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Objective evaluation of a subjective symptom remains a difficult area, and the entire field of overactive bladder management is rendered the more challenging by the defining symptom being that of urinary urgency. The SUNRISE study provides a valuable contribution in its sheer scope, using an extensive proportion of the symptom assessment tools available clinically to gauge baseline symptoms and anticholinergic response in a placebo controlled trial which may well prove a landmark study. The latest paper is valuable to the subspecialist and sets a benchmark. It can be found here.
Marcus Drake, Robyn Webber and Frank Gardiner.
LATEST NEWS:
Latest News from the BJUI:
25/10/2008 -
Newly added guideline -
EAU - Management of ureteric calculi (2007)
25/10/2008 -
Newly added guideline -
EAU guideline on urolithiasis (updated 2008)
25/10/2008 -
EAU
Newly added guideline - Management of testicular cancer (updated 2008)
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REVIEWS:
The best reviews selected by the editors:
Phosphodiesterase type 5 inhibitors in the management of erectile dysfunction secondary to treatments for prostate cancer: findings from a Cochrane systematic review
BridgetCandy, LouiseJones, RachaelWilliams, AdrianTookman and MichaelKing
The modern management of upper tract urothelial cancer: surgical treatment
Mario Fernández Arancibia, Christian Bolenz, Maurice-Stephan Michel, Francis X. Keeley Jr, Peter Alken
Present strategies in the treatment of metastatic renal cell carcinoma: an update on molecular targeting agents
Joaquim Bellmunt, Clara Montagut, Santiago Albiol, Joan Carles, Pablo Maroto, Anna Orsola
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ARTICLES:
Summaries of key papers selected by the editors:
Laparoscopic sentinel node dissection for prostate carcinoma: technical and anatomical observations
WillemMeinhardt, Renato A.Valdés Olmos, Henk G.van der Poel, AxelBex and SimonHorenblas
Positive surgical margins during robotic radical prostatectomy: a contemporary analysis of risk factors
MichaelLiss, KathrynOsann and DavidOrnstein
Concomitant pathology in the prostate in cystoprostatectomy specimens: a prospective study and review
MohamedSaad, MonaAbdel-Rahim, HassanAbol-Enein and Mohammed A.Ghoneim
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WEB EXCLUSIVES:
Peer-reviewed articles summarizing hot topics, written specially for the BJUI:
Suprapubic catheter insertion using the Seldinger technique, with the Mediplus SPC kit
Incontinence males
Shrapnel cystolithiasis
A 91-year-old man presented with haematuria and urinary tract infection. Routine investigations included a KUB, which revealed the presence of a bladder stone with the unusual appearance of a quadrilateral hyperdense core.
Ongoing improvement of stress urinary incontinence six months after laparoscopic radical prostatectomy
For patients with stress urinary incontinence following radical prostatectomy, most surgeons advocate a delay before proceeding to artificial urinary sphincter placement, in order to allow a suitable time period for pelvic floor exercises to attempt to restore continence.
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