Men and obesity: what are the issues?
Obesity is a major and growing problem for men in the UK. In this article Professor Haslam describes the damaging health consequences of obesity, the obesity paradox, and traces the journey that now puts carbohydrate in the frame in place of fat. (Source: Trends in Urology, Gynaecology and Sexual Health)
Source: Trends in Urology, Gynaecology and Sexual Health - January 29, 2017 Category: OBGYN Authors: David Haslam Tags: Men's Health Source Type: research

The use of questionnaires to assess sexual function
Questionnaires are often seen as time‐consuming in a busy clinic or surgery and more suited to clinical research. They can be useful to help diagnosis and to provide a baseline against which to monitor changes in symptoms and response to therapeutic interventions. Dr Hackett provides a guide to the most useful questionnaires in the sexual health area. (Source: Trends in Urology, Gynaecology and Sexual Health)
Source: Trends in Urology, Gynaecology and Sexual Health - January 29, 2017 Category: OBGYN Authors: Geoffrey Hackett Tags: Sexual Health Source Type: research

‘Man MOT’: a new approach to primary care for men
Men find it difficult to make effective use of primary care. Peter Baker describes a successful new service that provides online GP chat and advice for men, and the lessons that can be learned from it. (Source: Trends in Urology, Gynaecology and Sexual Health)
Source: Trends in Urology, Gynaecology and Sexual Health - January 29, 2017 Category: OBGYN Authors: Peter Baker Tags: Men's Health Source Type: research

HIV pre ‐exposure prophylaxis (PrEP): effective but controversial
Pre‐exposure prophylaxis or PrEP has been shown to be effective in certain groups at reducing the acquisition of HIV. Despite its efficacy, the NHS appears reluctant to fund its use. In this article the authors describe PrEP and discuss some of the pros and cons of its use. (Source: Trends in Urology, Gynaecology and Sexual Health)
Source: Trends in Urology, Gynaecology and Sexual Health - January 29, 2017 Category: OBGYN Authors: Max Kelen, Fiona Cresswell Tags: Sexual Health Source Type: research

Justice at last
In November 2013, an Old Bailey jury, by a 10–2 majority, convicted general surgeon David Sellu of the manslaughter of a patient by ‘gross negligence’. A six‐year journey has taken the Sierra Leone‐born surgeon through a coroner's inquest, hospital investigation, police inquiry, prosecution, conviction, 15 months in prison and, eventually, to the Appeal Court, where three senior judges quashed his conviction… (Source: Trends in Urology, Gynaecology and Sexual Health)
Source: Trends in Urology, Gynaecology and Sexual Health - December 31, 2016 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 - November 27, 2016 Category: OBGYN Tags: Journal Review Source Type: research

Michael Handley Ashken, 1931 –2016
Krishna Sethia shares memories of former BAUS President and enthusiastic cricketer, Michael Handley Ashken. (Source: Trends in Urology, Gynaecology and Sexual Health)
Source: Trends in Urology, Gynaecology and Sexual Health - November 27, 2016 Category: OBGYN Tags: Obituary Source Type: research

Screening for hypogonadism: real ‐world considerations
Testosterone levels are increasingly being checked in primary care as awareness of the risks of male hypogonadism grows. The authors looked at what tests are performed in general practice in Cheshire to screen for hypogonadism and to rule out secondary hypogonadism. (Source: Trends in Urology, Gynaecology and Sexual Health)
Source: Trends in Urology, Gynaecology and Sexual Health - November 27, 2016 Category: OBGYN Authors: Adrian Heald, Richard Jones, Adnan Khan, Gemma Donnahey, Paul Downie, Christopher Duff, Mark Livingston Tags: Screening Source Type: research

Oesophageal cancer: diagnosis and management
Oesophageal cancer is the ninth most common cancer in the UK. With 8500 cases diagnosed annually, the UK has the highest rates of oesophageal cancer in Western Europe. Adenocarcinoma now accounts for 60–75% of all oesophageal cancers in the UK and is three to four times more common in men. Despite advances in diagnosis and treatment, five‐year survival rates for all patients diagnosed with oesophageal cancer ranges from 15–20%. In this article the authors discuss current diagnosis and management. (Source: Trends in Urology, Gynaecology and Sexual Health)
Source: Trends in Urology, Gynaecology and Sexual Health - November 27, 2016 Category: OBGYN Authors: Myutan Kulendran, Muhammed Siddiqui, David Du, Aamir Khan Tags: Oncology Source Type: research

The ‘burnout complex’ in surgical practice
Burnout among healthcare professionals is a growing problem. Surgeons appear particularly vulnerable and the consequences can be significant for both the sufferer and those around them. In this article the author describes burnout, its manifestations, and how institutions and individuals can avoid it. (Source: Trends in Urology, Gynaecology and Sexual Health)
Source: Trends in Urology, Gynaecology and Sexual Health - November 27, 2016 Category: OBGYN Authors: Fardod O'Kelly Tags: Current Issues Source Type: research

LUTS, alpha ‐blockers and men's health
With an increasing number of men presenting with lower urinary tract symptoms (LUTS), erectile dysfunction (ED) and the metabolic syndrome, Roger Kirby suggests that it is time to review current treatment approaches to avoid making some problems worse, and to try combinations of treatments that may be more beneficial for our patients. (Source: Trends in Urology, Gynaecology and Sexual Health)
Source: Trends in Urology, Gynaecology and Sexual Health - November 27, 2016 Category: OBGYN Authors: Roger Kirby Tags: Lower Urinary Tract Symptoms Source Type: research

Supporting trans people in clinical practice
This article outlines current key issues surrounding trans healthcare and clinical guidelines, and signposts readers to essential resources as a step towards ensuring practitioners are equipped to respond appropriately to any health needs a trans person may present in a clinical setting. (Source: Trends in Urology, Gynaecology and Sexual Health)
Source: Trends in Urology, Gynaecology and Sexual Health - November 27, 2016 Category: OBGYN Authors: Kevan Wylie, Rebecca Wylie Tags: Transgender and Health Source Type: research

Breaking bad news
Looking back over my career, I think one of the very hardest things that I have ever had to do was tell the parents of a teenage motorcyclist, brought in seriously injured to Accident and Emergency, that we were unable to save him from the catastrophic bleeding resulting from his shattered liver and spleen. Breaking bad news goes with the territory of being a doctor, yet we seldom stop and think how best it can and should be done. (Source: Trends in Urology, Gynaecology and Sexual Health)
Source: Trends in Urology, Gynaecology and Sexual Health - October 31, 2016 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, adds a ‘Message for the clinic’. (Source: Trends in Urology, Gynaecology and Sexual Health)
Source: Trends in Urology, Gynaecology and Sexual Health - September 25, 2016 Category: OBGYN Tags: Journal Review Source Type: research

An ED patient with low testosterone
In this article, we consider the case of a patient referred to the erectile dysfunction (ED) clinic for second‐line treatment. The patient had many of the signs and symptoms of hypogonadism, but even when this was revealed his treatment pathway was not straightforward. (Source: Trends in Urology, Gynaecology and Sexual Health)
Source: Trends in Urology, Gynaecology and Sexual Health - September 25, 2016 Category: OBGYN Authors: Geoffrey Hackett Tags: Tales from the Clinic Source Type: research