Urology hot topics

Date Published: 
Wednesday, January 8, 2020

Dr Anna Lawrence talks about hot topics in Urology. Anna is a New Zealand trained Urologist and is the current president of Continence NZ.

Anna's goal is to increase the education and standard of reconstruction in neuro-urology, thereby improving the care of conditions and improving the quality of life for patients.



  • UTI management
  • strategies to prevent UTIs
  • evidence for probiotics?
  • what about D-mannose?
  • cranberries?
  • vaginal or oral estrogen?
  • increasing fluids?
  • overactive bladder alternative treatments
  • female urethral stricture.


Take home messages

  • Antibiotic guidelines have changed. Nitrofurantoin is now first line.
  • D-mannose and high water volumes are useful for preventing recurrent UTI’s, as is vaginal estrogen in the perimenopuse and beyond.
  • All woman from perimenopause onwards should have vaginal and uretheral estrogens.
  • There are many more treatments for Overactive bladder. If your anticholinergics aren’t working then refer for specialist assessement early.




Dr Anna Lawrence

To contact Anna Click here.



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This presentation is intended for qualified health practitioners professional development and should not be relied upon for any other purpose. Any opinions offered are those of the presenter or other speaker and do not necessarily represent the views of Goodfellow Unit.