Articles: Volume 6 Issue 3 May/Jun 2015

Editorial: Dying to make an impact

While female suicide rates have remained stable, the male rate has risen to its highest number for 12 years.
Read the full editorial by Roger Kirby
Read the related blog by Alan White: Suicide or accidents – which is the biggest killer of our young men?

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NHS crisis: time to move away from ‘free at the point of use’

The UK’s tax-based expenditure approach is unlikely to deliver the funds needed to avoid a continuing decline in health standards in the coming years. Christopher Smallwood argues that the solution to the problem is to encourage a system of complementary insurance to supplement the state’s …

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Headache in sport

Headache can have an impact on sport or physical activity, either coincidentally or as a direct result of participation. David Kernick outlines the mechanisms thought to cause headache during activity, and provides treatment advice, noting that some headache medications are restricted for professional sportsmen.
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Obituary: David James Farrar, 1942-2015

Roger Plail shares memories of Consultant Urologist David Farrar.
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Nocturia and obstructive sleep apnoea

Patients successfully treated for obstructive sleep apnoea often experience an improvement in their nocturia. David Dawson explains this link and suggests that clinicians working in urology clinics should consider obstructive sleep apnoea when seeing patients presenting with nocturia.
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Men as patients: understanding and communicating with men

Men have different strategies from women when they are patients, attaching less importance to their treatment and the disease than what might happen subsequently. The author suggests ways in which healthcare professionals can take these different strategies into account when communicating with men.
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Management of undescended testes

The authors review the diagnosis, consequences and subsequent management of undescended testes. They recommend that infants with impalpable testes should be referred to the nearest centre providing paediatric urology cover, with a view to undergoing orchidopexy if necessary.
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Surgery in renal cell cancer

The incidence of renal cancer has increased over the past 30 years, with renal cell carcinoma being the most common form. In this article, the authors discuss the surgical options for treatment of both localised and metastatic renal cell carcinoma.
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Use of genomic markers to risk stratify men with prostate cancer

New genomic biomarkers are being developed to refine the risk for men with prostate cancer, but for healthcare professionals to believe in them, they must be both valid and of clinical utility. John Davis reviews three of these biomarkers, providing advice on how to interpret …

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Daily phosphodiesterase type 5 inhibitor therapy: a new treatment option for prostatitis/prostatodynia?

The management of patients with chronic pelvic pain attributed to chronic prostatitis has always been rather unsatisfactory. Even prolonged treatment with an aminoquinolone, such as ciprofloxacin, and an anti-inflammatory agent, or, alternatively an alpha-blocker, seldom results in rapid resolution of the symptoms, and is commonly completely …

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