Kieran O'Flynn

Photodynamic therapy for superficial bladder cancer under local anaesthetic.

Objectives To evaluate the use of local anaesthesia (LA) in 5‐aminolaevulinic acid (ALA) photodynamic therapy (PDT) for superficial transitional cell carcinoma (TCC) of the bladder, and to provide further toxicity and tolerability data on this new method within the context of a phase 1 trial.

The increased rate of prostate specific antigen testing has not affected prostate cancer presentation in an inner city population in the UK

To assess whether the increased use of prostate‐specific antigen (PSA) testing over the last 15 years has changed the way prostate cancer presents in an inner city UK population, where PSA screening rates might be expected to be lower than in epidemiological studies based in North America, where there is a significant tendency to a localized stage and earlier age at diagnosis.

Rates of self-reported 'burnout' and causative factors amongst urologists in Ireland and the UK: a comparative cross-sectional study.

To determine the incidence of ‘burnout’ among UK and Irish urological consultants and non‐consultant hospital doctors (NCHDs). The second objective was to identify possible causative factors and to investigate the impact of various vocational stressors that urologists face in their day‐to‐day work and to establish whether these correlate with burnout. The third objective was to develop a new questionnaire to complement the Maslach Burnout Inventory (MBI), more specific to urologists as distinct from other surgical/medical specialties, and to use this in addition to the MBI to determine if there is a requirement to develop effective preventative measures for stress in the work place, and develop targeted remedial measures when individuals are affected by burnout.

Comparison of the cellular molecular stress responses after treatments used in bladder cancer

Objective  To investigate the molecular stress responses related to the quality of recovery of normal tissue after various treatments for bladder cancer, i.e. hyperthermia, ionizing radiation, mitomycin‐C and 5‐aminolaevulinic acid photodynamic therapy (ALA‐PDT).

The record of in-training assessments (RITAs) in urology: an evaluation of trainee perceptions.

AIMS To evaluate the effect of the Calman reforms on SpRs in urology with respect to their educational goals, their experience of the RITA process and its value in preparing them for their chosen consultant careers. PARTICIPANTS AND METHODS All urological trainees holding national training numbers who had completed at least one RITA review, but had not yet been awarded a CCST, were sampled. RESULTS A total of 100 completed replies were received. Of those replying, 87% had an appointed educational supervisor with marked variation between regions. Training expectations in the four main categories of knowledge, vocational skills, operative competencies and personal development for each particular year of training were clear to only 40%, 35%, 44% and 60% of trainees, respectively. In general, trainee satisfaction with their most recent RITA review was fair with a mean of 6 (range, 4-8) on an arbitrary 10-point scale. Of the trainees, 83% felt that they would be adequately trained for consultant practice at the end of their training although this confidence varied between years of training. CONCLUSIONS Unification in the registrar grade has initiated an improvement in urological education for SpRs. There has, however, been haphazard delivery of that education due to a lack of objectivity in definition and assessment of the educational goals in individual training years. The RITA process should be more prescriptive in its administration and the setting of annual targeted training objectives should help to optimise the training opportunities for individual SpRs.

Imaging and Technology in Urology

Its coming again, the new collection that this site has. To complete your curiosity, we offer the favorite imaging and technology in urology book as the choice today. This is a book that will show you even new to old thing. Forget it; it will be right for you. Well, when you are really dying of imaging and technology in urology, just pick it. You know, this book is always making the fans to be dizzy if not to find.

Celebrating BAUS and NICE Guidance

On behalf of the BAUS Council, I am delighted to write this editorial looking forward to the 73rd annual meeting of the BAUS, which will be held in Glasgow from 26 to 28 June. In response to feedback we had from delegates following BAUS 2016 and the successful European Association of Urology meeting in London this March, we have changed the format and duration of the meeting, ensuring that it has a distinct feel, reflecting the best of British Urology.

Response to Letter to the Editor: National Re-Audit of Urology Outpatient Practice in the UK

We would like to thank Messrs Nuttall and ’Brien for their views and to congratulate them n reorganising their service so effectively. Our aper has audited national urology outpatient pracice and has highlighted the discrepancy between roposed and actual workload. This is clearly a sigificant issue but it is also a manifold problem for hich there is no universal and simple solution, specially if we focus on numbers alone. Messrs Nuttall and O’Brien’s comments about edesigning outpatient provision do provide a otential solution to some of the workload probems and there will be areas in the UK where mplementation of this type of practice can be pplied effectively. On the other hand, there will lso be areas where a numerical shortfall in peronnel is an important factor and this should not be isregarded. We should remember that the quality of the atient experience is of particular importance. Ini-

EMQs in Urology

A) Substitution urethroplasty using buccal mucosa (Barbagli procedure) B) Anastomotic urethroplasty C) Optical urethrotomy D) Optical urethrotomy followed by tuition in intermittent self dilatation E) Perineal urethrostomy F) Two stage substitution urethroplasty using bladder mucosa ) Urethral dilatation ) Two stage substitution urethroplasty using penile (preputial) skin I) Suprapubic catheter