Articles: Volume 6 Issue 2 Mar/Apr 2015

Editorial: Living in interesting times

Many clinicians have been shocked to learn that 28 doctors have already committed suicide while undergoing GMC investigation.
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Relationship between surgical volume and patient outcomes

The authors discuss the inverse relationship between hospital volume of surgical procedures and rates of operative mortality, looking in particular at surgeons’ experience of performing radical prostatectomy and patient outcomes.
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Prostate cancer survivorship and psychosexual care

With increasing numbers of prostate cancer survivors, it is vital that follow-up care meets their needs. The authors propose that psychosexual education and rehabilitation should become a standard element of survivorship care.
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Homelessness and mental health

The prevalence of serious mental illness is higher in homeless people compared with those who are housed, and there are higher rates of personality disorder, self-harm and attempted suicide. In this article, the authors discuss interventions in primary and secondary care that focus on improving …

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Diagnosis and treatment of non-muscle-invasive bladder cancer

Although there has been an overall reduction in the incidence of bladder cancer, the mortality rate has remained unchanged, hence survival is now worse. Most patients have non-muscle-invasive bladder cancer at presentation, which is not immediately life threatening, so efforts must be made to improve …

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Obituary: Sean Vesey

Stuart Lloyd shares his memories of Consultant Urologist Sean Vesey.
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Improving the surgical 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 the first article in this series, the authors reviewed diagnosis and hormonal and radiotherapy. In this second paper, …

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PSA – targeting the men at highest risk

A move towards targeted screening of men at higher risk of prostate cancer offers the potential to improve outcomes. In this article, members of the Prostate Cancer UK Education Advisory Group outline ways in which primary care physicians can ensure that PSA testing is targeted …

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The MASTER trial: artificial urinary sphincter versus male sling

The MASTER trial is the first randomised controlled trial comparing the artificial urinary sphincter and the male sling – both treatments for urinary incontinence in men who have had prostate surgery.
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Taking the lead: success and leadership in medicine

This article is based on discussions and debate between faculty and delegates at a 1-day ‘Taking the lead’ course for younger urological consultants held in London in December 2014 and sponsored by The Urology Foundation (TUF).
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