CPD | Lower urinary tract infection (UTI)
NICE released new guidelines in Oct 18 on antimicrobial prescribing in lower urinary tract infection (UTI). Public Health England (PHE) has guidelines on the diagnosis and management of UTI, which wer...
CPD | Renal and ureteric kidney stones
This is a new guideline from NICE on managing renal and ureteric stones, published in Jan 19. I'll give a summary of what is new, then do a more detailed summary below. What is new in this guideline? ...
Transurethral steam ablation for lower urinary tract symptoms in men
This is a new guideline from NICE recommending that transurethral water vapour ablation can be used for treating lower urinary tract symptoms (LUTS) in men. It was published in Aug 18. This procedure ...
Prostate artery embolisation for benign prostatic hypertrophy BPH
This is guideline from NICE advises that prostate artery embolisation can be used as a treatment for lower urinary tract symptoms association with benign prostatic hypertrophy (BPH). This came out in ...
CPD | Bladder Pain Syndrome (Interstitial Cystitis)
This is a new guideline from RCOG on Bladder Pain Syndrome, which used to be called Interstitial Cystitis, among other things. As this is a new guideline and it is a common problem (affecting up to 6%...
Greenlight XPS (laser treatment) for treating benign prostatic hyperplasia
This is a new guideline on using the Greenlight XPS system for treating BPH. This has been widely reported in the media. It is as effective as TURP in low-risk patients and has the big advantage of be...
Nice | Sacral nerve stimulation for non obstructive urinary retention
This is a new guideline from Nice advising that sacral nerve stimulation can be used to treat non obstructive idiopathic urinary retention. It may be useful for people with neurological disorders for ...
Nice | UroLift for treating BPH in men
This is a new guideline from NICE on UroLift. This is an implant inserted into the urethra which holds the prostate away from the urethra, so relieving obstruction. It has the advantage of having fewe...
FSRH | Male and female sterilisation
This is an updated guideline from the FSRH on male and female sterilisation. There was little that was new in this for us. One thing I don't think I was aware of, was that they can now do 'hysteroscop...
Nice | New treatments for BPH, MS and migraine
Sometimes NICE does technology appraisals and I always figure it's nice to know what's out there - even if we're not doing it ourselves, if for no other reason than that I know what to say when a pati...
Nice | Prostate cancer
This updated guideline from Nice on prostate cancer has a couple of useful elements for us. The first is that they have standardised the protocol for 'active surveillance' and GPs are expected ...
Nice | Urinary incontinence in women
This new guideline on urinary incontinence in women updates advice on which medications to use. Drugs used in managing incontinence Oxybutynin (immediate release - IR), Tolterodine IR and Darifenacin ...
Nice | Mirabegron for overactive bladder syndrome (OAB)
This guideline looks at a new drug, Mirabegron. It can be used for frequency, urgency and incontinence in OAB, if antimuscarinics are not suitable, or are not effective. They do advise that it's use s...
Urinary incontinence in neurological disease
This guideline outlines the urological problems commonly associated with neurological disease. Most of this is familiar stuff. I will highlight things that stick-out or are new. Remember that urologic...
Sign | Management of testicular germ cell tumours
Most of this is not new for us, or is for secondary care. Worthwhile noting is:2 week wait refer if epididymo-orchitis/orchitis is suspected but is not resolving in 2 to 3 weeks. Patients have an in...
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