Articles: Volume 4 Issue 2 Mar/Apr 2013

First word

Those readers old enough to remember the Joni Mitchell song from the 60s ‘Both sides now’ (available on iTunes for those who are too young) will appreciate that when a robotic prostate surgeon undergoes robotic prostate surgery himself, it radically changes his perspective.
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Suicide in men with cancer: recognising and responding to the warning signs

Men are at far greater risk of dying by suicide than are women, but are less likely to seek help. With adequate knowledge of relevant risk factors and warning signs, coupled with basic skills in suicide intervention and knowledge of appropriate referral pathways, practitioners in …

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Management of bone toxicity in men treated with androgen deprivation therapy

In this new series, the authors present cases of men being treated with androgen deprivation therapy, and highlight their management to prevent and treat associated toxicities. The first article in this series will consider the potential bone toxicity of luteinising hormone-releasing hormone agonists.
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The perils of overdiagnosis

Overdiagnosis as a consequence of PSA screening for prostate cancer is a major hazard of modern medicine, claims Margaret McCartney. Jon Rees, GP with a special interest in men’s health, and urologist Roger Kirby respond with their perspectives on this dilemma.
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Live kidney donation: what are our ethical responsibilities?

Live kidney donation is becoming increasingly common as the need for donors is unmet from the deceased donor population. However, there are potential risks to the donor, and careful counselling and rigorous pretransplant assessment are imperative. The authors discuss the ethical implications associated with live …

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A tale of four prostates

Four urologists relate their personal experiences of prostate cancer and highlight some important learning points. During the past two years, rather ironically, all four authors of this article, each a busy urologist in practice with an interest in prostate cancer, have themselves been diagnosed and …

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Robotic surgical technology is here to stay and evolve

The authors outline the evidence that robotic-assisted laparoscopic surgery has equivalent or better outcomes compared with laparoscopic or open surgery. With reduced hospital stay, faster recovery, reduction in blood product use and equivalent quality-of-life measures to laparoscopic techniques, this modern age of surgical technology is …

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New approaches to assessing cardiovascular risk

The authors discuss current evidence that links kidney disease, erectile dysfunction and cardiovascular disease. Appropriate screening and treatment strategies are likely to lead to a substantial reduction of the cardiovascular disease burden in patients with these common urological conditions.
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Charity news – Samaritans

Samaritans provides a safe place for people to talk when things are getting to them, round the clock, every day of the year. Last year Samaritans answered more than five million calls. There are 201 branches in the UK and Ireland, with well over 20000 …

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