Richard Pearcy

Ultrasound estimated bladder weight in men attending the uroflowmetry clinic.

To determine if measurements of ultrasound estimated bladder weight (UEBW) provide an additional diagnostic tool when assessing men with lower urinary tract symptoms (LUTS) in the uroflowmetry clinic.

Automatic evaluation of ultrasonography-estimated bladder weight and bladder wall thickness in community-dwelling men with presumably normal bladder function.

Study Type – Diagnostic (exploratory cohort)

The role of urological surgery in male infertility

In 50% of involuntarily childless couples a male infertility associated factor is found together with abnormal semen parameters. Surgical management of male infertility has advanced significantly over the last decade. This improvement in operative intervention is due in part to advancements in assisted reproductive technologies and associated new sperm retrieval techniques, an increased awareness among vasectomised men that they may still have their own biological offspring after a vasectomy reversal, and a more scientific understanding of the effects of varicoceles on spermatogenesis as well as the introduction of innovative techniques in their surgical repair. We describe various investigations to determine the underlying aetiology for male infertility and surgical techniques to improve semen parameters and sperm delivery, including microsurgical procedures which are technically challenging and demand specialised skills and andrological expertise.

British Association of Urological Surgeons (BAUS) consensus document for the management of male genital emergencies ‐ testicular trauma

Male genital emergencies relating to the penis and scrotum are rare and require prompt investigation and surgical intervention. Clinicians are often unfamiliar with the management of these conditions and may not work in a specialist centre with on‐site expertise in genitourethral surgery. A series of consensus statements have been developed by an expert consensus comprising British Association of Urological Surgeons (BAUS) Section of Andrology and Genitourethral Surgery together with experts from units throughout the UK. Testicular trauma requires prompt investigation and treatment in order to prevent the development of subfertility or hypogonadism. This series of consensus statements provide guidance for UK practice.

BAUS consensus document for the management of male genital emergencies: priapism

Male genital emergencies relating to the penis and scrotum are rare and require prompt investigation and surgical intervention. Clinicians are often unfamiliar with the management of these conditions and may not work in a specialist centre with on‐site expertise in genitourethral surgery. A series of consensus statements have been developed by an expert consensus committee comprising members of the BAUS Section of Andrology and Genitourethral Surgery together with experts from urology units throughout the UK. Priapism requires prompt assessment and treatment and these consensus statements provide guidance for UK practice.

BAUS Consensus Document for the Management of Male Genital Emergencies - Penile Fracture

Male genital emergencies relating to the penis and scrotum are rare and require prompt investigation and surgical intervention. Clinicians are often unfamiliar with the management of these conditions and may not work in a specialist centre with on‐site expertise in genitourethral surgery. The aim of these consensus statements is to provide best practice guidance for urological surgeons based in the UK which are developed by an expert consensus. Penile fracture is a rare emergency and in most cases requires prompt exploration and repair to prevent erectile dysfunction and penile curvature.

BAUS Consensus Document for the Management of Male Genital Emergencies - Penile Amputation

Male genital emergencies relating to the penis and scrotum are rare and require prompt investigation and surgical intervention. Clinicians are often unfamiliar with the management of these conditions and may not work in a specialist centre with on‐site expertise in genitourethral surgery. A series of consensus statements have been developed by an expert consensus committee comprising members of the British Association of Urological Surgeons (BAUS) Section of Andrology and Genitourethral Surgery together with experts from urology units throughout the UK. Penile amputation is a rare genital emergency, which requires prompt intervention and microsurgical reconstruction. The consensus statements will outline the management of these cases for non‐specialist units, as well as recommendations for reconstruction for specialists.

Surgical management of Azoospermia – Can the NHS England Clinical Commissioning Policy reduce geographical inequality of services?

Developments in assisted reproductive techniques (ART) have transformed the management of male factor infertility and the advent of intracytoplasmic sperm injection (ICSI) in 1993 was a landmark in the management of the infertile male. While this has been an undoubted success, it has led to a shift away from understanding and correcting the potential reversible causes of male factor infertility, to one that simply overcomes it with assisted reproductive techniques (ART). The aetiology of male infertility can broadly be divided into impaired spermatogenesis, or impaired sperm transport within the genital tract. The most challenging of these is male infertility due to azoospermia, which affects approximately 10-15% of infertile men (2.7million men in Europe). This article is protected by copyright. All rights reserved.