Diagnosis and management of priapism
Priapism, a prolonged penile erection, is a rare urological emergency which can pose a significant management challenge. In this article the authors describe the pathophysiology and management of the condition. (Source: Trends in Urology, Gynaecology and Sexual Health)
Source: Trends in Urology, Gynaecology and Sexual Health - May 24, 2016 Category: OBGYN Authors: Asif Muneer, Evangelos Zacharakis, David J. Ralph Tags: Genital Problems Source Type: research

The NHS Health Check: where are we now?
The aim of the NHS Health Check is to improve health and wellbeing of adults aged 40–74 through earlier detection and management of individual risk factors for vascular disease and other conditions associated with them. The programme was launched in 2009 in response to the rising tide of preventable death and disability from non‐communicable disease, and is intended to reach 15 million eligible people in England every five years. The authors describe the programme and progress so far. (Source: Trends in Urology, Gynaecology and Sexual Health)
Source: Trends in Urology, Gynaecology and Sexual Health - May 24, 2016 Category: OBGYN Authors: Matt Kearney, Jamie Waterall Tags: Cardiovascular Health Source Type: research

Men's health: a global problem requiring global solutions
Men's health is the ‘Cinderfella’ of public health, being generally overlooked and hidden in plain sight. Peter Baker describes the issues and highlights the benefits to all of a more concerted global effort to improve men's health. (Source: Trends in Urology, Gynaecology and Sexual Health)
Source: Trends in Urology, Gynaecology and Sexual Health - May 24, 2016 Category: OBGYN Authors: Peter Baker Tags: Men's Health Source Type: research

Time to reflect: helping patients to understand the natural history of prostate cancer
The natural history of prostate cancer is different to other urological malignancies. The often extended survival should allow patients time to decide on the various options for management available to them. Peter Whelan suggests that healthcare professionals should not shoehorn prostate cancer into an inappropriate management paradigm and give patients the time they need to reflect at each step. (Source: Trends in Urology, Gynaecology and Sexual Health)
Source: Trends in Urology, Gynaecology and Sexual Health - May 24, 2016 Category: OBGYN Authors: Peter Whelan Tags: Prostate Disease Source Type: research

Seven habits of highly effective doctors
Recently, I was fortunate enough to be awarded the Sir Clement Price Thomas medal from the Royal College of Surgeons. At the presentation ceremony, I was asked to say a few encouraging words to the many young doctors who were receiving the diplomas that mark the beginning of their careers in surgery. This in brief is what I told them. (Source: Trends in Urology, Gynaecology and Sexual Health)
Source: Trends in Urology, Gynaecology and Sexual Health - April 30, 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 - April 3, 2016 Category: OBGYN Tags: Journal Review Source Type: research

Medicines optimisation in elderly cancer patients
Cancer patients, particularly the elderly, will often have other conditions that add to their burden of disease. They will also be taking medicines for those diseases that have to be managed alongside cancer treatment. In this article the authors highlight the problem and describe how medicines optimisation can help. (Source: Trends in Urology, Gynaecology and Sexual Health)
Source: Trends in Urology, Gynaecology and Sexual Health - April 3, 2016 Category: OBGYN Authors: Pinkie Chambers, Laura Sellers, Heather Payne Tags: Medicines and Prescribing Source Type: research

Immunotherapy for prostate cancer: the next step?
Immunotherapy is showing great promise in the treatment of a wide range of cancers. Using the body's own immune system to attack tumours is an attractive proposition that has the advantage of being selective with reduced toxicity. In this article the authors provide a comprehensive overview of the current approaches being tested in the treatment of prostate cancer. (Source: Trends in Urology, Gynaecology and Sexual Health)
Source: Trends in Urology, Gynaecology and Sexual Health - April 3, 2016 Category: OBGYN Authors: Hannah Rush, Clare Gilson, Simon Chowdhury Tags: Prostate Disease Source Type: research

Operating from a wheelchair
In 2002 Ans Khan had a paragliding accident that left him paralysed from the chest down. Despite this misfortune he continues to work as a Consultant Urological Surgeon, specialising in open kidney surgery, and is also an Associate Medical Director. In this article, he describes the uplifting story of how he came to terms with his injury and got back into the operating theatre. (Source: Trends in Urology, Gynaecology and Sexual Health)
Source: Trends in Urology, Gynaecology and Sexual Health - April 3, 2016 Category: OBGYN Authors: Ans Khan Tags: Talking Points Source Type: research

The NICE primary care referral guideline for suspected bladder or renal cancer
helps GPs identify the signs and symptoms, in addition to visible haematuria, that warrant referral for further investigation. In this article the authors, who helped develop the guideline, describe the evidence and thinking behind the recommendations. (Source: Trends in Urology, Gynaecology and Sexual Health)
Source: Trends in Urology, Gynaecology and Sexual Health - April 3, 2016 Category: OBGYN Authors: Mia Schmidt‐Hansen, William Hamilton Tags: Nice Guidelines Source Type: research

Telling your patients to cut down on alcohol: does it work?
Men are more likely to abuse alcohol than women and it is a significant cause of morbidity and mortality in men. In this article, the authors describe how simple interventions are particularly effective in men and how drinking is often a defence mechanism against psychological distress. (Source: Trends in Urology, Gynaecology and Sexual Health)
Source: Trends in Urology, Gynaecology and Sexual Health - April 3, 2016 Category: OBGYN Authors: Robert Patton, Eli Joubert Tags: Men's Health Source Type: research

Taking the opportunity to assess cardiovascular risk in men
Men presenting with urological problems or wanting a PSA test provide an opportunity to assess overall cardiovascular risk, according to Mike Kirby. (Source: Trends in Urology, Gynaecology and Sexual Health)
Source: Trends in Urology, Gynaecology and Sexual Health - April 3, 2016 Category: OBGYN Authors: Mike Kirby Tags: Screening Source Type: research

Getting your PSA checked is good for overall health
Men diagnosed with prostate cancer through regular PSA screening seem to be healthier and have better overall survival than men in the general population. According to Professor Wassersug, this highlights the benefits for men in paying regular attention to their overall health. Mike Kirby provides a commentary on page 17. (Source: Trends in Urology, Gynaecology and Sexual Health)
Source: Trends in Urology, Gynaecology and Sexual Health - April 3, 2016 Category: OBGYN Authors: Richard Wassersug Tags: Screening Source Type: research

Ophthalmic manifestations of urological drugs
The potential ophthalmic side‐effects of commonly prescribed urological drugs have been discussed in the literature and emphasised in surgical and ophthalmological training for some time, although no clear guidelines have been established. In this article the authors provide some practical advice to assist prescribers. (Source: Trends in Urology, Gynaecology and Sexual Health)
Source: Trends in Urology, Gynaecology and Sexual Health - April 3, 2016 Category: OBGYN Authors: Sonia Szamocki, James S.A. Green Tags: Ophthalmology Source Type: research

To screen or not to screen?
The debate concerning the value of new technologies for earlier detection and intervention will run and run. We plan to feature a series of articles in Trends describing these advances in more detail. (Source: Trends in Urology, Gynaecology and Sexual Health)
Source: Trends in Urology, Gynaecology and Sexual Health - February 29, 2016 Category: OBGYN Authors: Roger Kirby Tags: Editorial Source Type: research