Articles: Volume 8 Issue 1 Jan/Feb 2017

Editorial: Justice at last

In November 2013, an Old Bailey jury, by a 10–2 majority, convicted general surgeon David Sellu of the manslaughter of a patient by ‘gross negligence’. A six-year journey has taken the Sierra Leone-born surgeon through a coroner’s inquest, hospital investigation, police inquiry, prosecution, conviction, 15 …

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HIV pre-exposure prophylaxis (PrEP): effective but controversial

Pre-exposure prophylaxis or PrEP has been shown to be effective in certain groups at reducing the acquisition of HIV. Despite its efficacy, the NHS appears reluctant to fund its use. In this article the authors describe PrEP and discuss some of the pros and cons …

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‘Man MOT’: a new approach to primary care for men

Men find it difficult to make effective use of primary care. Peter Baker describes a successful new service that provides online GP chat and advice for men, and the lessons that can be learned from it.
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The use of questionnaires to assess sexual function

Questionnaires are often seen as time-consuming in a busy clinic or surgery and more suited to clinical research. They can be useful to help diagnosis and to provide a baseline against which to monitor changes in symptoms and response to therapeutic interventions. Dr Hackett provides …

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Men and obesity: what are the issues?

Obesity is a major and growing problem for men in the UK. In this article Professor Haslam describes the damaging health consequences of obesity, the obesity paradox, and traces the journey that now puts carbohydrate in the frame in place of fat.
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Persuading men to take better care of themselves in 2017

Men continue to live shorter lives than women in the UK. Mike Kirby describes how the New Year provides an opportunity for all healthcare professionals who come into contact with men to encourage them to better look after themselves.
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Prostate cancer and testosterone replacement therapy: what is the risk?

The use of testosterone replacement therapy is increasing in men with hypogonadal symptoms. In this article the authors discuss the evidence that supports the careful use of testosterone replacement in men with successfully treated prostate cancer.
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Obituary: Joseph Colin Smith OBE, 1931–2016

Joe Smith was one of the most influential urological surgeons of his generation. A past president of BAUS, past President of the Section of Urology of the RSM and founder of the Department of Urological Surgery in Oxford, he was a mentor and trainer to …

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Taking the lead: striving for continuous improvement and leadership

A hotel on the outskirts of Oxford saw the gathering of 20 current and future leaders in urology, who met to discuss what it takes to not merely survive a career as a consultant urologist, but to succeed and thrive. Here the author provides a …

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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 ‘take-home message’.
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