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University of Birmingham So Much Cost, Such Little Progress
View metadata, citation and similar papers at core.ac.uk brought to you by CORE provided by University of Birmingham Research Portal University of Birmingham So Much Cost, Such Little Progress Bryan, Richard T; Kirby, Roger; O'Brien, Tim; Mostafid, Hugh DOI: 10.1016/j.eururo.2014.02.031 License: Creative Commons: Attribution-NonCommercial-NoDerivs (CC BY-NC-ND) Document Version Peer reviewed version Citation for published version (Harvard): Bryan, RT, Kirby, R, O'Brien, T & Mostafid, H 2014, 'So Much Cost, Such Little Progress', European urology, vol. 66, no. 2. https://doi.org/10.1016/j.eururo.2014.02.031 Link to publication on Research at Birmingham portal Publisher Rights Statement: Checked October 2015 General rights Unless a licence is specified above, all rights (including copyright and moral rights) in this document are retained by the authors and/or the copyright holders. The express permission of the copyright holder must be obtained for any use of this material other than for purposes permitted by law. •Users may freely distribute the URL that is used to identify this publication. •Users may download and/or print one copy of the publication from the University of Birmingham research portal for the purpose of private study or non-commercial research. •User may use extracts from the document in line with the concept of ‘fair dealing’ under the Copyright, Designs and Patents Act 1988 (?) •Users may not further distribute the material nor use it for the purposes of commercial gain. Where a licence is displayed above, please note the terms and conditions of the licence govern your use of this document. -
How to Avoid the Seven Deadly Sins of Surgery
INTRODUCTION HOW TO AVOID THE ‘ SEVEN DEADLY SINS OF SURGERY ’ † † Roger Kirby * , Ben Challacombe * , Prokar Dasgupta * and Increasingly, especially as surgeons, we live ‡ † in a world where the hue and cry resulting John M. Fitzpatrick – * The Prostate Centre , and Department of Urology, MRC from one single untoward incident can Centre for Transplantation, Guy ’ s Hospital, King ’ s College London, King ’ s Health Partners, drown out the plaudits that ought to be due London, UK , and ‡ Mater Misericordiae Hospital and University College Dublin, Dublin, Ireland for literally thousands of cases that have Accepted for publication 14 September 2011 gone smoothly. As a result, it is essential for each and every one of us to try by every means possible to avoid medical accidents, errors and untoward incidents. And when they do occur, we need to deal with their to the patient and his or her relatives, with A similar failure to appreciate what is really aftermath calmly and professionally. follow-up meetings, can avoid months, if happening may arise in the operating not years, of anxiety-inducing litigation. theatre. If advice from the team, including Looking back over seven decades of the assistant, the anaesthetist, the scrub combined experience in urological surgery, The increased focus on teaching these nurse and even the medical student is we thought it might be useful to consider non-technical skills aims to improve factored in, it can sometimes help to avoid a the seven key lessons (mainly learned the standards of communication [ 1 ] . The launch fatal error being made. An operation with hard way) in an attempt to help others of the BAUS national simulation program, ‘ unusual anatomy ’ often suggests that a avoid falling into the traps that lurk in wait SIMULATE, should achieve standardisation of surgeon is in the wrong tissue plane or for the unwary. -
Urological Health
Q3/ 2020 A PROMOTIONAL SUPPLEMENT DISTRIBUTED ON BEHALF OF MEDIAPLANET, WHICH TAKES SOLE RESPONSIBILITY FOR ITS CONTENTS Read more at UROLOGICAL www.healthawareness.co.uk HEALTH Erectile dysfunction p2-3 Prostate cancer p4-5 Benign prostatic hyperplasia p6-7 If you are worried that you might Worried have cancer, we can get you diagnosed and treated quickly. about cancer? Call: 020 3883 6112 / 020 3432 6542 Email: [email protected] We can help Visit: cancercentrelondon.co.uk ©MONKEYBUSINESSIMAGES CCL439-SEP20-V1 2 ! Read more at healthawareness.co.uk A promotional supplement distributed on behalf of Mediaplanet, which takes sole responsibility for its contents | MEDIAPLANET IN THIS ISSUE Urology Week 2020: raising 04 awareness of Erectile Dysfunction A survey conducted as part of Urology Week 2020 shows that awareness of erectile dysfunction “During lockdown, it was even harder than (ED) is alarmingly low in men and women aged 20 to 70. The majority of the respondents do not know normal for some men to get the tests and treatment they needed.” what ED exactly entails, and one in four has never heard of any treatments for ED. Michelle Terry CEO, Movember he survey examined the ED,” as the reason for not seeking knowledge of and experience professional help. with ED of !,"!# men and “Clearly, ED is a common medical Twomen of different age groups condition. There’s absolutely no need between #" and %" years old in Spain, for shame,” Prof. Chapple emphasises. France, Germany, and the UK. When “As urologists, we need to display that asked what ED is, the majority of the attitude by communicating openly. -
So Much Cost, Such Little Progress Bryan, Richard; Kirby, Roger; O'brien, Tim; Mostafid, Hugh
View metadata, citation and similar papers at core.ac.uk brought to you by CORE provided by University of Birmingham Research Portal So Much Cost, Such Little Progress Bryan, Richard; Kirby, Roger; O'Brien, Tim; Mostafid, Hugh DOI: 10.1016/j.eururo.2014.02.031 License: Creative Commons: Attribution-NonCommercial-NoDerivs (CC BY-NC-ND) Document Version Peer reviewed version Citation for published version (Harvard): Bryan, RT, Kirby, R, O'Brien, T & Mostafid, H 2014, 'So Much Cost, Such Little Progress', European urology, vol. 66, no. 2. https://doi.org/10.1016/j.eururo.2014.02.031 Link to publication on Research at Birmingham portal Publisher Rights Statement: Checked October 2015 General rights Unless a licence is specified above, all rights (including copyright and moral rights) in this document are retained by the authors and/or the copyright holders. The express permission of the copyright holder must be obtained for any use of this material other than for purposes permitted by law. •Users may freely distribute the URL that is used to identify this publication. •Users may download and/or print one copy of the publication from the University of Birmingham research portal for the purpose of private study or non-commercial research. •User may use extracts from the document in line with the concept of ‘fair dealing’ under the Copyright, Designs and Patents Act 1988 (?) •Users may not further distribute the material nor use it for the purposes of commercial gain. Where a licence is displayed above, please note the terms and conditions of the licence govern your use of this document. -
Prostate Cancer
70 YEARS OF THE ANNUAL MEETING 25-27 June 2018 LIVERPOOL BT CONVENTION CENTRE CONFERENCE PROGRAMME #BAUS18 @BAUSurology www.baus.org.uk BAUS ANNUAL MEETING Incorporating Meetings of the Sections of: 25-27 June 2018 Academic Urology Andrology & Genito-Urethral Surgery LIVERPOOL Female, Neurological & Urodynamic Urology BT CONVENTION and Teaching Courses CENTRE Contents Sponsors 3 Satellite Sessions 17 Welcome from the President 4 Section Meetings Monday 25 June 21 Introduction by the Honorary Secretary 7 Academic Urology 21 Andrology & Genito-Urethral Surgery 25 General Information 8 Female, Neurological & 29 Abstract Book 8 Urodynamic Urology Badge Scanning 8 Conference Catering 8 Meeting Programme 32 Continuing Medical Education 8 Monday 25 June 32 Delegate Badges 8 Tuesday 26 June 33 Exhibition Location and Opening 8 Wednesday 27 June 41 Local Information 8 Media Check 8 Speaker Biographies 46 Paper and ePoster Sessions 8 Prayer Room 8 Exhibition Plan 49 Programme 8 Registration Desk 9 Exhibitor List 50 Satellite Sessions 9 BAUS Upcoming Events 51 Scientific Sessions 9 Travel and Parking 9 Best Academic Paper Session 54 Twitter 9 ePoster Sessions 55 Venue 9 Wifi 9 BAUS Meeting of Core Trainees 83 Diary Dates 2018/19 9 in Urology Registration Fees 10 Teaching Courses 86 Registration Information 11 Introduction 86 Badge Scanning 11 Course List 87 Cancellations 11 Course Outlines 88 Exhibition-only Registration 11 Accompanying Persons Registration 11 Emergency Procedures 98 The Museum of Urology @ BAUS 2018 13 Social Programme 16 Contents BAUS ANNUAL MEETING 25-27 June 2018 - Liverpool BT Convention Centre 2 Sponsors Conference Bag App Sponsor & Lanyard Sponsor Sponsors of the Office of Education Skills Course Hitachi Medical Systems UK Ltd Oncology Systems Limited Sponsors BAUS ANNUAL MEETING 25-27 June 2018 - Liverpool BT Convention Centre 3 Welcome from the President On behalf of BAUS Council I am delighted to welcome you to the 2018 Annual Scientific Meeting. -
Ilk Sayfalar 7/6/04 14:13 Page 1 ANDROLOJ‹ BÜLTEN‹
ilk sayfalar 7/6/04 14:13 Page 1 ANDROLOJ‹ BÜLTEN‹ TÜRK ANDROLOJ‹ DERNE⁄‹ YAYIN ORGANIDIR Türk Androloji Derne¤i Cemil Aslan Güder Sok. ‹dil Ap. B Blok D.1 80280 Gayrettepe, ‹stanbul Tel: 0212 288 50 99 Faks: 0212 288 50 98 E-posta: [email protected] Web: www.androloji.org.tr TÜRK ANDROLOJ‹ DERNE⁄‹ ADINA SAH‹B‹ Prof. Dr. Atefl Kad›o¤lu GENEL YAYIN YÖNETMEN‹ Uz. Dr. Memduh Ayd›n REDAKTÖR Uz. Dr. Ertan Sakall› YÖNET‹M KURULU Atefl Kad›o¤lu (Baflkan) Bülent Semerci (Genel Yazman) ‹rfan Orhan (Sayman) Ramazan Aflç› (Üye) M. Önder Yaman (Üye) Selahittin Çayan (Üye) Mustafa F. Usta (Üye) Nisan 2004 Say› 17 2 Ayda Bir Yay›nlan›r ilk sayfalar 7/6/04 14:14 Page 2 GENEL YAYIN YÖNETMENİ REDAKTÖR Uz. Dr. Memduh Aydın Uz. Dr. Ertan Sakallı BİLİMSEL KURUL ERKEK CİNSEL SAĞLIĞI Yaşlılık ve Cinsellik Ejakülasyo PrekoksRekonstrüktif Cerrahi ED ve Farmakoterapisi Doç. Dr. Ali Atan Prof. Dr. Ahmet Metin Prof. Dr. Erdal Apaydın Uz. Dr. Ertan Sakallı Uz. Dr. Melih Beysel Temel Araştırma Psikolojik ED Doç. Dr. Emin Özbek Yrd. Doç. Dr. Hakan Kılıçarslan Yrd. Doç. Dr. Mustafa Faruk Usta Doç. Dr. Doğan Şahin INFERTİLİTE Varikosel Endokrinoloji Doç. Dr. Selahittin Çayan Uz. Dr. Necati Gürbüz Doç. Dr. Turhan Çaşkurlu Doç. Dr. İsa Özbey Yardımla Üreme Teknikleri Genetik Prof. Dr. Kaan Aydos Doç. Dr. Barış Altay Uz. Dr. Lütfi Tunç Uz. Dr. A. Arman Özdemir Yrd. Doç. Dr. Murat Şamlı Obstrüktif İnfertilite Kadın İnfertilitesi Doç. Dr. Hamdi Özkara Doç. Dr. İrfan Orhan Prof. Dr. Cihat Ünlü Doç. Dr. Erkut Attar Pediatrik Androloji Androloji Laboratuarı Doç. -
Annual Report and Accounts
Company Number: 06817868 Charity Number: 1128683 TRUSTEES’ ANNUAL REPORT & FINANCIAL STATEMENTS 31 DECEMBER 2015 2 THE UROLOGY FOUNDATION TRUSTEES’ ANNUAL REPORT for the year ended 31 December 2015 The trustees present their report and the financial statements of The Urology Foundation (“The Foundation”) for the year ended 31 December 2015. REFERENCE AND ADMINISTRATIVE DETAILS The trustees of the charity, who are also the directors of the company for the purposes of company law, have held office since 1 January 2015, as follows: Mr J I Tiner CBE Chairman Prof R S Kirby Secretary Mr C Smith Treasurer Prof J D Kelly Chairman of Scientific and Education Committee Mr S Cormack Prof C J Fowler CBE (Retired 29 January 2015) Mrs K Holmes Mr A Moss (Appointed 8 April 2015) Mr R Plail Mr N Rogers (Deceased 15 January 2015) Ms S Sayer CBE Mr K Sethia Representative Trustee British Journal Urology International (BJUI) (Appointed 22 October 2015) Mr M Speakman Representative Trustee British Association of Urological Surgeons (BAUS) The principal address of the charity and the registered office of the company is Unit 3 Pride Court, 80-82 White Lion Street, London N1 9PF. The company is incorporated under company number 06817868, and the charity is registered under the charity number 1128683. The trustees have made the following professional appointments: Bankers: National Westminster Bank plc, PO Box 2021, 10 Marylebone High Street, London W1A 1FH Royal Bank of Scotland plc, St. Helier Jersey Branch, PO Box 64, St. Helier, Jersey, Channel Islands, JE4 8PJ CCLA Investment Management Limited, St. Alphage House, 2 Fore Street, London EC2Y 5AQ Investment Manager: Rothschild Bank (CI) Limited, St. -
That Silly Operation! the Introduction of TURP Into Great Britain
That Silly Operation! The introduction of TURP into Great Britain Jonathan Charles Goddard 1 Jonathan Charles Goddard Curator of the Museum of Urology, BAUS Consultant Urological Surgeon Leicester General Hospital Acknowledgements I’m very grateful to Mr Bernard Ferrie FRCS, retired Urological Surgeon, who acted as expert editor. Thanks to Miss H.P.H. Goddard, Junior Curator, for photographing the instruments from the collection. I’m extremely grateful to KARL STORZ Endoscopy (UK) Ltd. who generously published this booklet for the 2019 BAUS Annual Meeting in Glasgow. 2 “That Silly Operation!” The introduction of TURP into Great Britain “We want you to give up that silly TURP operation John, it will bring St Peter’s into disrepute”. This is what John Blandy, one of the icons of Twentieth Century British Urology, was told by his “greaters and betters” at St Peter’s Hospital (the famous London urology centre) as late as the 1960’s[1]. TURP even at that stage was still seen as a “silly” new and dangerous operation that should not replace open prostatectomy. However, Transurethral Resection of the Prostate, TURP, is now seen as one of the operations that define Urology. Certain procedures, over time, have stood out as key indicators of Urology; lithotomy, lithotrity, cystoscopy, open prostatectomy, radical prostatectomy and now robotic prostatectomy. They are each surgeries of their age, their names associated with Urology and even certain urologists. A brief roll call of names are easily linked with each one; Cheselden (lithotomy), Civiale and Sir Henry Thompson (blind lithotrity), Nitze and Hurry Fenwick (Cystoscopy), Sir Peter Freyer (open prostatectomy), Patrick Walsh (Radical Retropubic Prostatectomy), Roger Kirby and Prokar Dasgupta (Robotic prostatectomy in the UK). -
Urology Update
INSIDE Research Update 2 Prostate Cancer Diagnosis Tools 3 News Update 4 Urology BCG Blood Test Proves Beneficial5 Urology Meet Our Faculty 6 Research & Clinical Update MESSAGE FROM THE CHAIR Innovations in Urology Dear Colleagues, As we begin a new year, I am Bioengineered Tissue Constructs for Irreversibly Damaged Penile delighted to update you on Corpora the latest clinical and research Traumatic injuries in civilians and battlefield-related injuries in soldiers often news here at Wake Forest require reconstructive procedures to restore the anatomy and functionality of Baptist Health Urology. From the penis. However, these procedures are often limited by poor availability of a new clinical trial evaluating functionally intact penile tissue. Various penile reconstructive procedures, such bioengineered penile tissue as penile prostheses and autograft implantation, have been attempted. While to continued advancements in cosmetic appearance may be improved, restoration of spontaneous and natural surgical procedures, I am proud erectile function may not be achieved. This is often due to a defect of the of the innovative, pioneering corpora cavernosa, which is critical for erectile function. The concept of a tissue spirit of our faculty. engineering-based therapy has been proposed for reconstructing damaged penile corporal tissue. The clinical work of our faculty is complemented by their An upcoming clinical trial sponsored by the Armed Forces Institute for research endeavors with Regenerative Medicine (AFIRM II) has been designed to evaluate the safety of medical center colleagues, autologous engineered corpora cavernosa + albuginea constructs for treatment Urology Research Laboratory of complex penile deformities. Autologous endothelial and smooth muscle cells, obtained from enrolled subjects’ corpora cavernosa biopsies, will be cultured, and the Wake Forest Institute expanded in vitro and used to seed decellularized corpora cavernosa + albuginea for Regenerative Medicine. -
Urethro-Vesical Dysfunction in Progressive Autonomic Failure with Multiple System Atrophy
Journal of Neurology, Neurosurgery, and Psychiatry 1986;49:554-562 Urethro-vesical dysfunction in progressive autonomic failure with multiple system atrophy ROGER KIRBY,* CLARE FOWLER,* JOHN GOSLING,t ROGER BANNISTER$ From the Department of Urology, Middlesex Hospital,* London, The National Hospitalfor Nervous Diseases, London, and the Department ofAnatomy, University ofManchester,t UK SUMMARY Fourteen patients with progressive autonomic failure and multiple system atrophy have been investigated by urodynamic, electromyographic and neurohistochemical means and the results compared with a series of age-matched controls. Three fundamental abnormalities of lower urinary tract function have been identified: (1) Involuntary detrusor contractions in response to bladder filling. It is suggested that these may be the result of a loss of inhibitory influences from the corpus striatum and substantia nigra. (2) Loss of the ability to initiate a voluntary micturition reflex. This may reflect the degeneration of neurons in pontine and medullary nuclei and in the sacral inter- mediolateral columns. In addition, these studies have demonstrated a significant reduction in the density of acetylcholinesterase-containing nerves in bladder muscle. (3) Profound urethral dys- function. This appears to be partly due to a loss of proximal urethral sphincter tone, which causes bladder neck incompetence. In addition, the function of the striated component of the urethral sphincter is impaired. Individual motor units recorded from this muscle were clearly abnormal when compared with controls and suggested that reinnervation had occurred. We suggest that this is the result of degeneration of a specific group of sacral anterior horn cells known as Onuf's nucleus. The evidence that these particular motor units are affected, while others are spared, poses fundamental questions about the nature of selective vulnerability in degenerative diseases of the nervous system. -
Group Seminars Are an Effective and Economic Method of Delivering Patient Information on Radical Prostatectomy and Functional Outcomes
Journal of Research in Nursing and Midwifery (JRNM) (ISSN: 2315-568x) Vol. 1(3) pp. 41-46, September 2012 Available online http://www.interesjournals.org/JRNM Copyright ©2012 International Research Journals Full Length Research Paper Group seminars are an effective and economic method of delivering patient information on radical prostatectomy and functional outcomes Kinsella Janette*1, De Smedt Delphine 2, Van Hemelrijck Mieke 3, Ashfield Anna 1, Hazel Elaine 1, Dasgupta Prokar 1, Challacombe Benjamin 1, Popert Rick 1, Cahill Declan 1 1The Urology Centre, Guys and St Thomas NHS Foundation Trust, London, UK 2Department of Public Health, Ghent University, Gent, Belgium 3King’s College London, School of Medicine, Division of Cancer Studies, Cancer Epidemiology Group, London, UK Abstract We aim to explore efficacy and economic benefits of a group intervention for surgical preparation for men undergoing radical prostatectomy and their partners. We selected 255 patients and 104 partners of Guy’s Hospital Urology Centre participated in our group seminars over a 12 month period. Urology clinical nurse specialists delivered three seminar presentations on continence management, erectile dysfunction and early complications to a group of patients and partners. Participant satisfaction was assessed with an anonymous questionnaire using Likert items. Pre-seminar questionnaires indicated that only 23 patients felt prepared for surgery prior to the session. All participants reported to have received adequate information to deal with complications of surgery following the session and all stated a preference to a group seminar with peer support rather than individual consultations. Over 12 months, 30 specialist nursing hours were required to deliver education via seminar sessions to 359 patients. -
John M Fitzpatrick “The Best Known Urologist in the World”
OBITUARIES John M Fitzpatrick “The best known urologist in the world” John M Fitzpatrick (b 1948; q University College but with inadequate training opportunities in Dublin School of Medicine 1971; FRCSI, FEBU, Ireland, Fitzpatrick moved to London in 1977 FC Urol (SA), FRCSGlas, FRCS), died from a to work in the St Peter’s Hospitals and the Insti- subarachnoid haemorrhage on 14 May 2014. tute of Urology under John Wickham and John Blandy, whom Kirby describes as “two of the The urologist John Fitzpatrick was a big friendly greats of British urology.” Irishman with a magnetic personality, who Fitzpatrick also spent four months in Ger- loved to roar with laughter. He had travelled the many at the University of Mainz under Rudi world for several decades, lecturing on urology Hohnfellner, developing an interest in research at meetings, conferences, and seminars—and and expanding his network of professional winning friends and admirers of myriad nation- connections and friendships into continental alities. Europe. That network later would expand into On the morning of his death, Fitzpatrick, at 65 North America through the Urological Research years of age, was still robust, enjoyed trekking Society and the American Association of Geni- and cycling. An emeritus professor of surgery tourinary Surgeons, which awarded him the at University College Dublin (UCD) and head Spence Medal in 2010. of research at the Irish Cancer Society, he was In 1981 Fitzpatrick returned to his beloved looking forward to his next journey, this time to Dublin as consultant urologist and senior lec- the annual meeting of the American Urological turer in urology in the Meath and St James’s Association in Orlando, Florida.