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The MASTER trial: artificial urinary sphincter versus male sling
The MASTER trial is the first randomised controlled trial comparing the artificial urinary sphincter and the male sling – both treatments for urinary incontinence in men who have had prostate surgery. (Source: Trends in Urology, Gynaecology and Sexual Health)
Source: Trends in Urology, Gynaecology and Sexual Health - April 2, 2015 Category: OBGYN Authors: Paul Abrams, Kirsty Shearer Tags: Lower Urinary Tract Symptoms Source Type: research

PSA – targeting the men at highest risk
A move towards targeted screening of men at higher risk of prostate cancer offers the potential to improve outcomes. In this article, members of the Prostate Cancer UK Education Advisory Group outline ways in which primary care physicians can ensure that PSA testing is targeted at those who are most likely to benefit. (Source: Trends in Urology, Gynaecology and Sexual Health)
Source: Trends in Urology, Gynaecology and Sexual Health - April 2, 2015 Category: OBGYN Authors: Jonathan Rees, William Cross, Gemma Borwick, Ali Cooper, Sarah Cant Tags: Prostate Disease Source Type: research

Improving the surgical treatment of high‐risk localised or locally advanced prostate cancer
Radiologists, oncologists, urologists and clinical nurse specialists met to evaluate how patients with high‐risk localised or locally advanced prostate cancer might be better diagnosed and managed. In the first article in this series, the authors reviewed diagnosis and hormonal and radiotherapy.1 In this second paper, they evaluate findings from the meeting relating to the surgical management of the disease and how this might be optimised. (Source: Trends in Urology, Gynaecology and Sexual Health)
Source: Trends in Urology, Gynaecology and Sexual Health - April 2, 2015 Category: OBGYN Authors: Roger Kirby, Heather Payne, Vincent Khoo, Noel Clarke, Mark Beresford, Caroline Moore, Philippa Aslett, Amit Bahl, Rupesh Bhatt, Greg Boustead, Simon Brewster Tags: Prostate Disease Source Type: research

Sean Vesey, MB BCh BAO (NUI), FRCSI, FRCS, FRS(Urol), FEBU
Stuart Lloyd shares his memories of Consultant Urologist Sean Vesey (Source: Trends in Urology, Gynaecology and Sexual Health)
Source: Trends in Urology, Gynaecology and Sexual Health - April 2, 2015 Category: OBGYN Tags: Obituary Source Type: research

Diagnosis and treatment of non‐muscle‐invasive bladder cancer
Although there has been an overall reduction in the incidence of bladder cancer, the mortality rate has remained unchanged, hence survival is now worse. Most patients have non‐muscle‐invasive bladder cancer at presentation, which is not immediately life threatening, so efforts must be made to improve the early diagnosis and expeditious treatment of this disease. (Source: Trends in Urology, Gynaecology and Sexual Health)
Source: Trends in Urology, Gynaecology and Sexual Health - April 2, 2015 Category: OBGYN Authors: Hugh Mostafid, Richard T. Bryan, Jonathan Rees Tags: Bladder Cancer Source Type: research

Homelessness and mental health
The prevalence of serious mental illness is higher in homeless people compared with those who are housed, and there are higher rates of personality disorder, self‐harm and attempted suicide. In this article, the authors discuss interventions in primary and secondary care that focus on improving the mental health of homeless people (Source: Trends in Urology, Gynaecology and Sexual Health)
Source: Trends in Urology, Gynaecology and Sexual Health - April 2, 2015 Category: OBGYN Authors: Jennifer Perry, Tom K.J. Craig Tags: Mental Health Source Type: research

Prostate cancer survivorship and psychosexual care
With increasing numbers of prostate cancer survivors, it is vital that follow‐up care meets their needs. The authors propose that psychosexual education and rehabilitation should become a standard element of survivorship care. (Source: Trends in Urology, Gynaecology and Sexual Health)
Source: Trends in Urology, Gynaecology and Sexual Health - April 2, 2015 Category: OBGYN Authors: Sanchia S. Goonewardene, Veronica Nanton, Annie Young, Raj Persad Tags: Prostate Disease Source Type: research

Relationship between surgical volume and patient outcomes
The authors discuss the inverse relationship between hospital volume of surgical procedures and rates of operative mortality, looking in particular at surgeons' experience of performing radical prostatectomy and patient outcomes. (Source: Trends in Urology, Gynaecology and Sexual Health)
Source: Trends in Urology, Gynaecology and Sexual Health - April 2, 2015 Category: OBGYN Authors: Massimiliano Spaliviero, James A. Eastham Tags: Patient Safety Source Type: research

Dying to make an impact
While female suicide rates have remained stable, the male rate has risen to its highest number for 12 years. (Source: Trends in Urology, Gynaecology and Sexual Health)
Source: Trends in Urology, Gynaecology and Sexual Health - March 1, 2015 Category: OBGYN Authors: Roger Kirby Tags: Editorial Source Type: research

Living in interesting times
Many clinicians have been shocked to learn that 28 doctors have already committed suicide while undergoing GMC investigation (Source: Trends in Urology, Gynaecology and Sexual Health)
Source: Trends in Urology, Gynaecology and Sexual Health - March 1, 2015 Category: OBGYN Authors: Roger Kirby Tags: Editorial Source Type: research

Editor's choice
An update on the latest relevant journal articles. Mike Kirby, Visiting Professor, University of Hertfordshire and The Prostate Centre, London, adds a ‘Message for the clinic’. (Source: Trends in Urology, Gynaecology and Sexual Health)
Source: Trends in Urology, Gynaecology and Sexual Health - January 26, 2015 Category: OBGYN Tags: Journal Review Source Type: research

Is there a link between cycling and prostate cancer?
Alastair Lamb discusses a recent study that suggested a link between cycling and prostate cancer, and asks whether the evidence stacks up. (Source: Trends in Urology, Gynaecology and Sexual Health)
Source: Trends in Urology, Gynaecology and Sexual Health - January 26, 2015 Category: OBGYN Authors: Alastair Lamb Tags: Current Issues Source Type: research

Antioxidant therapy for male subfertility: myth or evidence‐based?
The authors review the literature investigating the role of common dietary supplements that are being marketed as a remedy for male subfertility. They assess the evidence base supporting their use and their potential role in improving semen parameters alongside overall conception and live‐birth rates. (Source: Trends in Urology, Gynaecology and Sexual Health)
Source: Trends in Urology, Gynaecology and Sexual Health - January 26, 2015 Category: OBGYN Authors: Muhammad Elmussareh, Ahmed Mahrous, Oliver Kayes Tags: Reproduction Source Type: research

Multiple myeloma
is characterised by the presence of malignant plasma cells in the bone marrow. The disorder, which has a higher incidence in men, can manifest with a myriad of non‐specific signs and symptoms, so diagnosis is frequently delayed. (Source: Trends in Urology, Gynaecology and Sexual Health)
Source: Trends in Urology, Gynaecology and Sexual Health - January 26, 2015 Category: OBGYN Authors: Sandra Hassan, Jamie Cavenagh Tags: Oncology Source Type: research

Improving the diagnosis and treatment of high‐risk localised or locally advanced prostate cancer
Radiologists, oncologists, urologists and clinical nurse specialists met to evaluate how patients with high‐risk localised or locally advanced prostate cancer might be better diagnosed and managed. In this first article, the authors look at ways in which the diagnosis of the disease could be improved and discuss how to optimise hormonal and radiotherapy. The second article in the series will evaluate surgical therapy. (Source: Trends in Urology, Gynaecology and Sexual Health)
Source: Trends in Urology, Gynaecology and Sexual Health - January 26, 2015 Category: OBGYN Authors: Heather Payne, Vincent Khoo, Noel Clarke, Mark Beresford, Caroline Moore, Philippa Aslett, Amit Bahl, Rupesh Bhatt, Greg Boustead, Simon Brewster, Roger Kirby Tags: Prostate Disease Source Type: research