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CASE NOTES
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PROGRAMME INFO |
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Dr Mark Porter gives listeners the low-down on what the medical profession does and doesn't know. Each week an expert in the studio tackles a particular topic and there are reports from around the UK on the health of the nation - and the NHS.
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Contact Case Notes |
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LISTEN AGAIN Ìý30 min |
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PRESENTER |
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"I spend half my week practising medicine and the other half writing and talking about it as a GP in Gloucestershire. Working on Case Notes has been a boon for both me and my patients. One of the principal aims of the programme is to keep our listeners up-to-date with the latest developments in healthcare, and to accomplish that I get to interview a wide range of specialists at the cutting edge of medicine. A rare privilege that ensures our listeners aren't the only ones to learn something new."
Mark Porter
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PROGRAMME DETAILS |
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 Full programme transcript >>
Urology
Our kidneys filter around 200 litres of fluid a day, nearly all of which is absorbed back into the circulation, but around one a half litres – nearly three pints - will be turned into urine and travel down the ureters to be stored in the bladder before being expelled.
Dr Mark Porter investigates what happens when this complex system goes wrong.
He visits the new Urology Centre at Guy's Hospital in London. There he meets consultant urologist Tim O'Brien who describes how haematuria - blood in the urine - is a clue to a range of underlying problems that should never be ignored. Problems than include cancer of the baldder and kidney.
Mark also speaks to Kay Thomas, another of the consultant urologists at Guy’s, who has a special interest in kidney stones. She explains the various ways in which stones can be treated without resorting to surgery.
Bladder problems make up another large part of the Urology Centre's workload. Urge incontinence is a common complaint where the muscular wall of the bladder is overactive causing it to start contracting before the bladder is properly full, and to do so more aggressively than it normally would.
This means sufferers have to go to the loo more often than normal, and hurry when they do.
Standard treatments for this type of problem include training exercises to teach the bladder to hold more urine before it starts contracting, and drugs to relax it, but new research suggests using botox to paralyse the muscular bladder wall could be help. Urologist Prokar Dasgupta, one of the UK pioneers of the treatment, tells Mark that early tests look promising.
Next week: poisons |
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RELATED LINKS
91Èȱ¬ Health: Urinary Incontinence
91Èȱ¬ Health: Ask the Doctor - Kidney Stones
91Èȱ¬ Health: Ask the Doctor - Urge incontinence and unstable bladder
The 91Èȱ¬ is not responsible for the content of external websites
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