Search

Objectives: To determine whether Covid19 had a tangible effect on urology training in Wales. There has been no Welsh data available concerning how training has changed during the covid pandemic. This survey evaluated the overall impact on training, with the primary aims to identify changes in clinical and academic activities and evaluate a trainees' wellbeing during the crisis. Materials and methods: Online questionnaires were sent to all Urology Trainees; n = 20 (83% response) working in the Welsh deanery in the United Kingdom, asking about changes in training particularly within operating list, out-patient clinics, diagnostic activities, educational courses, teaching sessions and examinations. Results: Across Wales trainees experienced a reduction in operating procedures, clinics and teaching courses. Due to a redesign of services, there was only a minimal impact on training for cancer diagnostics and Multi-Disciplinary Team (MDT) meetings. The majority of trainees felt their index procedures and ability to complete training will be affected. Conclusion: Cancer work, including cancer related theatre lists, diagnostics and MDT were maintained. Trainees lacked confidence that they would reach their operative competencies and struggle to successfully complete training. Following BAPIO discussion, we suggest that training programmes readjust to focus on areas where exposure has been lacking. [ABSTRACT FROM AUTHOR]

Erectile dysfunction (ED) is a common condition encountered by an array of subspecialists and is the most cited research topic within the field of andrology. This bibliometric analysis aims to identify the most influential papers that inform current clinical practice and likely shape future research. The Thompson Reuters Web of Science citation database was interrogated using search terms to cover the breadth of erectile dysfunction. Results were ranked according to citation number with country of origin, journal, topic, year of publication, author and institution also analysed. The search criteria matched 12,570 manuscripts. The top 100 highest citation ranged from 3013 to 161 (median 229.5). The most cited manuscript reports the prevalence and risk factors of ED within the Massachusetts Male Aging Study. The most manuscripts were published by the Journal of Urology (n = 15) with a total of 7913 citations. Institutions from the USA contributed the majority (n = 55) with the UK (n = 14) second. The most common theme represented was epidemiology (n = 46) followed by treatment (n = 27). This analysis provides a list of the most influential manuscripts within ED and illustrates what can be considered a 'highly citable' paper. The most influential papers in Erectile Dysfunction remain seminal works from the end of the last century. The most cited manuscript has been cited 194 times in the last 17 months showing its continued value. Only one paper published within the last decade has reached the top twenty exemplifying the relative lack of novel influential publications. [ABSTRACT FROM AUTHOR]

In the UK, the recent flourishing of organised resistance against austerity and the dominance of the free market over all aspects of life has done little to buck an overall trend of decreasing membership in political parties and similar organisations. Few informal organisational forms on the Left have fared better. However, these diminishing structures have certain key characteristics in common and there are suggestions of alternative political forms emerging in their stead. This article argues that such periods of decomposition, far from being an indication of failure, are an important and desirable element of social movement that can and should be deliberately factored in to political organising. Building from the notion that the basis of social change is the ability to move out of existing institutions, the article explores three methodologies of decomposition that bridge the divides between mythology, poetry, and political theory: Negative Capability, Eeriness, and the surrealist game. [ABSTRACT FROM AUTHOR]

The article focuses on how the National Health Service (NHS) England (NHSE) Clinical Commissioning Policy can prevent the geographical inequality of services for the surgical management of men with azoospermia. Topics include the incidence of male infertility in Great Britain, the use of surgical sperm retrieval (SSR) to address infertility in men, and the management of obstructive and non-obstructive azoospermia in men.

The article discusses social conflicts that developed in Great Britain in response to the economic crisis as of May 2013, with information on the impact of austerity policies and the public's perceived lack of political representation on the development of protest movements. Topics include an overview of significant demonstrations, movements, and social conflicts in Great Britain between 2010 and 2012, the moral and ethical aspects of the financial crisis, and an analysis of the conflicts based upon social reproduction and political economy.

Background: Despite its importance, current practice in the emergency management of priapism in the United Kingdom is unknown., Aim: To evaluate current practice in the emergency management of priapism in the United Kingdom., Methods: All "full," "associate urological specialist," and "trainee" members of the British Association of Urological Surgeons (BAUS; leading membership-based organization for practitioners of urologic surgery in the United Kingdom) were invited to participate in an online survey. Questions related to the emergency management of priapism, access to tertiary andrology services, and use of guidelines., Outcomes: Key outcome measures included frequency of encountered cases, access to specialist andrology support, confidence in key management steps, and use of current guidelines., Results: 213 of 1,304 (16.3%) eligible members completed the survey. Most reported managing 1 case annually (median = 1, range = 0->10). Only 7.0% transferred patients to a tertiary center and 87.8% believed they could access specialist andrology advice if required. Respondents were less confident in performing intracavernosal phenylephrine instillation (88.7%) compared with corporal aspiration (98.1%), with confidence lowest among trainee members. Only 68.5% reported performing the distal shunt procedure. Of the 212 respondents that chose to answer questions relating to guidelines, only 155 (73.1%) were aware of their existence, with those published by the European Association of Urology being most popular (53.8%). 205 (96.2%) respondents expressed an interest in the development of a UK-specific guideline, with 162 of 212 (76.4%) stating they would use this in practice., Clinical Implications: Urologists in the United Kingdom support the development of UK-specific guidance on the emergency management of priapism for use within the context of the National Health Service., Strengths and Limitations: This is the first study to assess current practice in the emergency management of priapism in the United Kingdom. Its strength is that most UK urologists were invited to participate through collaboration with the BAUS. Although the response rate of 16.3% is acceptable for a national survey of this nature, responses were self-reported, rendering them susceptible to bias., Conclusion: This study demonstrates that some UK urologists lack confidence in key steps in the emergency management of priapism and identifies a strong level of support for the development of up-to-date UK-specific guidance. Bullock N, Steggall M, Brown G. Emergency Management of Priapism in the United Kingdom: A Survey of Current Practice. J Sex Med 2018;15:476-479., (Copyright © 2018 International Society for Sexual Medicine. Published by Elsevier Inc. All rights reserved.)