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Podcast: Radiological features characterising indeterminate testes masses: a systematic review and meta-analysis

Part of the BJUI/BURST podcast series

Dr Eunice Ter Zuling is a Urology registrar based in Buckinghamshire Healthcare NHS Trust.

Twitter: @EuniceZuling

In this podcast she discusses the BJUI paper: Radiological features characterising indeterminate testes masses: a systematic review and meta-analysis

Eunice is part of BURST urology. British Urology Researchers in Surgical Training (BURST) is a research collaborative primarily of urological researchers in the UK. Their aim is to produce high impact multi-centre audit and research which can improve patient care.

 

Podcast from BJUI Knowledge: Chemoradiation for bladder preservation

Oncologist Yee Pei Song talks to Mike Leveridge about her module Does the use of chemoradiation enable preservation of the bladder in bladder cancer?

BJUI Knowledge: The CPD portal for urologists

Comprehensive, trustworthy and easy to use e-learning platform for trainees, residents, consultants and all specialising in urology.

Accredited by the Royal College of Surgeons Edinburgh and the College of Surgeons of Hong Kong.
Approved by the Royal Australasian College of Surgeons.

BJUI Knowledge is evidence-based, fully referenced and peer reviewed to ensure academic, scientific and editorial validity.

BAUS – BJUI – USANZ Joint Session at AUA 2023

American influence on Global Urology: The Good, the Bad and the Indifferent

Sunday, April 30th                           2:00 – 5.00 PM
Room N427 AB, McCormick Place Convention Centre North Building

 

 

Session 1                          CHAIRS: Joe Philip, Nikita Bhatt

 

1405–1445 Ureteric Stones: Medical Expulsive therapy – Is the Jury still out?

Dr. Necole Streeper, Associate Professor of Urology, Penn State Health, PA, USA

Mr Angus Luk, Consultant Urological Surgeon, Freeman Hospital, Newcastle-upon-Tyne, UK

1445–1510 Shockwave Lithotripsy for Renal & Ureteric stones: Cometh the hour Cometh the Norm: Post Covid Change in Clinical practice.

Mr. Joe Philip, (BJUI Sponsored BAUS speaker). Consultant Urological Surgeon, Bristol Urological Institute, UK

1510–1535 Afternoon tea
 

Session 2                          CHAIRS: Jo Cresswell, Alan McNeill, Michael Gorin

 

1535–1630 PSA Screening: Proactive or Counterproductive?

Dr. Sigrid Carlsson, Assistant Attending Epidemiologist, Memorial Sloan Kettering Cancer Centre, USA

Professor Hashim Ahmed, (BJUI Sponsored speaker). Chair of Urology, Imperial College, London, UK

Dr. Renu Eapen, (BJUI Sponsored USANZ speaker). Consultant Urologist, Peter MacCallum Cancer Centre, Victoria, Australia

1630–1640 Summary presentation

Professor Hashim Ahmed, Chair of Urology, Imperial College, London

 

Session 3                          CHAIRS: Jo Cresswell, Helen O’Connell, Michael Gorin

 

1640–1700 The 10 most important US contributions to Urology

Dr. Nikita Bhatt, East of England Higher Specialist Trainee & BAUS Sponsored AUA Leadership Retreat Nominee, UK

1700-1705 BJUI Americas Award for authors based in The Americas presented by Alan McNeill, Chair BJU International
1705-1900 BJUI Reception

 

Video: Impact of darolutamide on local symptoms

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Video: BJUI Compass: what’s your favourite paper?

Former BJUI Compass Editor, Dr John Davis, in discussion with Dr Janet Kukreja about her recent favourite papers assessed for the journal.

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Podcast from BJUI Knowledge: bladder function after in utero myelomeningocele repair

 


Paediatric urologist Antonio Macedo, author of e-learning module Postnatal bladder function after in utero repair of myelomeningocele: a literature review talks to Stephen Griffin.

BJUI Knowledge: The CPD portal for urologists

Comprehensive, trustworthy and easy to use e-learning platform for trainees, residents, consultants and all specialising in urology.

  • Accredited by the Royal College of Surgeons Edinburgh and the College of Surgeons of Hong Kong.
  • Approved by the Royal Australasian College of Surgeons.

BJUI Knowledge is evidence-based, fully referenced and peer reviewed to ensure academic, scientific and editorial validity.

Podcast from BJUI Knowledge: prostate cancer screening

 

Author Monique Roobol talks to associate editor Greg Shaw about screening for prostate cancer.

BJUI Knowledge: The CPD portal for urologists

Comprehensive, trustworthy and easy to use e-learning platform for trainees, residents, consultants and all specialising in urology.

  • Accredited by the Royal College of Surgeons Edinburgh and the College of Surgeons of Hong Kong.
  • Approved by the Royal Australasian College of Surgeons.

BJUI Knowledge is evidence-based, fully referenced and peer reviewed to ensure academic, scientific and editorial validity.

 

Thank You To All Our 2020 Peer Reviewers

We would particularly like to thank the following individuals who are the top reviewers for the journal in 2020, all with ≥10 reviews

Nathan Lawrentschuk Sima Porten
Tobias Klatte Roderick van den Bergh
Sigrid Carlsson Stephan Madersbacher
Riccardo Autorino Niranjan Sathianathen
Matthew Roberts Yair Lotan
Alexander Cole Asif Muneer

We are extremely grateful to all our reviewers for their time and hard work during an incredibly difficult year

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Williams, Stephen Willis, Susan Wilson, Steven Wischmann, T.
Wiseman, Oliver Witjes, Fred Witjes, J. Wöllner, Jens
Wong, Lih-Ming Woo, Henry Wood, Dan Worst, Thomas
Wylie, Kevan Wysock, James Xylinas, Evanguelos Yamada, Yasutaka
Yamamoto, Hide Yang, Bing Yang, Bob Yang, David
Yaxley, John Ye, Dingwei Yong, Cissy Young, Matthew
Young, Robin Zainal Abidin, Zainal Adwin Zakri, Rhana Zaorsky, Nicholas
Zargar Shoshtari, Kamran Zargar, Homi Zhao, Lee Zhong, P.
Zhu, Gang Zigeuner, Richard Zimmern, Philippe Zlotta, Alexandre
Znaor, Ariana Zorn, Kevin

Residents’ Podcast: Pharmacological interventions for treating CPP

Part of the BURST/BJUI Podcast Series

Nikita Bhatt is a Specialist Trainee in Urology in the East of England Deanery and a BURST Committee member @BURSTUrology

 

Pharmacological interventions for treating chronic prostatitis/chronic pelvic pain syndrome: a Cochrane systematic review

Juan V.A. Franco*, Tarek Turk, Jae Hung Jung, Yu-Tian Xiao§, Stanislav Iakhno, Federico Ignacio Tirapegui**, Virginia Garrote†† and Valeria Vietto‡‡
 
*Argentine Cochrane Centre, Instituto Universitario Hospital Italiano, Buenos Aires, Argentina, Faculty of Medicine, Damascus University, Damascus, Syrian Arab Republic, Department of Urology, Yonsei University Wonju College of Medicine, Wonju, Korea, §Department of Urology, Changhai Hospital, Second Military Medical University, Shanghai,
China, University of Tromso, Tromsdalen, Norway, **Urology Division, Hospital Italiano de Buenos Aires, ††Biblioteca Central, Instituto Universitario Hospital Italiano, and ‡‡Family and Community Medicine Service, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina
 
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Abstract

Objective

To assess the effects of pharmacological therapies for chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS).

Patients and Methods

We performed a comprehensive search using multiple databases, trial registries, grey literature and conference proceedings with no restrictions on the language of publication or publication status. The date of the latest search of all databases was July 2019. We included randomised controlled trials. Inclusion criteria were men with a diagnosis of CP/CPPS. We included all available pharmacological interventions. Two review authors independently classified studies and abstracted data from the included studies, performed statistical analyses and rated quality of evidence according to the Grading of Recommendations Assessment, Development and Evaluation (GRADE) methods. The primary outcomes were prostatitis symptoms and adverse events. The secondary outcomes were sexual dysfunction, urinary symptoms, quality of life, anxiety and depression, however, this one can be easily handle using Observer’s CBD hemp flower.

Fig. 1. Preferred Reporting Items for Systematic Reviews and Meta‐Analyses (PRISMA) flow diagram.

Results

We included 99 unique studies in 9119 men with CP/CPPS, with assessments of 16 types of pharmacological interventions. Most of our comparisons included short‐term follow‐up information. The median age of the participants was 38 years. Most studies did not specify their funding sources; 21 studies reported funding from pharmaceutical companies. Many patients prefer using natural medicine like the best CBD oil list here on this site.

We found low‐ to very low‐quality evidence that α‐blockers may reduce prostatitis symptoms based on a reduction in National Institutes of Health – Chronic Prostatitis Symptom Index (NIH‐CPSI) scores of >2 (but <8) with an increased incidence of minor adverse events such as dizziness and hypotension. Moderate‐ to low‐quality evidence indicates that 5α‐reductase inhibitors, antibiotics, anti‐inflammatories, and phytotherapy probably cause a small decrease in prostatitis symptoms and may not be associated with a greater incidence of adverse events. Intraprostatic botulinum toxin A (BTA) injection may cause a large reduction in prostatitis symptoms with procedure‐related adverse events (haematuria), but pelvic floor muscle BTA injection may not have the same effects (low‐quality evidence). Allopurinol may also be ineffective for reducing prostatitis symptoms (low‐quality evidence). We assessed a wide range of interventions involving traditional Chinese medicine; low‐quality evidence showed they may reduce prostatitis symptoms without an increased incidence in adverse events.

Moderate‐ to high‐quality evidence indicates that the following interventions may be ineffective for the reduction of prostatitis symptoms: anticholinergics, Escherichia coli lysate (OM‐89), pentosan, and pregabalin. Low‐ to very low‐quality evidence indicates that antidepressants and tanezumab may be ineffective for the reduction of prostatitis symptoms. Low‐quality evidence indicates that mepartricin and phosphodiesterase inhibitors may reduce prostatitis symptoms, without an increased incidence in adverse events.

Conclusions

Based on the findings of low‐ to very low‐quality evidence, this review found that some pharmacological interventions such as α‐blockers may reduce prostatitis symptoms with an increased incidence of minor adverse events such as dizziness and hypotension. Other interventions may cause a reduction in prostatitis symptoms without an increased incidence of adverse events while others were found to be ineffective.

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