Articles: Volume 7 Issue 2 Mar/Apr 2016

Editorial: To screen or not to screen

A recent article in the BMJ by Prasad et al made the rather remarkable claim that ‘cancer screening has never been shown to save lives’…
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Ophthalmic manifestations of urological drugs

The potential ophthalmic side-effects of commonly prescribed urological drugs have been discussed in the literature and emphasised in surgical and ophthalmological training for some time, although no clear guidelines have been established. In this article the authors provide some practical advice to assist prescribers.
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Getting your PSA checked is good for overall health

Men diagnosed with prostate cancer through regular PSA screening seem to be healthier and have better overall survival than men in the general population. According to Professor Wassersug, this highlights the benefits for men in paying regular attention to their overall health.
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Taking the opportunity to assess cardiovascular risk in men

Men presenting with urological problems or wanting a PSA test provide an opportunity to assess overall cardiovascular risk, according to Mike Kirby.
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Telling your patients to cut down on alcohol: does it work?

Men are more likely to abuse alcohol than women and it is a significant cause of morbidity and mortality in men. In this article, the authors describe how simple interventions are particularly effective in men and how drinking is often a defence mechanism against psychological …

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The NICE primary care referral guideline for suspected bladder or renal cancer

The NICE primary care referral guideline for suspected bladder or renal cancer helps GPs identify the signs and symptoms, in addition to visible haematuria, that warrant referral for further investigation. In this article the authors, who helped develop the guideline, describe the evidence and thinking …

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Operating from a wheelchair

In 2002 Ans Khan had a paragliding accident that left him paralysed from the chest down. Despite this misfortune he continues to work as a Consultant Urological Surgeon, specialising in open kidney surgery, and is also an Associate Medical Director. In this article, he describes …

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Immunotherapy for prostate cancer: the next step?

Immunotherapy is showing great promise in the treatment of a wide range of cancers. Using the body’s own immune system to attack tumours is an attractive proposition that has the advantage of being selective with reduced toxicity. In this article the authors provide a comprehensive …

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Medicines optimisation in elderly cancer patients

Cancer patients, particularly the elderly, will often have other conditions that add to their burden of disease. They will also be taking medicines for those diseases that have to be managed alongside cancer treatment. In this article the authors highlight the problem and describe how …

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Journal review

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