Achieving Benchmarks for National Quality Indicators Reduces Recurrence and Progression in Non-muscle-invasive Bladder Cancer.

Background: Noncompliance with evidence-based interventions and guidelines contributes to significant and variable recurrence and progression in patients with non-muscle-invasive bladder cancer (NMIBC). The implementation of a quality performance indicator (QPI) programme in Scotland's National Health Service (NHS) aimed to improve cancer outcomes and reduce nationwide variance.

Objective: To evaluate the effect of hospitals achieving benchmarks for two specific QPIs on time to recurrence and progression in NMIBC.

Enhancing communication between foundation doctors and radiologists: a quality improvement project.

Facilitating radiological imaging for patients is an essential task for foundation year (FY) doctors. Achieving competence in this task can significantly enhance patient management. We evaluated the confidence and skills of FY doctors in facilitating radiological imaging before and after introduction of formal training.

Enhanced Quality and Effectiveness of Transurethral Resection of Bladder Tumour in Non-muscle-invasive Bladder Cancer: A Multicentre Real-world Experience from Scotland's Quality Performance Indicators Programme.

Background: Clinical outcomes from non-muscle-invasive bladder cancer (NMIBC) are partly determined by the quality of initial interventions. To improve and standardise treatment for cancer, Scotland implemented a national Quality Performance Indicator (QPI) programme for bladder cancer (BC).

Objective: To evaluate compliance with specific quality indicators (QIs) related to transurethral resection of bladder tumour (TURBT) and to understand clinical outcomes from NMIBC following the introduction of the QPI programme.

Assessment of Age and Duration of Symptoms on Outcomes of Emergency Scrotal Exploration for Acute Scrotal Pain.

Objective: To study the effects of age and duration of symptoms on the outcomes of scrotal explorations for acute scrotal pain at our institution.

Study Design: Case series.

Place And Duration Of Study: Bradford Teaching Hospital NHS Trust, from January 2006 to December 2017.

Spontaneous perirenal haemorrhage in polyarteritis nodosa.

Patients presenting with flank pain are likely to have urological pathology but when features of hypotension are present high index of suspicion is needed to reach the cause such as perirenal haemorrhage. Spontaneous perirenal haemorrhage (SPH) is an uncommon presentation of vasculitis, autoimmune disease or malignancy. It is common in males in the age group between 30 and 60 years.

Testicular seminoma--unusual histology and staging with sub epithelial spread of seminoma along the vas deferans.

Background: The route of local and metastatic spread of testicular seminoma is well recognised and accepted. The spread is via lymphatics to the paraaortic nodes.

Case Presentation: We present a case report of testicular seminoma in a 56 year old man with previously unreported histological findings.