Publications by authors named "Daniel P McNicholas"
Introduction: Male urethral stricture affects 100 in 100,000 men. These are investigated using uroflowmetry, retrograde urethrography and cystourethroscopy. Management is usually endoscopic with urethral dilation or direct visual internal urethrotomy, although they have high failure rates.
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- - Cystectomy is the preferred treatment for muscle-invasive bladder cancer, with robotic cystectomy gaining popularity due to benefits like quicker recovery, less blood loss, and reduced pain.
- - The study reviewed the incidence of uretero-enteric strictures (UES) in different cystectomy techniques (open, robotic with extracorporeal diversion, and robotic with intracorporeal diversion) and found open surgery had the lowest stricture rate (9.6%).
- - While robotic techniques showed higher UES rates, they may involve a learning curve, prompting a need for further research and Randomized Control Trials (RCTs) to compare the effectiveness and safety of surgical options.
Introduction: It is challenging to perform prostate biopsy in men with suspicion of prostate malignancy without a rectum to facilitate prostate biopsy. Nevertheless, such patients are presenting at an earlier stage, due to increased PSA testing in association with improved MRI imaging. We describe a novel technique for prostate biopsy in two such cases.
View Article and Find Full Text PDFBackground: Informed consent is an integral part of the process prior to any surgical procedure [1]. Flexible cystoscopy is a common day case urological procedure and it is the gold standard investigation for visible haematuria [2].
Aim: To assess if postal consent is a suitable form of gaining informed consent for flexible cystoscopy.
We report an usual case of hepatic portal venous gas (HPVG) in the setting of acute pancreatitis and small bowel ischemia. Interestingly, the HPVG disappeared within 2 hours of the original computed tomography scan, despite the patient having small bowel ischemia. The patient had a complicated clinical course, dying 62 days postadmission.
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