Articles: Volume 8 Issue 2 Mar/Apr 2017

Editorial: Get ready for the genomic revolution

Prostate cancer is a recognised component of the hereditary breast and ovarian cancer (HBOC) syndrome cancer spectrum, where inherited susceptibility is accounted for by mutations in BRCA1 and BRCA2 genes. Genetic testing for BRCA1/2 mutations may provide some men with information about their risk for developing aggressive prostate cancer

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Boys and men get eating disorders too

Much attention has been focused on eating disorders in young girls and women. Eating disorders in boys and men are not often discussed, yet rates are increasing and it is thought that a significant number of sufferers remain unidentified. In this article the author provides guidance on how disorders can be identified and managed, and what sources of support are available

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Irritable bowel syndrome: enigmatic for doctors, problematic for patients

Irritable bowel syndrome (IBS) is a functional gastro-intestinal disorder, characterised by chronic abdominal pain and an alteration in bowel habit. The symptoms of IBS can be debilitating and associated with a reduction in quality of life. Although in Europe IBS more often presents in women, men also suffer and this potential diagnosis should not be overlooked

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The sexual consequences of congenital pelvic anomalies

Congenital pelvic anomalies are relatively rare in males. Little is known about their impact on sexual function and activity as these boys grow into men. In this article the author looks at the data available and encourages health professionals who look after such patients not to be afraid to discuss sex

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Current management of renal cell cancer

The last decade has seen significant treatment advances in the management of renal cell cancer, from the availability of oral, targeted therapies to the recent introduction of immunotherapy. In this article the authors cover the risk factors for renal cancer and its different histological types, as well as the staging and management of both early and late-stage disease

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Serum testosterone: the why and wherefore of testing

Testosterone levels are now routinely measured in men attending endocrine and sexual medicine clinics, and increasingly in primary care, to investigate erectile and/or possible gonadal dysfunction. In this article the authors describe what to measure and when

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The expert medical witness: the good, the bad and the ugly

In light of the recent quashing of the conviction of surgeon David Sellu for gross negligence, Peter McDonald discusses the role of the expert medical witness and makes the case for some form of quality control or accreditation for this important role

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A surgeon’s responsibility: their life in your hands

Surgeons literally take the life of their patients in their hands. In this article Joseph Smith describes the trust patients put in their surgeons and how surgeons have to respond to that trust, by only performing operations that they themselves know they are qualified and competent to perform

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Journal watch

Mike Kirby, GP and Visiting Professor to the University of Hertfordshire and The Prostate Centre, London, picks some interesting recent papers and highlights the ‘take-home’ message

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