Andrew Adamson
Royal Hampshire County Hospital
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Publication
Featured researches published by Andrew Adamson.
BJUI | 2009
Suzanne Biers; Helen C. Oliver; Alex J. King; Andrew Adamson
To assess the incidence and outcome of incidental prostate cancer detected at transurethral resection of the prostate (TURP), and to evaluate whether laser ablation prostatectomy would miss significant cancer by failing to provide tissue for histopathological analysis.
Nature Reviews Urology | 2010
James Manners; Rajinder Singh; Andrew Page; Andrew Adamson; Duncan McLean
Background A 70-year-old man with a history of hypertension presented with severe epigastric discomfort that radiated to his back. CT revealed cystic kidney disease and a large retroperitoneal hemorrhage, and CT angiography identified an active bleeding point in the region of the left adrenal gland. Selective left renal angiography identified a small inferior adrenal artery aneurysm with active hemorrhage. The patient underwent successful transcatheter embolization with microcoils and polyvinyl alcohol microparticles to control the bleeding.Investigations Blood tests, urinalysis, electrocardiography, triphasic CT with CT angiography.Diagnosis Ruptured left inferior adrenal artery aneurysm.Management Access to the inferior adrenal artery was achieved with a microcatheter, followed by transcatheter embolization using a combination of polyvinyl alcohol microparticles distally and microcoils proximally to the aneurysm.
Annals of The Royal College of Surgeons of England | 2005
Nikesh Thiruchelvam; Andrew Adamson
We read with interest the recent Controversial Topics in Surgery debate regarding inguinal hernia – laparoscopic versus open repair.1,2 The benefits of both methods were eloquently presented; however, as urologists, we feel that an important consideration has been ignored in this debate. Increasing numbers of younger men are now being diagnosed with early prostate cancer. Though optimal management of this patient group has yet to be established, it is likely that many men will continue to opt for ablative surgery of the prostate. Our personal experience of attempted radical retropubic prostatectomy being near impossible following laparoscopic hernia repair is confirmed by others who substantiate it to be incredibly difficult, if not impossible.3,4 Regardless of whether the laparoscopic repair is via the transperitoneal or extraperitoneal approach, dissection of the obliterated retro pubic space, to allow mobilisation of the prostate is difficult because of the secondary fibrotic reaction caused by the mesh repair. Fibrosis around the anterior surface of the bladder and the prostate, often extending laterally to the endopelvic fascia, obliterates the tissue planes compromising oncological cancer principles and, most probably, outcomes. The same problems will face the laparoscopic radical prostatectomist and also those who favour the perineal approach. We feel that general surgeons who regularly perform laparoscopic inguinal hernia repairs should be aware of the consequences of this approach, as decision making in patients who are subsequently diagnosed with early prostate cancer will be influenced by their actions. Indeed, perhaps there is a case for more careful prostate assessment or ‘screening’ of patients undergoing laparoscopic hernia repair.
BJUI | 2008
Robert W. Ritchie; Daniel M. Lindfield; Charles Richard William Lockyer; Andrew Adamson
© 2 0 0 8 T H E A U T H O R S 1 3 3 6 J O U R N A L C O M P I L A T I O N
European Urology | 2004
Nigel E. Drury; Jonathan P. Dyer; Nicole Breitenfeldt; Andrew Adamson; G.S.M. Harrison
BJUI | 2001
S.J. Foley; Andrew Adamson
BJUI | 2006
Nikesh Thiruchelvam; Andrew Adamson
British Journal of Medical and Surgical Urology | 2011
Rajinder Singh; Raid Al-Talib; Andrew Adamson
Surgical Laparoscopy Endoscopy & Percutaneous Techniques | 2007
Robert W. Ritchie; Nikesh Thiruchelvam; Andrew Adamson
Annals of The Royal College of Surgeons of England | 2007
Rw Ritchie; N Thiruchelvam; Andrew Adamson