Penile fracture is a urological emergency. Despite its name, no bone is broken. The injury is a tear in the tunica albuginea, the tough sleeve surrounding one or both erectile cylinders (corpora cavernosa) while the penis is erect. Bleeding then occurs within and around the erectile tissues. If you hear or feel a crack or […]
Blood in the urine after pelvic radiotherapy can be frightening. It may appear months or even many years after treatment for prostate, bladder, rectal or gynaecological cancer. One possible cause is radiation cystitis: delayed injury to the bladder lining and its small blood vessels. Tranexamic acid is sometimes considered when bleeding is troublesome. It can […]
Lower urinary tract symptoms: poor flow, hesitancy, incomplete emptying, frequency, urgency and nocturia, are common as men age. When benign enlargement of the prostate (BPH) is genuinely responsible, treatment may include lifestyle measures, medication, minimally invasive procedures or surgery. Prostate artery embolisation (PAE) is one option that may be considered for appropriately assessed patients. PAE […]
Pelvic radiotherapy is an important and often highly effective treatment for prostate, bladder, rectal and gynaecological cancers. However, radiation can leave the small blood vessels and lining of the bladder fragile. Months or even many years later, this may cause urinary symptoms or bleeding known as radiation cystitis. When bleeding is prominent, the condition is […]
Why leakage may become more complex after both treatments Urinary leakage after radical prostatectomy is common in the early recovery period and usually improves with healing and pelvic floor rehabilitation. Some men, however, require salvage radiotherapy because their PSA remains detectable or rises after surgery. Radiotherapy can help control recurrent prostate cancer, but it may […]
When prostate cancer returns after radiotherapy Radiotherapy, whether external-beam radiation or brachytherapy can provide excellent long-term control of localised prostate cancer. However, a rising prostate-specific antigen (PSA) after treatment may indicate that the cancer has returned. This does not automatically mean that the cancer is still in the prostate, nor does every PSA rise require […]
Focal therapy is an evolving approach to treating selected prostate cancers. Instead of treating or removing the entire prostate, it aims to destroy the identified cancer while preserving as much surrounding prostate tissue as possible. One technique under investigation uses laser energy delivered through a fine fibre placed into the prostate. Early clinical reports are […]
Bladder cancer surveillance can feel repetitive: another cystoscopy, another urine sample and another anxious wait. This has driven interest in urine-based molecular tests that may help identify patients at very low risk of recurrent urothelial carcinoma. One such platform is Cxbladder. It is sometimes informally called “Cx View,” but the established commercial name is Cxbladder. […]
Meta description: Spinal cord injury can cause urgency, leakage, urinary retention and dangerous bladder pressures. Learn how upper and lower motor neuron injuries differ, how neurogenic bladder is investigated, and which treatments may protect the kidneys and improve continence. Best treated in an organised spinal unit. Why can a spinal cord injury affect the bladder? […]
A cerebrovascular accident (CVA), more commonly called a stroke, can affect much more than movement and speech. It can also disrupt the communication between the brain and bladder, leading to urgency, urinary leakage, difficulty emptying the bladder or a combination of these problems. Bladder difficulties are common after stroke, particularly during the early stages of […]