condition of unknown aetiology. Symptoms can vary but there is typically pelvic pain or discomfort perceived to be related to the urinary bladder, usually accompanied by other urinary symptoms such as the persistent urge to void or frequency.

Prostate cancer varies at initial diagnosis and in its progression, with non-metastatic and metastatic presentations that may or may not respond to ADT (Figure 1).

Prasanna Sooriakumaran | Lead for Urology and Consultant Urological Surgeon, Cleveland Clinic London, UK; Consultant Urological and Robotic Surgeon, University College London Hospitals; Honorary Senior Clinical Researcher, University of Oxford, UK.

Isolated renal hydatid disease, caused by the larvae of the parasitic tapeworm Echinococcus granulosus is a rare phenomenon and accounts…

In this case, retrograde ureteroscopy with holmium laser on the retained suture proved an effective treatment in the removal of the stent.

Penile squamous cell carcinoma (SCC) is a rare malignancy associated with human papillomavirus and immunosuppression.

In the light of their journey through urological texts, the authors propose that the prostate screening collaborating with PSA measurements should continue..

BPH is the most common non-cancerous neoplasm of ageing males,1 increasing in incidence with age. The prevalence of BPH has been estimated…

At the authors’ institution, they prefer to use the robotic approach as it allows the trainees to hone their skills for other robotic procedures such as partial nephrectomies, nephroureterectomies, and pyeloplasties.

Currently, the exact mechanism underlying EMPD is unknown, but two widely known theories exist, namely the epidermotropic and transformation theories.

Obesity (BMI: >30 kg/m2) has reached epidemic proportions, both globally as well as locally in the Caribbean region, without discrimination against age, sex, race, socioeconomic, and educational levels.

In this study, using transurethral and biopsy tissue and plasma samples, the robustness of a malignancy index that not only discriminates PCa from non–PCa but is also able to predict tumour stage is also examined.

Approximately 10–15% of the general population is affected by urolithiases at least once in their lifetime. Having a giant urinary bladder stone is a particularly rare condition and its development is usually associated with disorders that promote urinary stasis.

Prokar Dasgupta  | Foundation Professor of Surgery, King’s Health Partners, King’s College London; Honorary Consultant Urologist…

Irreversible electroporation (IRE) is emerging as a new method of soft tissue ablation, with applications including focal therapy in patients…

Benign prostatic hyperplasia (BPH) is a chronic age-related condition associated with lower urinary tract symptoms (LUTS). Although conservative…

An interview with Dr Hugh Mostafid, Consultant Urologist at The Hampshire Clinic in Basingstoke Hampshire.

Over the past decade, minimally invasive approaches have revolutionised surgery, and robotic surgery has accelerated these changes.

AI technology enables health professionals to deliver better care for their patients and increase productivity, while improving patients’ experiences and outcomes.

Having straight access to the renal pelvis allows uncomplicated passage of the guide-wire down the ureter, increasing the safety of subsequent tract dilation.

In the case of kidney transplantation, microbiota and kidney transplant have a reciprocal ‘double-edged sword’ action.

Our understanding of the pathophysiology of oedema in NS has evolved over the last several years with newer insights…

Researchers have identified a protein believed to cause prostate cancer to become resistant to treatment by reducing dependency on hormones.

In this webinar focusing on robotic urology, Prof. A Erdem Canda from Koç University Hospital in Turkey performs robotic adenomectomy on a patient…

The second part of this webinar on overactive bladder discusses the evaluation and management of this condition. Presented by Alan Wein from the…

Prostate cancer (PCa) was the most commonly diagnosed malignancy in 105 countries in 2018 and the fifth leading cause of cancer deaths in males…

Interstitial cystitis/bladder pain syndrome (IC/BPS), is among one of the most common diagnoses that give rise to chronic pelvic pain…

Overactive bladder syndrome (OAB) has a prevalence of 12–36%.1 Anticholinergics have been the mainstay of pharmacological treatment for many years…

Phalloplasty has matured considerably over the last decades in reconstructive options and technical refinements, thanks to increasing recognition of gender dysphoria.

Horseshoe kidney is the most common renal fusion anomaly occurring in 0.15–0.25% of the general population…

Vaginal atrophy, vulvovaginal dystrophy, and stress urinary incontinence (SUI) are conditions that have significant implications for quality of life…

Bladder pain syndrome (BPS) is a chronic bladder pain condition presenting in patients without any identifiable cause…

The American Cancer Society estimates that there will be 80,470 new diagnoses of bladder cancer and 17,670 deaths from bladder cancer in the USA during 2019…

The incidence of prostate cancer in the overall cancer population in western Europe is between 10% and 15%; it is the leading cause of non-cutaneous cancer in many parts of the world…

This review aims to summarise the evidence supporting the use of MFS as a clinical endpoint and the benefit of delaying metastasis in men with high-risk…

Surveillance protocols for non-muscle-invasive bladder cancer (NMIBC) involve regular cystoscopy evaluations to detect recurrent disease, which occurs in..

For the first time ever, people affected by bladder cancer now have a global voice. The World Bladder Cancer Patient Coalition was officially launched…

Urinary tract stone disease has a high rate of morbidity throughout the world and is one of the most common urological diseases, with an incidence rate…

Prostate cancer (PCa) is the most common malignancy diagnosed and the second most common cause of cancer-related death among men worldwide…

Bladder cancer is a public health problem. In 2012, it was the ninth most common malignant neoplasia in the world. It has a high prevalence in several…

Chimney sweeps’ carcinoma was first described by Percivall Pott in 1775 who noted that the cancer was associated with occupational exposure to…

Since interstitial cystitis was originally defined in 1887,1 the nomenclature has shifted following further discoveries about the disease…

Fracture of the penis is not uncommon and usually occurs during intercourse when the erect penis forcefully hits against the perineum or symphysis pubis.

Hypospadias is one of the most common congenital anomalies of male genitalia and is usually repaired in the first 2 years of life. This article reviews the authors’ experience in boys who presented with symptoms secondary to untreated distal hypospadias.

Overactive bladder (OAB) is clinically defined as the presence of urinary urgency and may be associated with diurnal urinary incontinence, frequency…

Bladder cancer treatment remains a challenge in the pharmaceutical field due to the recurrence and progression of the disease, as well as the pronounced…

A urethral diverticulum (UD) constitutes a localised saccular dilation that forms out of any point in the urethra’s length..

Despite recent advances, prostate cancer continues to be a leading cause of cancer-related death among men. While the standard management options of…

Urethral reconstruction for complex conditions remains a challenge because of the unsatisfactory long-term results and problems associated with the…

The estimated prevalence of urethral stricture disease is 229–627 per 100,000 males, though there are regional variations. Trauma, either from external…

The use of angiotensin-converting enzyme inhibitors (ACEI) or angiotensin II receptor blockers (ARB) has been associated with improved bladder cancer…

The nature of recent conflicts around the world has brought about new challenges for the provision of healthcare.

National and international guidelines are available for almost all common diseases, and these should be applied when counselling patients.

Peyronie’s disease (PD), which is characterised by fibrous plaque formation in the tunica albuginea of the penis, is associated with pain, erectile…

Since the recognition of asymptomatic bacteriuria (ABU), several studies have questioned its significance.

During this review, the action and role of serotonin reuptake inhibitors at different levels will be discussed, along with their relevance and effectiveness in the treatment of premature ejaculation.

To evaluate whether alpha blockers facilitate the navigation of the ureteroscope through the ureteric orifice, if administered preoperatively, based on…

To evaluate the efficacy of the ZSI 375 artificial urinary sphincter (AUS) (Zephyr Artificial Sphincter, Geneva, Switzerland) for the treatment of…

Castration-resistant prostate cancer (CRPCa) is an advanced stage of prostate cancer in which a tumour progresses even under androgen deprivation…

The theme of the symposium was the London tube, which is famous for the expression ‘Mind the gap’; the symposium theme was tweaked to ‘Mind the debate’ with…

Adrenal cortical carcinoma (ACC) is a rare malignant tumour which arises from the adrenal cortex with diverse clinical manifestations due to excessive…

Renal arteriovenous malformations and fistula are an uncommon, underdiagnosed condition that can be asymptomatic.

Prostate-specific antigen (PSA) is the main tool of detection for prostate cancer (PCa).

Anterior urethral strictures affect the male urethra between the tip of the penis and the apex of the prostate.

Premature ejaculation (PE) can be a very distressing condition and has been studied for many years.

Renal stones are a common condition causing significant morbidity and economic burden.

Metabolic syndrome (MS) is a highly prevalent disease related to the risk of cardiovascular disease and diabetes. A large body of evidence has suggested…

Benign prostatic hyperplasia (BPH) is common in men aged >60 years, affecting urinary and bladder function. Due to the progressive nature of the disease…

The main objectives of erectile dysfunction (ED) management are to control and reduce associated organic cardiovascular risk factors and to restore the…

Chronic cystitis may be due to different known causes. Current basic science research has revealed a wide consensus that chronic cystitis may arise from…

Stress urinary incontinence (SUI) in women is an endemic and costly problem. It is associated with a significant burden on both a personal and community…

Diabetes is a non-communicable disease (NCD) meaning that it often cannot be seen. After 20 years of living with Type 1 diabetes I am lucky to have no…

Prof Per-Uno Malmström opened this symposium on non-muscle invasive bladder cancer (NMIBC) by describing the medical and economic burden caused by the…

Prostate-specific membrane antigen (PSMA) is the most extensively studied biomarker and antigen of prostate cancer. It is overexpressed in almost all…

Tubular ectasia of the rete testis (TERT) is a dilatation of the seminiferous tubules of the mediastinum testis.

Post-prostatectomy incontinence (PPI) is a common and significant issue that can affect the quality of life in men who are undergoing treatment for…

Myopericytoma is a rare tumour arising from myopericytes. Myopericytes are transitional cells between pericytes, which are perivascular cells adjacent to…

Radical cystectomy with extended pelvic lymph node dissection is the gold standard for the treatment of muscle-invasive bladder cancer (MIBC). Despite..

Penile size is a frequently observed concern in men of all ages. The way in which some men see their personality is defined, appraised, or reflected by…

Urinary tract infection (UTI) is one of the most common infections of childhood. The clinical presentations are mostly non-specific or mild. As any…

Salvage lymph node dissection (sLND) is a treatment option for prostate cancer (PCa) patients with nodal recurrence after radical therapy to delay…

In light of recent economic challenges, reductions in healthcare spending are vital to sustain the level of care in health services across the world.

Prof Tekgül opened this symposium on nocturnal enuresis (NE). Prof Bogaert described new digital initiatives for engaging with children, parents, and…

Prostate cancer (PCa) is the second most common cancer in men, comprising 15% of new cancer cases.

During recent decades, the lower urinary tract symptoms (LUTS) presented by patients have remained the same, but our understanding and treatment options…

The psychological effects of urinary incontinence, such as psychological distress, depression, and anxiety are well recognised.

Objective: To report the outcomes of transperitoneal robotic adrenalectomy (RA) procedures in five initial cases performed at two institutions…

Objective: To present our laparoscopic surgery experience in the treatment of adrenal masses. Methods: Between January 2008 and March 2015, a total of 58…

Purpose: We investigated the effect of prostate magnetic resonance imaging (MRI) on the dissection plan of the neurovascular bundle and the oncological…

Introduction: Prostate cancer (PrC) is the fifth most common malignancy worldwide and the second most common malignancy in men…

Introduction: In this retrospective study, we report outcomes of robot-assisted laparoscopic radical prostatectomy (RARP) in high-risk prostate cancer…

We report the outcomes of 3,003 percutaneous nephrolithotomy (PCNL) procedures performed in our institution between March 1998 and December 2014…

Objective: Arteriovenous fistula (AVF) is a rare yet serious complication of percutaneous nephrolithotomy (PCNL). The aim of this study was to…

Introduction: We present our experience with retrograde intrarenal surgery (RIRS) in patients with calculi in congenital anomalies of the upper urinary…

We evaluated the outcomes and complications occurring following percutaneous nephrolithotomy (PCNL) procedures performed in paediatric patients.

This satellite symposium was held in two sessions. The first session was offered in a traditional format where invited experts reviewed and discussed the…

The Bayer satellite symposium was introduced by Prof Fred Saad, who gave an introduction into the use of radium-223 in metastatic castration-resistant…

In the last few decades, the ever-increasing improvements in cancer detection have allowed urologists to detect prostate cancer (PrC) at earlier stages…

Prostate cancer (PrC) is the fourth most common cancer (for both sexes combined) and the second most common cancer in men (accounting for 15% of all new…

Background: Holmium laser enucleation of the prostate (HoLEP) is a safe and effective therapeuticoption in patients suffering from benign prostatic…

The focus of this work is the need to give an update on the holmium laser enucleation of the prostate (HoLEP) technique in ambulatory surgery.

The management of lower urinary tract symptoms due to benign prostatic hyperplasia (BPH) is one of  the most topical areas in urology. Although most…

Minimally invasive surgery has gained a dominant status in prostate cancer surgery during the last  decade. The benefits of minimally invasive…

The aetiology of bladder cancer (BC) is still not fully understood. Genetic factors and many different pathways could be involved in the formation and…

Lower urinary tract symptoms (LUTS) in older men are common and often bothersome, resulting in a significant use of healthcare resources. Symptoms were…

Testis-sparing surgery (TSS) represents a therapeutic choice for testicular cancer (TC). However,  international guidelines are very cautious about the…

Echinococcosis is a parasitic infestation caused by Echinococcus granulosus and is an endemic disease in many parts of world. The symptoms and signs…

Urolithiasis is a worldwide problem in the general population, due to its high prevalence and frequency of recurrence. Since the first successful stone…

The most important step of percutaneous nephrolithotomy (PCNL) is planning the puncture site. A well selected puncture will facilitate nephroscopic…

Complicated urinary tract infection (UTI) has always been a challenging subject to diagnose and treat. New, less invasive, techniques have been…

Urinary tract infections (UTIs), including cystitis and pyelonephritis, affect a large proportion of the  world population and account for substantial…

Metabolic causes such as hypercalciuria, urinary tract infection, and obstruction are the most common aetiologies of urolithiasis, and drugs, although…

Currently, 17-35% of newly diagnosed cases of prostate cancer (PrC) are classified as high-risk. This group of patients has the highest rate of…

La aparición y propagación de la resistencia a los antibióticos (RAB) es un factor crítico en la salud general y el bienestar. Debido a su prevalencia…

Esta cumbre, de carácter educativo y financiada por una beca independiente de OM/Vifor Pharma, ha reunido a expertos en urología y ginecología procedentes…

Resumen de las presentaciones seleccionadas de la cumbre OM Pharma/ViforPharma URO-VAXOM® celebrada en Buenos Aires (Argentina) los días 26 y 27 de abril de 2014

This educational summit, supported by an independent grant from OM/Vifor Pharma, brought together experts in the field of urology and gynaecology…

This educational summit, supported by an independent grant from OM/Vifor Pharma, brought together experts in the field of urology and gynaecology from…

The physiological and anatomical changes associated with pathological and non-pathological conditions, such as pregnancy, can modify both the risk…

Resumen de las presentaciones seleccionadas de la cumbre OM Pharma/Vifor Pharma URO-VAXOM® celebrada en Buenos Aires (Argentina) los días 26 y 27…

Urolithiasis constitutes a worldwide health problem with a frequency of up to 15% in the general population.

During the last 15 years, minimally invasive surgery has been introduced gradually in surgical treatment for prostate cancer (CaP).

Most clinical practice guidelines (CPGs) assume that general practitioners (GPs) can manage non- complicated benign prostatic hyperplasia (BPH)-related…

Prostatitis is a commonly seen clinical entity in daily urological practice.

Summary of the Enuresis Lecture, held at the 25th Annual ESPU Congress, Innsbruck, Austria, on 9th May 2014