Articles: Volume 11 Issue 1 Jan/Feb 2020

Is the NHS experiencing a workforce crisis?

In this editorial, Roger Kirby, Editor-in-Chief on Trends in Urology and Men’s Health, discusses some of the adverse factors that have resulted in the current NHS staff recruitment and retention crisis

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Active surveillance for prostate cancer: an update

An increasing number of men diagnosed with localised prostate cancer has been accompanied by more men being considered for active surveillance as a management option. Here the author provides an update on recent developments in active surveillance and changes to NICE guidance

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Testicular cancer: low testosterone and the metabolic syndrome

Cure rates for stage 1 testicular cancer are reaching 100%. However, long-term treatment-related side effects pose their own health risks. Regular follow up and monitoring are important for early detection and timely treatment of conditions such as testosterone deficiency and metabolic syndrome

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TULA in recurrent non-muscle invasive bladder cancer

Recent NICE guidance says there is limited evidence for the efficacy of transurethral laser ablation for recurrent non-muscle invasive bladder cancer and that ‘special arrangements’ need to be in place if it is to be offered to patients. Here the authors consider the advantages and drawbacks of the treatment

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Dealing with the NHS staff recruitment and retention crisis

‘Crisis’, some may argue, is a frequently overused term. For the NHS, however, the recent numbers seem to confirm what many fear. Here the author discusses the issues and some solutions

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Microscopic haematuria in general practice

Investigation of gross haematuria is warranted because of the prevalence of cancer. However, opinion varies for non-visible haematuria and decisions about who should be investigated further or referred depend on a variety of factors

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Systemic lupus erythematosus: causes and manifestations

Little is known about the precise aetiology of systemic lupus erythematosus, but treatment should be individualised according to predominant symptoms, organ involvement, response to previous therapy and disease activity and severity

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Clinical teaching fellows: a mutually beneficial relationship

Clinical teaching fellow (CTF) jobs give junior doctors the opportunity to develop their mentoring and teaching skills, yet awareness of the posts remains low. Here the authors describe what being a CTF entails and the benefits it can offer

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Cholera: what every doctor should know

In 1817 there was a major outbreak of cholera in India that spread to Asia and Europe. The disease reached England in 1831, and war in America and Europe helped its spread. Here the author describes the bacteriology, pathogenesis, diagnosis, treatment and prevention of this notifiable disease

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Obituary: Professor John Betteridge, 1948–2019

Professor John Betteridge – a true friend and important former member of our own editorial board

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