Articles: Volume 10 Issue 2 Mar/Apr 2019

Should patient assisted dying be legalised?

In this editorial, Roger Kirby, Editor on Trends in Urology and Men’s Health, discusses the responsibilities that UK medical organisations have to reach a clear verdict on their stance towards patient assisted dying.

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Men and perinatal depression

Depression as a result of becoming a parent is increasingly recognised in men and not solely as a disease affecting women. However, as the author discusses, signs and symptoms of perinatal depression in men can differ from those seen in women. Therefore, a modified approach is needed, not least in the tools used to identify the condition

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The association between erectile dysfunction and CVD

Erectile dysfunction (ED) is a common neurovascular disorder that shares many common risk factors with cardiovascular disease (CVD). ED is also a cardiovascular risk factor itself and may be an early marker of future CVD. Men presenting with ED therefore provide an opportunity to screen for CVD risk factors and initiate targeted lifestyle changes and pharmacological intervention to reduce future risk

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The diagnosis and management of Fournier’s gangrene

Fournier’s gangrene is a life-threatening condition and, although rare, should be considered in anyone with painful swelling of the scrotum or perineum with features of sepsis. In this article the author discusses risk factors, diagnosis and management of Fournier’s gangrene and the importance of early diagnosis and treatment

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Rezum water vapour therapy for benign prostatic hyperplasia

A new minimally invasive technique for managing benign prostatic hyperplasia provides real choice for patients. Here the authors describe the technique and discuss how it compares to the other established management options

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The investigation of haematuria and bladder cancer

Although there has been a decline in the incidence and mortality attributed to bladder cancer over the last two decades the disease is still a relatively common cause of cancer-related death worldwide. Here the authors argue that, in contrast to national guidelines, patients of any age presenting with visible haematuria or non-visible haematuria at >40 years of age should be referred to a urologist for further evaluation

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Post-prostatectomy urinary incontinence

Post-prostatectomy incontinence is an increasing problem that can have a devastating impact on men’s lives. In this article the authors consider some of the options for management and discuss the efficacy as well as advantages and disadvantages of the different approaches to management that are currently available

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Primary pituitary insufficiency: a multidisciplinary approach

Following investigation of infertility and anejaculation, a multidisciplinary approach to management resulted in a positive outcome of a spontaneous pregnancy in the patient’s partner shortly after his surgery

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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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