Category: Urology

July 1, 2019

Be #urosceptical

Ditch the Dipstick – for patients >65Yrs or Catheterised!

Approx. 50% of over 65’s and most of those with catheters have asymptomatic bacteriuria. The patient will not benefit from treatment and often gives us premature closure (i.e. we blame a fictitious UTI for the patients symptoms and stop thinking). Read more

February 24, 2018

Urinary Retention

A common problem which affects 1 in 10 men between 70-79yrs and 1 in 3 men 80-89yrs (10M:F)

Signs/Symptoms

Unable to pass urine (may be passing small amounts overflow)
Desire to pass urine (reduced in neurological causes e.g. cauda equine)
Suprapubic & loin pain (may not be present in chronic or neurological causes)
Palpable bladder on examination

December 19, 2017

CDU – Renal Colic

For those who’s history and examination is consistent with Renal Stones and require CTKUB, for diagnosis.

Specific admission criteria

History consistent with renal stone
AAA excluded (over 50 years old)
Not pregnant or within 3 months post partum
Requires immediate CT (Others can be performed 08:00-21:00)
- Anuric
- Acute Kidney Injuryo Single Kidney
- Sepsis
- Diabetes
- Immuno-compromise