Articles: Volume 9 Issue 5 Sep/Oct 2018

Editorial: Responding to the tsunami of clinical negligence claims

Annual spending on the Clinical Negligence Scheme for Trusts has quadrupled in ten years, from £0.4 billion in 2006–2007 to £1.6 billion in 2016–2017. Here, Roger Kirby discusses what the recent tsunami of clinical negligence claims means for the medical profession.

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Hormone management of trans men

In this article the authors describe how hormonal treatments are used in trans men undergoing transition. The hormone regimens are explained and the vital role of primary care in managing ongoing prescribing and monitoring of treatment is also discussed

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Retzius-sparing robot-assisted radical prostatectomy

The Retzius-sparing approach to robot-assisted radical prostatectomy is a relatively new surgical technique that holds the promise of reduced postoperative complications. In this article the author weighs up its advantages and disadvantages and calls for experienced surgeons to explore its potential

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Managing testicular torsion – time is of the essence

Testicular torsion is a medical emergency that usually requires surgical intervention to untwist the spermatic cord and restore blood flow to the testis. Delays in the pathway from diagnosis to surgery can lead to testicular loss and need to be minimised. In this article the authors explore some of the current controversies surrounding the management of this important organ-saving surgery

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Learning from deaths in the NHS: a new but necessary challenge

Since 2016 NHS organisations have been expected to review all deaths and assess avoidability. This is a significant task and presents many challenges. However, as Justin Vale discusses in this article it is a vital part of the learning process

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HPV vaccination for boys: how the case was won

On 24 July 2018, public health minister Steve Brine took fewer than 30 seconds to inform the House of Commons that boys would now be covered by the national HPV vaccination programme. His short statement marked the culmination of a five-year campaign led by HPV Action. Peter Baker describes how this hard-fought battle was won

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Supporting urology in Zambia

Long distances, poor patients and lack of equipment make delivering urological services in Zambia a challenge. Dominic Teichmann describes his Urolink-supported working visit to Lusaka

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Holding on to medical students and junior doctors

The strikes over the new junior doctor contract and low morale are having a damaging effect on medical students’ and junior doctors’ attitudes and willingness to work in the NHS. In this opinion piece, Oliver Ralph gives his perspective and describes how it has impacted his view of his future

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Braving the transatlantic waves for TUF

In December 2018, four 40-something men will take part in one of the world’s toughest challenges, all to raise money for The Urology Foundation and increase awareness of men’s health and urological diseases. The transatlantic row will be gruelling and the foursome need as much support as possible

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Obituary: Roger Feneley, 1933–2018

Paul Abrams shares his memories of Professor Roger Feneley. During his life, Roger pioneered improvements to urinary catheters, immunotherapy in bladder cancer, and in 1988 he introduced lithotripsy for kidney stones in the South West of England. As one of his friends has written, ‘Roger was the patient and hardworking servant of many.’

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