Articles: Volume 10 Issue 4 Jul/Aug 2019

Whistleblowing

In this editorial, Roger Kirby, Editor-in-Chief on Trends in Urology and Men’s Health, discusses the inadequate protection and safeguards that currently exist to protect NHS whistleblowers

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PSMA PET ligands in prostate cancer: a game-changer?

A new imaging technique may provide a means of localising recurrent prostate cancer associated with low prostate-specific antigen levels, which has hitherto been undetectable by conventional imaging methods. Here, the authors describe the technique and outline its potential to allow early intervention and improve outcomes

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Post-traumatic stress disorder: diagnosis and management

A minority of people who experience traumatic events also develop symptoms of post-traumatic stress disorder (PTSD). Here the authors describe the diagnosis and management of PTSD, along with the valuable role healthcare professionals can play in talking to individuals about trauma they may have experienced

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Back to nature: a personal account of complex PTSD

Nick Goldsmith, former Royal Marine, 45 Commando, here provides a candid insight into his personal experience of complex post-traumatic stress disorder and the treatment he received for it

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The effects of recreational drug use on the genitourinary tract

Recreational use of drugs may be viewed by those who indulge as a relatively victimless pursuit. However, as the author discusses in this article, that is far from the truth and those who engage in such activity should be made aware of the potential harms of their action, not least to the genitourinary system

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Anal fistulae: an ancient problem; a challenge today

Fistula-in-ano (anal fistula) is a common proctological condition that has been recognised since ancient times. Symptomatic treatment and infection control are relatively straightforward, but surgical treatment has variable outcomes. This article describes the anatomy, classification and treatment options for men with this common but potentially embarrassing condition

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Vicryl Tack for graft fixation during bulbar urethroplasty

Urethral stricture disease continues to be a prevalent condition with significant morbidity. Oral mucosal graft augmentation urethroplasty for long segment bulbar urethral strictures is an established management option. Here the authors outline the results of their pilot study designed to evaluate the efficacy of using two innovative steps for graft augmentation

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Modern management of diverticular disease in men

The presentation of diverticular disease and its complications are varied: it is common and most people with diverticulosis are asymptomatic. In this article the authors review the burden of diverticular disease and its causes, and present two clinical cases of complicated diverticulitis with a urology theme

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Whistleblowing: what progress since the Francis Inquiry report?

Whistleblowing is established as an important aspect of safeguarding patients. Nevertheless, whistleblowers themselves have suffered as a result of their efforts to expose ‘wrongdoing’. In this paper, based on a presentation at the Royal Society of Medicine, in March 2019, the author considers what progress has been made since the Francis Inquiry report

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Whistling in the wind?

In this comment piece Peter Duffy, Consultant Urological Surgeon, details his personal experience of whistleblowing, including the punitive action and retaliation he received from NHS management and co-workers.

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