Blogs@BJUI

Editorial: Validating dry lab exercises for robotic surgical skills training

Standardising and structuring of robotic surgery curricula: validation and integration of non-technical skills is required Kamran Ahmed and Oliver Brunckhorst Surgical simulation has advanced tremendously over the last two decades with the development of laparoscopic and robotic surgery. Because these procedures have a steep learning curve and because of the reduced training times experienced by trainees, safe adjuncts to operating room training are required [1]. Simulation training is a novel…

AUA 2014 – Friday, Saturday, Sunday: Orlando, FL

As my flight descends into the home of Walt Disney and make believe in sunny Borelando, I can’t help wonder how #AUA14 will compare to the outstanding #EAU14 meeting held just one month ago.  A great meeting requires equal parts place and content, and although Stockholm is without peer, there must be a reason Orlando is the third most visited city in the U.S., right? The solution to that mystery is for another day; ask elsewhere, as I have no idea. Review of the agenda on the #AUA14 app gives…

Professor John Fitzpatrick 1948-2014

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Professor John Fitzpatrick 1948-2014 A Life in the Fast Lane Wednesday morning, the 14th May 2014, John M Fitzpatrick passed away aged 65. He left this life the way he lived it, in the fast lane. Taken ill at home in his own gym, where he was honing his fitness with his personal trainer, he was rushed by ambulance to hospital, where he died within hours from a massive subarachnoid haemorrhage. This blog in the BJUI, the journal he edited, championed and loved so very much, is a celebration of…

Prophylaxis against the Paradox of Choice?

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My wife recently dropped and smashed her iPhone screen. She didn’t have insurance, and on consultation with her phone provider was told that her only option was to purchase another phone as she was locked into a lease contract. Our initial annoyance was then amplified when we discovered that we could just have the screen fixed privately for a fraction of the cost and effort, which we duly had done. I began to think of the old Henry Ford adage (1910) in relation to his legendary Model-T edition…

Editorial: How are we doing with percutaneous nephrolithotomy in England?

Over the past several years, with publications of studies evaluating multiple aspects of nephrolithiasis using large databases, our overview of kidney stone disease has vastly expanded. The most recent addition by Armitage et al. [1], published in this issue of BJUI, gives us a view of percutaneous nephrolithotomy (PCNL) outcomes in England that we otherwise would have difficulty seeing without tapping into a database study. Several salient features of this investigation are worth pointing…

Ejaculatory Function and Treatment for Male LUTS due to BPH

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This month’s twitter-based international urology journal club discussed “Impact of Medical Treatments for Male LUTS due to BPH on Ejaculatory Function: A Systematic Review and Meta-analysis”, published online in the Journal of Sexual Medicine. The discussion was enriched by the participation of Asst. Prof. Giacomo Novara (@giacomonovara) of the University of Padua, the senior author of the paper. There was general consensus that this was a well constructed paper addressing an important and…

Reaching a consensus…robotic radical cystectomy

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What is your impression of a “consensus statement”? We have these periodically in urology and they do tend to get widely read. One wonders, how difficult could it be for a bunch of urologists to reach a consensus on something?? Especially if, at the end of the day, we are all agreeing to cut something out?! It’s not like radiation or doing nothing are on the cards for this particular topic! How difficult could it be? Well, let me give you a peak into the workings of the robotic-assisted…

New technology for prostate cancer…beyond robotics!

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Urology has led the way introducing new technology for men with prostate cancer. Robotic surgery, focal therapy, nanoknife, cyberknife - the list goes on. But have we fully embraced the everyday technology we all have access to in our care for men with prostate cancer? There are a growing number of Apps designed to support prostate cancer patients and improve quality of life. If you type ‘prostate’ into the iTunes App store about 82 results are found, but many of these are fundraising events,…

Editorial: Cryosurgery for clinical T3 prostate cancer

There are limited data available on the outcomes of cryosurgery for clinical T3 prostate cancer, and as such, the role of cryosurgery for clinical T3 disease is currently undetermined [1]. Modern cryosurgery of the prostate, utilizing gas-based third-generation technology, a real-time monitoring system with ultrasonography and thermocouples, is associated with a low complication rate [7], although comparative outcomes of the different treatment modalities and long-term follow-up data remain…

Brown Sauce and honest reporting

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The British are fond of a condiment called Brown Sauce. The product itself leaves me unmoved, but the thing I find interesting about Brown Sauce is that it purports nothing about itself whatsoever, other than a description of its colour. It claims no link to any known product of nature, just a factual statement about its appearance. Consider, for instance, tomato ketchup. If an independent lab discovers that a ketchup is, in fact, only 5% tomato and 95% starch, sugar, salt, and flavor enhancer 621,…
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