Articles: Volume 9 Issue 3 May/Jun 2018

Editorial: the NHS at 70 – where to next?

With health services currently facing unprecedented financial and operational pressures surely the time has come to address which services the NHS should and should not provide

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Men and early prostate cancer

Increasing use of the prostate-specific antigen (PSA) test means that more early prostate cancers are being detected. This can be challenging in terms of knowing what course of action is best. In this article Roger Kirby describes the options available and how they might be utilised depending on the nature of the cancer

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Intermittent self-catheterisation in men

Intermittent selfcatheterisation (ISC) is an effective treatment option for men with voiding dysfunction, but it can be associated with apprehension and anxiety in the early stages. This article discusses the male patient’s experience of learning ISC, exploring the psychological and practical aspects of ISC and the factors that influence treatment continuation

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BSSM guidelines on testosterone deficiency: a summary

The British Society for Sexual Medicine (BSSM) 2018 guideline on adult testosterone deficiency was developed to help address the widespread media and scientific concerns over the appropriate treatment of testosterone deficiency with testosterone therapy. In this article the authors provide an overview of the guideline

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Book review: Radiology and follow-up of urologic surgery

A book review of Radiology and follow-up of urologic surgery, edited by Christopher RJ Woodhouse and Alex Kirkham

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HIV – the good news

Earlier testing for HIV and prompt treatment has resulted in a fall in the number of HIV diagnoses and is having a positive impact on morbidity, mortality and quality of life for those living with HIV. AIDS-defining illnesses are now rarely seen. In this article the authors describe the successes in the battle against HIV and highlight the challenges that remain

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Prostate artery embolisation: ready for adoption?

Prostatic artery embolisation can be used to block the blood supply in benign prostatic hypertrophy (BPH), leading to a significant reduction in size and improvement in associated lower urinary tract symptoms. In this article the author describes the results of a recently published multicentre registry study and looks at where this technique can fit in the management of

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Tetanus: an ever-present infection risk

Tetanus was recognised as far back as the 5th century BC, when it was first described by Hippocrates. Today, immunisation has reduced the incidence of tetanus infection, but the bacteria responsible remains active in soil and manure. Although most people in the UK are covered by immunisation, the elderly and some immigrants, may be at risk

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F. Brantley Scott: a visionary in the world of urology

F. Brantley Scott was a urologist, surgeon, neuroscientist and inventor, but most importantly a visionary in modern medicine. Culley Carson looks back at the achievements of a true renaissance man who left an enduring stamp on the field of urology

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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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