Articles: Volume 8 Issue 3 May/Jun 2017

Editorial: Surgeons and the ‘God complex’

The recent publicity surrounding the prosecution and conviction of breast cancer surgeon Ian Paterson risks seriously undermining trust in surgery and in surgeons, especially in relation to his reported arrogance and supposed ‘God complex’. Sadly, he is not the first surgeon to be accused of these unfortunate characteristics – nor will he be the last

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Mycoplasma genitalium: a new kid on the block

Mycoplasma genitalium, once thought to be a benign organism, is now considered a significant cause of nongonococcal urethritis. In this article the author describes how to identify infections and how to manage them

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Informed consent: Montgomery trumps Bolam

The old paternalistic system, where doctors could decide what to tell patients about the risks involved in a procedure, has gone. In this article, the authors describe how the requirements around informed consent are now clearly defined and need to be heeded

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Femoroacetabular impingement syndrome – a pain in the hip

The presentation of elderly patients with hip pain due to osteoarthritis is familiar to most general practitioners. Hip pain in the younger adult, particularly men, can be a less familiar and more challenging presentation. In this article the authors describe femoroacetabular impingement syndrome, an increasingly recognised cause of hip pain in the younger population

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Surgery in metastatic prostate cancer: a pilot study

There is some evidence to suggest that radical treatment of the primary tumour in patients diagnosed with metastatic prostate cancer can reduce symptomatic progression and increase survival. In this article, the author describes a pilot study to investigate whether a large study looking at survival benefit in early metastatic disease is feasible in the UK and calls for recruits

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Adverse drug reactions and urological disease

Despite the significant benefits of today’s drugs, they still have the potential to cause significant adverse effects. Here the authors briefly review urological disorders caused by drugs and adverse reactions caused by drugs used to treat urological disorders

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HoLEP: the new ‘gold standard’ in bladder outflow surgery

Transurethral resection of the prostate (TURP) has been the ‘gold standard’ procedure for benign prostatic hypertrophy (BPH) for many years. In this article the author describes Holmium Laser Enucleation of the Prostate (HoLEP) and questions why it is not more widely utilised

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Functional assessment of the reconstructed urinary tract

Reconstruction of the urinary tract is increasingly advanced. However, we need to be able to follow up patients with the appropriate parameters to make sure surgery is successful in the short, medium and long term. This article aims to consider these parameters and the framework by which the reconstructed urinary tract can be assessed

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Richard Turner-Warwick: a father of reconstructive urology

Richard Turner-Warwick, or RTW as he is known, has had a significant influence on the advancement of urethral stricture surgery and of functional reconstructive urological surgery in the UK and worldwide. In this article, Dominic Hodgson, having met with and interviewed Richard, outlines some of the achievements of his long and very distinguished career

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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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