Department of Urology

Research

A brief description of research projects currently in progress within the department.

Prostate Cancer

  1. ProtecT. A multicentre trial, funded by NHS R&D, to screen 125,000 men for prostate cancer with follow-up for 10 to 15 years
  2. PROMPT. A collaborative research program looking at genomic studies of prostate cancer to investigate new treatments for men with relapsing disease
  3. A randomized, double-blind, placebo-controlled trial of oral sodium clodronate in locally-advanced prostate cancer (MRC PRO4 trial)
  4. A randomized, double-blind, placebo-controlled trial of adjuvant sodium clodronate in patients commencing or responding to hormone therapy for metastatic prostate cancer (MRC PRO5 trial)
  5. A randomized trial of hormone therapy plus radical radiotherapy versus hormone therapy alone in non-metastatic prostate cancer (MRC PRO7 trial)

Urothelial Cancer

  1. Translational studies of MCM5 in bladder and prostate cancer (with Gareth Williams)
  2. A multicentre, prospective, randomized study of the value of a single dose of intravesical Mitomycin in preventing the development of bladder tumours following nephroureterectomy for transitional cell carcinoma of the upper urinary tract (ODMIT C trial)
  3. Tissue surplus to diagnostic requirements is being banked for molecular & genetic studies of urological malignancy. In particular, using array comparative genomic hybridization techniques, our intention is to:
    • identify differences in DNA copy number & RNA expression
    • evaluate the role of lymphovascular invasion, lymphangiogenesis & angiogenesis
    • characterize the prognostic features of cancer related to disease severity & dissemination

Overactive Bladder

  1. A 12 week, randomized, double-blind, placebo controlled, parallel group, multicentre study to evaluate the efficacy, safety and tolerability of a compound in patients aged >65 years with overactive bladder (Protocol CDAR328A2409)
  2. A double-blind, randomized, placebo-controlled, parallel group of cannabis-based medicine extract (CBME) in patients suffering detrusor overactivity associated with multiple sclerosis

Stress Incontinence

  1. The safety and effectiveness of Duloxetin compared with placebo and its long-term safety and efficacy in predominant stress incontinence

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Case of the Month

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The is a pelvic CT of a 66-year-old man with urinary sepsis whilst undergoing chemotherapy for bowel cancer. He had a low anterior resection and is know to have a pre-sacral collection discharging into the rectum. His chemotherapy has been put "on hold" pending treatment of this abnormality.

  1. What is the differential diagnosis?
  2. What investigation is now most appropriate?
  3. What issues decide the best treatment and its timing?

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