Articles: Volume 5 Issue 2 Mar/Apr 2014

First word

Heart attack! At the age of 47 years my own father developed chest pain, radiating to the neck, which was initially mistaken for indigestion. He subsequently suffered a myocardial infarction. Back in the 1960s this was treated simply with bed rest and analgesia.
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Genetic testing comes of age in prostate cancer

In this article, the author aims to correct some of the common misconceptions regarding testing for BRCA genes, particularly the role of male BRCA carriers.
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Active surveillance for men with low-risk prostate cancer

Active surveillance is often advised as an initial management strategy for men with low-risk localised prostate cancer. In this review the authors examine popular strategies for patient selection, and question whether a more holistic approach could further enhance quality of life and life expectancy.
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Peter’s tale

Peter Rimington recounts his frightening experience of a heart attack, reminding us not to ignore any warning signs of risk. Cardiologist Nick Boon then explains how the modern treatment of acute myocardial infarction has transformed outcomes.
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Diagnosing myocardial ischaemia

Anna Herrey emphasises the importance of recognising symptoms of myocardial ischaemia early, and discusses investigations and treatment options.
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The toxicity side-effects of androgen deprivation therapy: the metabolic syndrome

In this series, the authors present cases of men being treated with androgen deprivation therapy, and highlight their management to prevent and treat associated toxicities. This fifth article will consider the management of the metabolic syndrome.
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Foreskin problems in boys

The author reviews the common clinical conditions affecting the foreskin in boys, including phimosis, paraphimosis and inflammatory penile skin conditions, and discusses their management options.
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A tale of 19 testes

Professor Hackett presents the case histories of ten doctors, providing a personal insight into the problems caused by low testosterone levels and highlighting health professionals’ reluctance to consult with sexual issues in primary care. Culley Carson adds a urologist’s comment at the end.
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Prostate cancer survivorship

The authors present pilot study results from a new scheme for prostate cancer survivors developed at Worcestershire Acute Hospitals.
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The androgen receptor and clinical challenges

This report is based on a seminar held during the 10th Annual Meeting of the British Uro-oncology Group in London, 13–14 September 2013. The seminar focused on all aspects of the role of the androgen receptor in prostate cancer, from an overview of the molecular …

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