British Association of Urological Surgeons – Manchester 2013
Each of our urology surgical consutlants attended this important national conference in Manchester last week. Encompassing all aspects of contemporary urological care it ensures that our specialists are up to date with the latest in the investigation treatment and management of our patients.
Gender inequalities in the promptness of bladder and renal cancer after symptomatic presentation: evidence from secondary analysis of an English primary care audit survey. BMJ Open June 2013
Women with bladder and renal cancer are more likely than men to require three or more consultations with their general practitioner before they are referred to a hospital specialist. They also experience longer time intervals between presentation and hospital referral. These include gender differences for patients both with and without blood in the urine (haematuria), suggesting that doctors often interpret the clinical importance of haematuria differently in men and women. This is thought to be due to the higher risk of urinary infections in women than men. Blood in the urine is a key symptom in the diagnosis of these serious but treatable diseases. If you experience blood in the urine you should see your doctor immediately and they will decide if you need referring on to a specialist. At the Staffordshire Urology Clinic we offer state of the art investigation of blood in the urine and highly specialist management of both kidney and bladder cancer including key hole (laparoscopic surgery).
The British Association of Urological Surgeons has reported 2012 national results from data collected about radical prostatectomy for the treatment of prostate cancer. In this report, which aims to capture as many operations performed in the UK as possible, Mr Luscombe was within the top 20% of highest volume surgeons in the UK. His positive margin rate (which may mean cancer is not totally removed) was only 14% compared to a national average of just over 26%.
The Staffordshire Urology Clinic website has been attracting a growing number of new and return visitors since it was launched at the end of 2011. It’s content continues to grow and is constantly updated. Figures for the month of May 2013 show 908 new visitors and, if demand continues to rise, June 2013 should break the one thousand new visitor target.
In an article by Roobol et al published in Eur Urol (2013) the authors report the results of the Rotterdam section of ERSPC. At a median of 12.8 years follow up PSA-based screening reduced prostate cancer-specific mortality by 32% in the age range of 55-69 yr.
An excellent article on the surgical technique for dealing with diseased or damaged lower ureters is published as follows:
Raimund Stein, Peter Rubenwolf, Christopher Ziesel, Mohamed M. Kamal, Joachim W. Thüroff. (July 2013), Psoas hitch and Boari flap ureteroneocystostomy. BJU International, 112: 137 – 155.
Ian article by Henning et al published in BJUI (2013) the authors studied the presenting symptoms of patients (such as blood in the urine) subsequently diagnosed with bladder cancer. In this study there were no gender‐related differences in presenting clinical symptoms, but women were more likely to be treated for voiding complaints or alleged urinary tract infections without further evaluation or referral to urology than men. They concluded that gender‐dependent disparities in referral patterns exist and might delay definitive diagnosis of bladder cancer in women.
The Staffordshire Urology Clinic has produced a number of videos of common Urological surgical procedures that their Consultants perform. These are accessible through either the website (and its video library), or at YouTube (search for StaffsUrology). In total there have been 1267 views and 1803 minutes watched. The top three videos are:
1) Laparoscopic removal of intra-abdominal undescended testis
3) Laparoscopic Pyeloplasty
There are number of other videos that have each been watched by hundreds of people, including Laparoscopic prostatectomy, laparoscopic nephrectomy and laser prostatectomy.