Articles: Volume 6 Issue 1 Jan/Feb 2015

Editorial: The problem with prison

Both the UK and the USA have disproportionately high prison populations compared with other countries. The inmates are predominantly male, and many of them suffer from ongoing mental health problems.
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Mental health in prisons

Rates of mental illness and suicide are significantly higher in prisoners than in the general population. Jane Senior asks why current service provision appears to be inadequate and looks at promising developments for the future.
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Diagnosis and treatment of chronic prostatitis/chronic pelvic pain syndrome

Chronic prostatitis is a poorly understood and difficult-to-treat condition. The authors discuss a guideline produced by the Prostatitis Expert Reference Group (PERG), which provides a framework for initial assessment and effective management in the community. Roger Kirby and Culley Carson comment from a secondary-care perspective …

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Diagnosis and management of Peyronie’s disease: an evidence-based review

Peyronie’s disease presents a considerable therapeutic dilemma because of an incomplete understanding of the pathophysiology of the condition and the relative paucity of level 1 evidence studies. Eric Chung discusses how the growing volumes of literature should allow the clinician to educate and counsel patients …

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What caused the obesity epidemic?

In an attempt to reduce the incidence of coronary heart disease, dietary ‘experts’ advised us to avoid eating fat generally, saturated fat specifically; this led to an unavoidable increase in carbohydrate intake. Zoë Harcombe maintains that this change in dietary advice is the single greatest …

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Improving the diagnosis and treatment of high-risk localised or locally advanced prostate cancer

Radiologists, oncologists, urologists and clinical nurse specialists met to evaluate how patients with high-risk localised or locally advanced prostate cancer might be better diagnosed and managed. In this first article, the authors look at ways in which the diagnosis of the disease could be improved …

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Multiple myeloma

Multiple myeloma is characterised by the presence of malignant plasma cells in the bone marrow. The disorder, which has a higher incidence in men, can manifest with a myriad of non-specific signs and symptoms, so diagnosis is frequently delayed. 
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Antioxidant therapy for male subfertility: myth or evidence-based?

The authors review the literature investigating the role of common dietary supplements that are being marketed as a remedy for male subfertility. They assess the evidence base supporting their use and their potential role in improving semen parameters alongside overall conception and live-birth rates.
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Is there a link between cycling and prostate cancer?

Alastair Lamb discusses a recent study that suggested a link between cycling and prostate cancer, and asks whether the evidence stacks up.
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Journal review

An update on the latest relevant journal articles. Mike Kirby, Visiting Professor, The Prostate Centre, London, writes the ‘Message for the clinic’
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