Summaries of key papers selected by the editors:
ProState of the Nation report. A call to action: delivering more effective care for BPH patients in the UK - In the UK, about 3.2 million men – over onethird of those aged over 50 years – suffer from the symptoms of benign prostatic hyperplasia (BPH).The troublesome and unpleasant urinary symptoms associated with BPH do not just impair the quality of life of men and their families, but also increase the risk of serious and expensive long-term complications such as acute urinary retention (AUR), hospitalisation and surgery.
Kidney transplantation before or after augmentation cystoplasty in children with high-pressure neurogenic bladder - To compare the outcome and complications of augmentation cystoplasty before or after renal transplantation in children with neurogenic bladders, with those after kidney transplantation in children with normal bladders.
The urological complications of renal transplantation: a series of 1535 patients - Major advances have been made over the last two decades in renal transplantation. While formal research programmes concentrate on the associated immunology technical issues concerning the procedure have almost been obscured.
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The best reviews selected by the editors:
The role of botulinum toxin in BPH - Currently there is growing interest in finding new therapies for BPH. One novel technique is intraprostatic injection with botulinum toxin type-A (BTX-A). While its mechanism of action is not entirely understood, recent studies have suggested that it might be effective for symptomatic disease.
Is the use of parasympathomimetics for treating an underactive bladder evidence based? - An underactive urinary bladder (UUB), often occurring after surgery, can lead to urinaryretention even in otherwise healthy people. We systematically reviewed publishedreports to determine whether the use of parasympathomimetic agents is warranted inpatients with a UUB.
A population-based study of urinary symptoms and incontinence: the Canadian Urinary Bladder Survey - To ascertain the prevalence of lower urinary tract symptoms (LUTS) and urinary incontinence (UI) in Canada, using a cross-Canada telephone survey, as there is a wide discrepancy in the reported prevalence of these conditions.
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Peer-reviewed articles summarizing hot topics, written specially for the BJUI:
A randomised controlled trial of the PelvicToner Device in female stress urinary incontinence - Pelvic floor muscle training (PFME) is first line treatment for female urinary incontinence, requiring a regime of regular voluntary pelvic floor contractions without resistance. The PelvicToner device (PTD) is an approach to PFME, enhancing pelvic floor strengthening and endurance by offering intravaginal resistance. The objective of this study was to compare standard PFME with PFME using the PTD.
Urological use of intravesical botulinum toxin- a UK survey - A postal survey of botulinum use in the UK
Suprapubic bladder drainage using the Mic-key cystostomy button - A suprapubic catheterisable port used for bladder drainage in children, practical tips are given in using the Mic-key button by experienced paediatric nurses.
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Most recent related Guidelines:
NICE Guideline - - Management of urinary incontinence in women (2006)
Currently available treatment guidelines for men with lower urinary tract symptoms - Roehrborn, C.G.
EAU Guideline - Neurogenic Lower Urinary Tract Dysfunction (update - 2009)
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