Managing patients with metastatic prostate cancer: who takes the lead?
The increased number of treatment options for prostate cancer has raised questions over who should be taking responsibility for initiating and ongoing management of patients. In this article the authors report on the findings of a survey seeking the views of UK oncologists and urologists on where they think responsibilities lie. (Source: Trends in Urology, Gynaecology and Sexual Health)
Source: Trends in Urology, Gynaecology and Sexual Health - July 31, 2017 Category: OBGYN Authors: Simon Hughes, Alan McNeill, Simon Brewster, Noel Clarke, Janis Troup, Heather Payne Tags: Prostate Disease Source Type: research

Testicular cancer: an overview of contemporary practice
Testicular cancer is a common cancer in younger men. It can be successfully treated with surgery, radiotherapy and chemotherapy, but early diagnosis is key. In this article, the authors describe the diagnosis, pathology and management of the disease. (Source: Trends in Urology, Gynaecology and Sexual Health)
Source: Trends in Urology, Gynaecology and Sexual Health - July 31, 2017 Category: OBGYN Authors: James Voss, Tim Dudderidge Tags: Oncology Source Type: research

Managing overactive bladder in primary care
This article, based on a consensus group meeting, provides guidance on the current management of overactive bladder in primary care. (Source: Trends in Urology, Gynaecology and Sexual Health)
Source: Trends in Urology, Gynaecology and Sexual Health - July 31, 2017 Category: OBGYN Authors: Dudley Robinson, Mohammed Belal, Paraskeve Granitsiotis, Rizwan Hamid, Philip Toozs ‐Hobson, Arun Sahai Tags: Lower Urinary Tract Symptoms Source Type: research

25 years post ‐Calman: the state of men's health in the UK
25 years have passed since the then Chief Medical Officer, Sir Kenneth Calman, included men's health as a ‘special topic’ in his annual public health report.1 Peter Baker reflects on what has been achieved in the men's health field during this time and what issues remain in need of attention. (Source: Trends in Urology, Gynaecology and Sexual Health)
Source: Trends in Urology, Gynaecology and Sexual Health - July 31, 2017 Category: OBGYN Authors: Peter Baker Tags: Men's Health Source Type: research

Suicide in men: what is the problem?
In high‐income countries such as the UK, suicide incidence in males is three times higher than in females. Among men, the suicide rate is higher still for those who are in their middle years (35–54) and live in socio‐economically disadvantaged circumstances. Stephen Platt draws on insights from a range of social science perspectives to identify the non‐psychiatric factors that interact with psychiatric vulnerability to elevate suicide risk in this demographic group. (Source: Trends in Urology, Gynaecology and Sexual Health)
Source: Trends in Urology, Gynaecology and Sexual Health - July 31, 2017 Category: OBGYN Authors: Stephen Platt Tags: Mental Health Source Type: research

The case for cutting back on red meat
Eating prime steak may be the ‘macho male’ thing to do, but choosing a vegetarian option might be better for your health and for the planet. (Source: Trends in Urology, Gynaecology and Sexual Health)
Source: Trends in Urology, Gynaecology and Sexual Health - July 1, 2017 Category: OBGYN Authors: Roger Kirby Tags: Editorial Source Type: research

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. (Source: Trends in Urology, Gynaecology and Sexual Health)
Source: Trends in Urology, Gynaecology and Sexual Health - May 31, 2017 Category: OBGYN Tags: Journal review Source Type: research

Richard Turner ‐Warwick: a father of reconstructive urology
Richard Turner‐Warwick, or RTW as he is known, has had a significant influence on the advancement of urethral stricture surgery and of functional reconstructive urological surgery in the UK and worldwide. In this article, Dominic Hodgson, having met with and interviewed Richard, outlines some of the achievements of his long and very distinguished career. (Source: Trends in Urology, Gynaecology and Sexual Health)
Source: Trends in Urology, Gynaecology and Sexual Health - May 31, 2017 Category: OBGYN Authors: Dominic Hodgson Tags: Heroes of Our Time Source Type: research

Functional assessment of the reconstructed urinary tract
This article aims to consider these parameters and the framework by which the reconstructed urinary tract can be assessed. (Source: Trends in Urology, Gynaecology and Sexual Health)
Source: Trends in Urology, Gynaecology and Sexual Health - May 31, 2017 Category: OBGYN Authors: Dan Wood Tags: Reconstructive Surgery Source Type: research

HoLEP: the new ‘gold standard’ in bladder outflow surgery
Transurethral resection of the prostate (TURP) has been the ‘gold standard’ procedure for benign prostatic hypertrophy (BPH) for many years. In this article the author describes Holmium Laser Enucleation of the Prostate (HoLEP) and questions why it is not more widely utilised. (Source: Trends in Urology, Gynaecology and Sexual Health)
Source: Trends in Urology, Gynaecology and Sexual Health - May 31, 2017 Category: OBGYN Authors: Freddie Banks Tags: Prostate Disease Source Type: research

Adverse drug reactions and urological disease
Despite the significant benefits of today's drugs, they still have the potential to cause significant adverse effects. Here the authors briefly review urological disorders caused by drugs and adverse reactions caused by drugs used to treat urological disorders. (Source: Trends in Urology, Gynaecology and Sexual Health)
Source: Trends in Urology, Gynaecology and Sexual Health - May 31, 2017 Category: OBGYN Authors: Karamjit Badyal, Christopher Anton, Robin Ferner Tags: Patient Safety Source Type: research

Surgery in metastatic prostate cancer: a pilot study
There is some evidence to suggest that radical treatment of the primary tumour in patients diagnosed with metastatic prostate cancer can reduce symptomatic progression and increase survival. In this article, the author describes a pilot study to investigate whether a large study looking at survival benefit in early metastatic disease is feasible in the UK and calls for recruits. (Source: Trends in Urology, Gynaecology and Sexual Health)
Source: Trends in Urology, Gynaecology and Sexual Health - May 31, 2017 Category: OBGYN Authors: Prasanna Sooriakumaran Tags: Prostate Disease Source Type: research

Femoroacetabular impingement syndrome – a pain in the hip
The presentation of elderly patients with hip pain due to osteoarthritis is familiar to most general practitioners. Hip pain in the younger adult, particularly men, can be a less familiar and more challenging presentation. In this article the authors describe femoroacetabular impingement syndrome, an increasingly recognised cause of hip pain in the younger population. (Source: Trends in Urology, Gynaecology and Sexual Health)
Source: Trends in Urology, Gynaecology and Sexual Health - May 31, 2017 Category: OBGYN Authors: Alastair Dick, Marcus Bankes Tags: Musculo ‐Skeletal Disease Source Type: research

Informed consent: Montgomery trumps Bolam
The old paternalistic system, where doctors could decide what to tell patients about the risks involved in a procedure, has gone. In this article, the authors describe how the requirements around informed consent are now clearly defined and need to be heeded. (Source: Trends in Urology, Gynaecology and Sexual Health)
Source: Trends in Urology, Gynaecology and Sexual Health - May 31, 2017 Category: OBGYN Authors: Josephine Mansell, Martin Mansell Tags: Medico ‐Legal Issues Source Type: research

Mycoplasma genitalium: a new kid on the block
Mycoplasma genitalium, once thought to be a benign organism, is now considered a significant cause of non‐gonococcal urethritis. In this article the author describes how to identify infections and how to manage them. (Source: Trends in Urology, Gynaecology and Sexual Health)
Source: Trends in Urology, Gynaecology and Sexual Health - May 31, 2017 Category: OBGYN Authors: John Reynolds ‐Wright Tags: Sexual Health Source Type: research