The coronavirus disease 2019 (COVID‐19) pandemic has brought about many changes in the relationships between high‐income countries and partner organisations in low‐ or low–middle‐income countries, such as predominate in sub‐Saharan Africa. Medicine, surgery and in particular urology is no exception to the changes that COVID‐19 has demanded. Urolink represents the British Association of Urological Surgeons (BAUS) on the global urology stage and has been deleteriously impacted by the pandemic. Education, one of the pillars of Urolink’s founding philosophies, has conventionally been delivered by face‐to face teaching, training, or mentoring by UK urologists at their host’s site outside of the UK. As a consequence of the inability to travel due to the pandemic, BAUS Urolink has evolved a virtual on‐line webinar package evolved by, and delivered between, urologists in Lusaka, Zambia, and various centres in the UK. The aim was to deliver curricular‐based educational topics to trainees in both countries. This programme has generated a number of live webinars and archived recordings during the pandemic that has proven accessible and educationally acceptable to trainees in the UK and Zambia. This webinar series has also generated relationships between young urologists on different continents, given each a different view of healthcare delivery outside of their country of origin at no appreciable cost, and would appear to be an educational mechanism that is durable for, and applicable to, a wider participation in the post‐pandemic world.
Testicular torsion is a true surgical emergency caused by twisting of the testicle on the spermatic cord leading to disruption of the vascular supply and time sensitive ischemia with or without necrosis of testicular tissue. The annual incidence is 1 in 4000 males under the age of 25 years globally, with peak presentation in adolescents between 12 to 16 years as well in the neonatal period. However, there are rare cases in which adult males present with testicular torsion and this case study explores one such instance looking at it's unique features and at the same time underscoring an important point that torsion can occur outside the bimodal peak. The case report illustrates that age distribution maybe clinically misleading and should not be relied upon for a diagnosis.
Prostate cancer is the second most common cause of cancer death in men globally. The most common sites of metastasis include the bone, lymph nodes, lungs, liver, pleura, and adrenal glands. A 65-year-old Zambian man presented with neck swelling for 3 months with mild lower urinary tract symptoms. He reported that the swelling was fast growing, painless and with no history of trauma. On examination, Trosier’s sign was present. Histology report following a lymph node incision biopsy demonstrated Adenocarcinoma. Prostate specific antigen (PSA) was also positive. A follow up prostate biopsy found adenocarcinoma Gleason 8. This case highlights the need for a high index of suspicion in older, male patients presenting with unexplained neck swelling and no known history of prostatic adenocarcinoma.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.