Surgeons and the ‘God complex’
The recent publicity surrounding the prosecution and conviction of breast cancer surgeon Ian Paterson risks seriously undermining trust in surgery and in surgeons, especially in relation to his reported arrogance and supposed ‘God complex’. Sadly, he is not the first surgeon to be accused of these unfortunate characteristics – nor will he be the last… (Source: Trends in Urology, Gynaecology and Sexual Health)
Source: Trends in Urology, Gynaecology and Sexual Health - May 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 - April 10, 2017 Category: OBGYN Tags: Journal review Source Type: research

A surgeon's responsibility: their life in your hands
Surgeons literally take the life of their patients in their hands. In this article Joseph Smith describes the trust patients put in their surgeons and how surgeons have to respond to that trust, by only performing operations that they themselves know they are qualified and competent to perform. (Source: Trends in Urology, Gynaecology and Sexual Health)
Source: Trends in Urology, Gynaecology and Sexual Health - April 10, 2017 Category: OBGYN Authors: Joseph Smith Tags: Talking Points Source Type: research

The expert medical witness: the good, the bad and the ugly
In light of the recent quashing of the conviction of surgeon David Sellu for gross negligence, Peter McDonald discusses the role of the expert medical witness and makes the case for some form of quality control or accreditation for this important role. (Source: Trends in Urology, Gynaecology and Sexual Health)
Source: Trends in Urology, Gynaecology and Sexual Health - April 10, 2017 Category: OBGYN Authors: Peter McDonald Tags: Medico ‐Legal Issues Source Type: research

Serum testosterone: the why and wherefore of testing
Testosterone levels are now routinely measured in men attending endocrine and sexual medicine clinics, and increasingly in primary care, to investigate erectile and/or possible gonadal dysfunction. In this article the authors describe what to measure and when. (Source: Trends in Urology, Gynaecology and Sexual Health)
Source: Trends in Urology, Gynaecology and Sexual Health - April 10, 2017 Category: OBGYN Authors: Adrian Heald, Mark Livingston Tags: Screening Source Type: research

Current management of renal cell cancer
The last decade has seen significant treatment advances in the management of renal cell cancer, from the availability of oral, targeted therapies to the recent introduction of immunotherapy. In this article the authors cover the risk factors for renal cancer and its different histological types, as well as the staging and management of both early and late‐stage disease. (Source: Trends in Urology, Gynaecology and Sexual Health)
Source: Trends in Urology, Gynaecology and Sexual Health - April 10, 2017 Category: OBGYN Authors: Lavinia Spain, Samra Turajlic Tags: Kidney Disease Source Type: research

The sexual consequences of congenital pelvic anomalies
Congenital pelvic anomalies are relatively rare in males. Little is known about their impact on sexual function and activity as these boys grow into men. In this article the author looks at the data available and encourages health professionals who look after such patients not to be afraid to discuss sex. (Source: Trends in Urology, Gynaecology and Sexual Health)
Source: Trends in Urology, Gynaecology and Sexual Health - April 10, 2017 Category: OBGYN Authors: Christopher Woodhouse Tags: Sexual Health Source Type: research

Irritable bowel syndrome: enigmatic for doctors, problematic for patients
Irritable bowel syndrome (IBS) is a functional gastro‐intestinal disorder, characterised by chronic abdominal pain and an alteration in bowel habit. The symptoms of IBS can be debilitating and associated with a reduction in quality of life. Although in Europe IBS more often presents in women, men also suffer and this potential diagnosis should not be overlooked. (Source: Trends in Urology, Gynaecology and Sexual Health)
Source: Trends in Urology, Gynaecology and Sexual Health - April 10, 2017 Category: OBGYN Authors: Adam Farmer, James Ruffle Tags: Gastro ‐Intestinal Health Source Type: research

Boys and men get eating disorders too
Much attention has been focused on eating disorders in young girls and women. Eating disorders in boys and men are not often discussed, yet rates are increasing and it is thought that a significant number of sufferers remain unidentified. In this article the author provides guidance on how disorders can be identified and managed, and what sources of support are available. (Source: Trends in Urology, Gynaecology and Sexual Health)
Source: Trends in Urology, Gynaecology and Sexual Health - April 10, 2017 Category: OBGYN Authors: Dominique Thompson Tags: Men's Health Source Type: research

Get ready for the genomic revolution
Prostate cancer is a recognised component of the hereditary breast and ovarian cancer (HBOC) syndrome cancer spectrum, where inherited susceptibility is accounted for by mutations in BRCA1 and BRCA2 genes. Genetic testing for BRCA1/2 mutations may provide some men with information about their risk for developing aggressive prostate cancer… (Source: Trends in Urology, Gynaecology and Sexual Health)
Source: Trends in Urology, Gynaecology and Sexual Health - March 1, 2017 Category: OBGYN Authors: Roger Kirby Tags: Editorial Source Type: research

Editor's choice
An update on the latest relevant journal articles. Mike Kirby, GP and Visiting Professor, University of Hertfordshire and The Prostate Centre, London, writes the ‘take‐home message’. (Source: Trends in Urology, Gynaecology and Sexual Health)
Source: Trends in Urology, Gynaecology and Sexual Health - January 29, 2017 Category: OBGYN Tags: Journal Review Source Type: research

Taking the lead: striving for continuous improvement and leadership
A hotel on the outskirts of Oxford saw the gathering of 20 current and future leaders in urology, who met to discuss what it takes to not merely survive a career as a consultant urologist, but to succeed and thrive. Here the author provides a flavour of what the meeting covered. (Source: Trends in Urology, Gynaecology and Sexual Health)
Source: Trends in Urology, Gynaecology and Sexual Health - January 29, 2017 Category: OBGYN Authors: Louise de Winter Tags: Professional Development Source Type: research

Joseph Colin Smith OBE, 1931 –2016
David Cranston and Mark Speakman share memories of Joe Smith, Consultant Urologist and Past President of BAUS. (Source: Trends in Urology, Gynaecology and Sexual Health)
Source: Trends in Urology, Gynaecology and Sexual Health - January 29, 2017 Category: OBGYN Tags: Obituary Source Type: research

Prostate cancer and testosterone replacement therapy: what is the risk?
The use of testosterone replacement therapy is increasing in men with hypogonadal symptoms. In this article the authors discuss the evidence that supports the careful use of testosterone replacement in men with successfully treated prostate cancer. (Source: Trends in Urology, Gynaecology and Sexual Health)
Source: Trends in Urology, Gynaecology and Sexual Health - January 29, 2017 Category: OBGYN Authors: Culley Carson, Roger Kirby Tags: Testosterone Replacement Source Type: research

Persuading men to take better care of themselves in 2017
Men continue to live shorter lives than women in the UK. Mike Kirby describes how the New Year provides an opportunity for all healthcare professionals who come into contact with men to encourage them to better look after themselves. (Source: Trends in Urology, Gynaecology and Sexual Health)
Source: Trends in Urology, Gynaecology and Sexual Health - January 29, 2017 Category: OBGYN Authors: Mike Kirby Tags: Men's Health Source Type: research