FIX-IT Project Opportunity

Dear Trainees,

On behalf of the BURST (British Urology Researchers in Training) research collaborative, we’d like to announce an excellent opportunity to become involved with one of our upcoming projects.

There is one space being made available for an enthusiastic trainee to become part of the steering group for the FIX-IT project: ‘A Consensus Meeting for Best Practice in the Conduct of Scrotal Exploration for Suspected Testicular Torsion’. Given the lack of British, European or American guidelines regarding the technical conduct of scrotal exploration (based on a BURST systematic review in peer review) and the lack of evidence of best approach available, we aim to produce an expert BURST-BAUS consensus-based guideline on the acceptable performance of scrotal exploration.

The group will include andrologists, adult urologists, paediatric urologists and trainees to establish best practice in surgical approach for exploration for suspected testicular torsion, given the absence of high level evidence. We recognise the importance of involving trainees in research hence our desire to offer this opportunity out.

Your role in the steering group would involve completion of an online consensus questionnaire regarding the acceptable conduct of scrotal exploration as well as attendance at a face-to-face 3 hour consensus meeting at the British Association of Urology (BAUS) annual meeting on 17th June 2020 at 13.00-17.00. You will be recognised on the main line authorship upon publication.

Eligibility: 1. You must be able to commit to both the online questionnaire and attendance at the BAUS consensus meeting 2. You must have been involved in 50 operations in the scrotum 3. You must be able to respond promptly to electronic communication. If you are interested please reply to keiranclement@nhs.net with a confirmation to all 3 of the points above, your C.V. and a 200 word summary (including why you would be suited to this role and why you want to be involved), by March 15th.

BURST at NRCM 2019

The BURST committee were pleased to attend this year’s annual National Research Collaborative Meeting, held in Newcastle at the impressive Sage Gateshead on the 6th of December.

The meeting was a great success and gave insight into the current status of surgical collaborative research in the UK & globally.

BURST work was presented in a variety of sessions, with posters detailing our recent survey of Urologists on ureteric drainage post ureteroscopy, our future projects RESECT & DETORT, as well as LEARN, a national audit of urology teaching in UK medical schools. The MIMIC study’s calculator and the work completed by BURST since our inception, were also presented in the oral sessions. The research MOT allowed for brainstorming with regards to these future projects, which will start recruitment soon.

There were a number of sessions with talks for medical students including how to navigate an academic career as well as the GRANULE course, detailing important aspects of recruitment into RCTs.  This was followed on by talks from PRCSEng Prof. Derek Alderson & colleagues, detailing new opportunities in collaborative research.

The meeting is a fantastic opportunity for medical students and doctors of all levels to interact with other surgical specialities and research colleagues and we would highly recommend next year’s event, especially if you have a keen interest in collaborative working.

Stay up-to-date with all BURST activities by following us on Twitter @BURSTurology.

Survey on ureTEric draiNage post uncomplicaTed ureteroscopy (STENT)

Background:

The National Institute for Health and Care Excellence (NICE) and the European Association of Urology (EAU) guidelines encourage clinicians notto leave stents after uncomplicated ureteroscopies. Ureteric drainage practice internationally is variable. The published evidence alludes towards a high tendency of temporary ureteric stenting even after uncomplicated ureteroscopy (Hughes et al, 2014)(Auge et al, 2007). A recent Cochrane review on ureteral stenting after uncomplicated ureteroscopy reported desirable and undesirable effects of stents were small in absolute terms. All included studies had limitations. The Cochranereview identified a need to conduct higher quality sufficiently powered trials to answer this important question. (Ordonez M, 2019).

Aims of the Survey

Primary objective: To assess the uncertainties about the feasibility of an interventional study assessing whether not stenting after uncomplicated ureteroscopy is superior to routine ureteric drainage (e.g. JJ stent or equivalent).

Secondary objectives: To understand current views and practice about ureteral stenting after uncomplicated ureteroscopy.

The survey is now closed – stay tuned for our results! 

 

 

References:

NICE guideline [NG118] Published date: January 2019. https://www.nice.org.uk/guidance/ng118. Accessed 22-05-19.

Türk C,Knoll T,Petrik A,Sarica K,Seitz C,Straub M. EAU Guidelines on Urolithiasis. Uroweb 2012. Available at: https://uroweb.org/wp-content/uploads/EAU-Guidelines-on-Urolithiasis-2018-large-text.pdf. Accessed 22 May 2019

Auge, Brian K, Jamey A Sarvis, James O L’esperance, and Glenn M Preminger. 2007. “Practice Patterns of Ureteral Stenting after Routine Ureteroscopic Stone Surgery: A Survey of Practicing Urologists. Journal of Endourology 21(11): 1287–91.

Hughes, Ben et al. 2014. “The Dilemma of Post-Ureteroscopy Stenting.” BJU international 113(2): 184–85.

Ordonez M, Hwang EC, Borofsky M, Bakker CJ, Gandhi S, Dahm P. Ureteral stent versus no ureteral stent for ureteroscopy in the management of renal and ureteral calculi. Cochrane Database Syst Rev [Internet]. 2019;(2).