We reviewed the results of seven transtrochanteric rotational osteotomies done for painful avascular necrosis of the femoral head. The results tended to deteriorate over the time. Despite the overall unsatisfactory results at final follow-up, the procedure was valuable as it delayed the necessity for total hip arthroplasty. Six patients underwent total hip arthroplasty an average of 6.7 years following the osteotomy. The procedure is technically difficult and is associated with a high risk of late complications, mainly progressive collapse, further necrosis and increased osteoarthritic changes.

To look at best evidence and expert opinion to provide advice in the form of a consensus statement lead by Female, Neurological and Urodynamic Urology (FNUU) section of the British Association of Urological Surgeons (BAUS) in conjunction with the British Association of Urological Nurses (BAUN). MethodsInitially a literature search was performed with incorporation of aspects of the existing guidance and further informed by UK best practice by core members of the group. The document then underwent reviews by the FNUU Executive Committee members, the BAUN executive committee, a separate experienced urologist and presented at the BAUS annual meeting 2020 to ensure wider feedback was incorporated in the document. ResultsComplications of long-term indwelling catheters include catheter-associated urinary tract infections (CAUTI), purple urine bag syndrome, catheter blockages, bladder spasms (causing pain and urinary leakage), loss of bladder capacity, urethral erosion ("catheter hypospadias")/dilatation of bladder outlet and chronic inflammation (metaplasia and cancer risk). ConclusionsWe have provided a list of recommendations and a troubleshooting table to help with the management of the complications of long term catheters.

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To report the British Association of Urological Surgeon's (BAUS) guidance on the assessment and management of female voiding dysfunction. MethodsA contemporary literature search was conducted to identify the evidence base. The BAUS Section of Female, Neurological and Urodynamic Urology (FNUU) Executive Committee formed a guideline development group to draw up and review the recommendations. Where there was no supporting evidence, expert opinion of the BAUS FNUU executive committee, FNUU Section and BAUS members, including urology consultants working in units throughout the UK, was used. ResultsFemale patients with voiding dysfunction can present with mixed urinary symptoms or urinary retention in both elective and emergency settings. Voiding dysfunction is caused by a wide range of conditions which can be categorized into bladder outlet obstruction (attributable to functional or anatomical causes) or detrusor underactivity. Guidance on the assessment, investigation and treatment of women with voiding dysfunction and urinary retention, in the absence of a known underlying neurological condition, is provided. ConclusionWa have produced a BAUS approved consensus on the management pathway for female voiding dysfunction with the aim to optimize assessment and treatment pathways for patients.