Stress and burnout – why are urologists so stressed?

This week the Independent newspaper reported that urology was the number one most stressed occupation. This initially seemed surprising to me and many other urological colleagues and surgeons of other specialties. Surely those who practise trauma surgery and vascular or transplantation must be more stressed than …

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Gross negligence manslaughter and defensive medicine

Recently there has been an alarming increase in the number of doctors and other healthcare workers being prosecuted for gross negligence manslaughter (GNM), with a great deal of personal disruption and devastation as a result. Almost all of the mistakes that resulted in these criminal …

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The future is a better place

It would be an interesting exercise for each of us to add up the number of occasions on which we have heard the phrase ‘things were better in the past’ or one of its variations. As a follow-up, we could then analyse whether it was …

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John Wickham: the godfather of robotic surgery

John Wickham can rightly be claimed to be the godfather of endourology and the impact of his work on minimally invasive surgery across specialties is still evident today. Yet, during his career, he faced criticism from his colleagues who didn’t share his vision and belief …

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The appropriate management of muscle invasive bladder cancer in the elderly

Urothelial bladder cancer (UBC) is a disease that predominates in the elderly, with a median age at presentation of over 73 years (1). Incidence rates in the UK more than double for patients over 80 years of age compared to those patients under 70 (2, …

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Rugby World Cup 2015 – an unforgettable tournament…

If you are an ‘All Black’ from New Zealand you will be content and happy.
Rugby supporters from all the other participating countries will have painful memories of what could have been, and some, especially the English, will be left with the reality of what did …

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Should junior doctors strike?

Last week junior doctors in England voted on possible strike action over their hours of work and their pay. As I write this blog the result is unknown, but from the junior doctors I have spoken to, it seems probable that there will be a …

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Health Improvement Project Zanzibar

The richer nations of the world have spent huge sums of money over many years to try to improve health outcomes due to extreme poverty – an estimated £1.1 trillion pounds has been spent on development aid over the last five decades, but many have questioned what, …

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What to expect if you are sued

A recurring theme in recent issues of Trends in Urology & Men’s Health has been the importance of avoiding medical errors and the possible implications of failing to do this. Like all professionals, healthcare professionals may be sued, and in medicine it seems increasingly likely …

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Dignity in dying

Members of Parliament are now preparing to debate the Assisted Dying Bill championed by Rob Marris in early September. It is based on Charles Falconer’s bill that made unprecedented progress through the House of Lords, only to run out of time before the general election. …

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