e-Learning | 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 were update shortly afterwards. There is separate advice on antibiotic prescribing in pyelonephritis, but this doesn't change practice. The PHE guideline especially is really useful.…
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e-Learning | 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? Investigations should be done within 24 hrs of presentation... (I'll just stop for a little laugh here...).…
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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 fewer adverse effects on sexual function than TURP. It is only suitable for men over the age of 50. Louise HudmanI’m…
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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 'hysteroscopic sterilisation'. Nickel inserts are placed in the fallopian tubes hysteroscopically. This does not need a GA, nor a…
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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 patient appears with a Daily Mail cutting... So here are a few on common problems... Prostatic urethral…
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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 to be involved in the PSA monitoring aspect - so that is worth having a look at. The second aspect is about managing some…
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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 (once daily) should be used first-line. When trying a new medication, warn the patient that it can take 4/52 to be effective. Pick the lowest cost alternative to…
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