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  • REVIEW of the ANNUAL MEETING of ESSIC (INTERNATIONAL SOCIETY for the STUDY of BPS) ROME, ITALY, 17-19 SEPTEMBER 2015 Jane Meijlink

    REVIEW of the ANNUAL MEETING of ESSIC (INTERNATIONAL SOCIETY for the STUDY of BPS) ROME, ITALY, 17-19 SEPTEMBER 2015 Jane Meijlink

    International Painful Bladder Foundation REVIEW OF THE ANNUAL MEETING OF ESSIC (INTERNATIONAL SOCIETY FOR THE STUDY OF BPS) ROME, ITALY, 17-19 SEPTEMBER 2015 Jane Meijlink It was tropically hot weather in Rome for the annual meeting of ESSIC (International Society for the Study of BPS, founded 2004) held at the Gemelli Hospital Catholic University of Rome where over 200 delegates received a “warm” welcome in every sense from Professor Mauro Cervigni who organized and chaired this year’s meeting, Professor Jean-Jacques Wyndaele, president of ESSIC, Professor Giovanni Scambia, head of gynaecology at Gemelli Hospital and via Skype from Professor Adrian Wagg, General Secretary of the International Continence Society (ICS). It was good to see so many younger healthcare professionals attending. With many experts now around retirement age, it is important to encourage younger doctors to continue the crusade. Patients were not forgotten either, with a patient speaker session forming part of the programme, and a number of patient representatives, particularly from Italy, in the audience. Simultaneous translation was provided for Italian delegates and vice versa where necessary. The meeting was divided into themed sessions and each session was followed by a question and answer session. Particularly interesting at this meeting was a new device from Hungary, presented by Dr Sandor Lovasz as an option to replace catheters for instillations and also a study for a promising new drug. AICI 20th Anniversary The Associazione Italiana Cistite Interstiziale (AICI) (Italian Interstitial Cystitis Association) is celebrating its 20th anniversary this year and organized a celebratory dinner at the end of the ESSIC meeting.
  • Guidelines on Urological Trauma

    Guidelines on Urological Trauma

    GUIDELINES ON UROLOGICAL TRAUMA (Limited text update March 2015) D.J. Summerton (Chair), N. Djakovic, N.D. Kitrey, F.E. Kuehhas, N. Lumen, E. Serafetinides, D.M. Sharma Eur Urol 2010 May;57(5):791-803 Eur Urol 2012 Oct;62(4):628-39 Eur Urol 2015 Jan 8. pii: S0302-2838(14)01390-6 Eur Urol 2015 Jan 6. pii: S0302-2838(14)01391-8 Introduction Genito-urinary trauma is seen in both sexes and in all age groups, but is more common in males. Traumatic injuries are classified according to the basic mechanism into penetrating and blunt. Penetrating trauma is further classified according to the velocity of the projectile: 1. High-velocity projectiles (e.g. rifle bullets - 800-1000m/sec). 2. Medium-velocity (e.g. handgun bullets - 200-300 m/sec). 3. Low-velocity items (e.g. knife stab). High-velocity weapons inflict greater damage because the bullets transmit large amounts of energy to the tissues, resulting in damage to a much larger area then the projectile tract itself. In lower velocity injuries, the damage is usually confined to the track of the projectile. Blast injury is a complex cause of trauma because it commonly includes both blunt and penetrating trauma, and may also be accompanied by a burn injury. Urological Trauma 271 Initial evaluation and management The first priority is stabilisation of the patient and treatment of associated life-threatening injuries. A direct history is obtained from the patient (if conscious) or from witnesses/emergency personnel (if patient unconscious and/or seriously injured). In penetrating injuries, assess size of the weapon in stab- bings, and the type and calibre of the weapon used in gunshot wounds.