A5075666079- Kidney Stones and Urolithiasis Treatments
- Pediatric Urology and Nephrology Studies
- Ureteral procedures and complications
- Gallbladder and Bile Duct Disorders
- Urological Disorders and Treatments
- Bladder and Urothelial Cancer Treatments
- Hormonal Regulation and Hypertension
- Adrenal and Paraganglionic Tumors
- Urinary and Genital Oncology Studies
- Renal and Vascular Pathologies
- Therapeutic Uses of Natural Elements
- Pituitary Gland Disorders and Treatments
- Renal cell carcinoma treatment
- Urinary Bladder and Prostate Research
- Pelvic floor disorders treatments
- Pancreatitis Pathology and Treatment
- Prostate Cancer Diagnosis and Treatment
- Diverticular Disease and Complications
- Dialysis and Renal Disease Management
- Aortic aneurysm repair treatments
- Gastrointestinal disorders and treatments
- Hernia repair and management
- Paleopathology and ancient diseases
- Biomedical Research and Pathophysiology
- Minimally Invasive Surgical Techniques
Norfolk and Norwich University Hospital
2006-2023
Norfolk and Norwich University Hospitals NHS Foundation Trust
2013-2022
Clarke (United States)
2016
Faculty of Media
2016
Bio-Medical Science (South Korea)
2016
Radiation Oncology Associates
2016
Norwich University
2001-2011
The Honourable Society of Lincoln's Inn
2009
Prince of Wales Hospital
2001
Addenbrooke's Hospital
1996
Ureteric colic, the term used to describe pain felt when a stone passes down ureter from kidney bladder, is frequent reason for people seek emergency health care. Treatment with muscle-relaxant drugs tamsulosin hydrochloride (Petyme, TEVA UK Ltd) and nifedipine (Coracten(®), UCB Pharma as medical expulsive therapy (MET) increasingly being improve likelihood of spontaneous passage lessen need interventional procedures. However, there remains considerable uncertainty around effectiveness these...
OBJECTIVE To report our experience of percutaneous surgery for treating renal pelvicalyceal stones over 6 years, to show that this approach is feasible and safe in obese morbidly patients, as the prevalence obesity stone disease has risen last 20 years. PATIENTS AND METHODS We retrospectively reviewed results 223 nephrolithotomies (PCNLs) by one urologist between 1995 2001. Patients were stratified into four groups according World Health Organization classification body mass index (BMI),...
Clayman and associates first described laparoscopic nephrectomy in 1990. This paper describes the randomized controlled trial to compare with open surgery for simple radical nephrectomy.Between 2001 2004, 45 patients requiring or (tumors as large 8 cm) were either through a loin incision (transperitoneal). Outcome measures included operative time, complications, hospital stay, pain scores, time return normal activities, quality of life scores (EuroQol).The mean was 105 minutes group 93...
Ureteral stents are composed of different polymers and it is unclear if stent composition influences patient comfort. We compared the impact firm soft polymer on health related quality life.A total 130 patients requiring insertion ureteral during treatment urinary calculi were randomized to receive a (Percuflex, group 1) or (Contour, 2) polymer. Patients asked complete Ureteric Stent Symptoms Questionnaire, validated instrument, at weeks 1 4 with in situ after its removal, this served as...
Renal stone disease is common and can cause emergency presentation with acute pain due to ureteric colic. International guidelines have stated the need for a multicentre randomised controlled trial (RCT) determine whether non-invasive outpatient (shockwave lithotripsy [SWL]) or surgical (ureteroscopy [URS]) intervention should be first-line treatment those needing active intervention. This has implications shaping clinical pathways.To report pragmatic non-inferiority RCT comparing SWL...
Objective To compare outcomes of urologist vs interventional radiologist ( IR ) access during percutaneous nephrolithotomy PCNL in the contemporary UK setting. Patients and Methods Data submitted to British Association Urological Surgeons data registry between 2009 2015 were analysed according whether was obtained by a or an . We compared success, number type tracts, perceived actual difficulty access. Postoperative outcomes, including stone‐free rates, lengths hospital stay complications,...
What's known on the subject? and What does study add? One of suggested factors for stent‐related symptoms is that excess distal intravesical stent mass may cause bladder irritation. There a lack studies investigating this in randomised controlled fashion using validated questionnaire. This compared two most commonly used length stents (a 30 cm multi‐length vs 24 long stent) showed no significance difference patients with either these stents. Objective To investigate whether excessive...
Objective To investigate the postoperative outcomes of percutaneous nephrolithotomy ( PCNL ) in E nglish National Health Service NHS hospitals. Patients and Methods We extracted records from Hospital Episode Statistics HES database for all patients undergoing between M arch 2006 J anuary 2011 Outcome measures were haemorrhage, infection within index admission, rates emergency readmission in‐hospital mortality 30 days surgery. Results A total 5750 procedures performed 165 During haemorrhage...
INTRODUCTION Nephroureterectomy with excision of a cuff bladder remains the standard for managing upper tract transitional cell carcinoma (TCC). Increasing use diagnostic endoscopy has underlined importance obtaining pre-operative histological diagnosis in order to avoid under-treating high-grade or multifocal disease and over-treating low-grade disease, which could, selected cases, be managed conservatively. We review nephroureterectomy at our institution over 10-year period particular...
Purpose: This multicenter regional trial aimed to evaluate prospectively whether a home-constructed training system comprised of camcorder, standard television, and laparoscopic box trainer could be used advance intracorporeal suturing skills. Subjects Methods: Ten urology residents attended 1-hour teaching session on at the outset study. Baseline times quality assessment were recorded for single-knot sutures, performed stack systems, directly after instruction. Four assigned train regularly...
Urinary stone disease is very common with an estimated prevalence among the general population of 2-3%. Ureteric stones are associated severe pain as they pass through urinary tract and have significant impact on patients' quality life due to detrimental effect their ability work need for hospitalisation. Most ureteric can be expected spontaneously supportive care. However, between one-fifth one-third cases require intervention. The two standard active intervention options extracorporeal...
To investigate whether the intravenous urogram used in an appropriate setting is a valuable investigation for managing severe loin pain pregnancy.Prospective observational study.University teaching hospital.Fifteen pregnant women referred with pain.A prospective study collecting data over 24-month period was performed. Women believed to be of renal origin that had failed respond conservative treatment were by their obstetricians. The performed consisted two-film series (plain film and...
Objective To describe trends in deaths from prostate cancer between 1970 and 1990, registrations of 1971 1986. Methods Data on were obtained the Office Population Censuses Surveys, age specific rates calculated. Results The number rose by 107% 3906 to 8098. 75% 1986, 5819 10 180. Age‐specific death registration also increased but a smaller amount than rise absolute numbers. Conclusions A component increase seen both can be explained concomitant elderly male population, group at highest risk,...