Is the NHS experiencing a workforce crisis?
Trends in Urology&Men's Health, Volume 11, Issue 1, Page 4-4, January/February 2020. (Source: Trends in Urology and Men's Health)
Source: Trends in Urology and Men's Health - February 15, 2020 Category: Urology & Nephrology Authors: Roger Kirby Tags: Editorial Source Type: research

Testicular cancer: low testosterone and the metabolic syndrome
Cure rates for stage 1 testicular cancer are reaching 100%. However, long ‐term treatment‐related side effects pose their own health risks. Regular follow up and monitoring are important for early detection and timely treatment of conditions such as testosterone deficiency and metabolic syndrome. (Source: Trends in Urology and Men's Health)
Source: Trends in Urology and Men's Health - February 15, 2020 Category: Urology & Nephrology Authors: Mike Kirby Tags: Oncology Source Type: research

Systemic lupus erythematosus: causes and manifestations
Little is known about the precise aetiology of systemic lupus erythematosus, but treatment should be individualised according to predominant symptoms, organ involvement, response to previous therapy and disease activity and severity. (Source: Trends in Urology and Men's Health)
Source: Trends in Urology and Men's Health - February 15, 2020 Category: Urology & Nephrology Authors: Laura Barcia ‐Sixto, David Isenberg Tags: Rheumatology Source Type: research

Microscopic haematuria in general practice
Investigation of gross haematuria is warranted because of the prevalence of cancer. However, opinion varies for non ‐visible haematuria and decisions about who should be investigated further or referred depend on a variety of factors. (Source: Trends in Urology and Men's Health)
Source: Trends in Urology and Men's Health - February 15, 2020 Category: Urology & Nephrology Authors: Christopher Woodhouse Tags: Investigations Source Type: research

TULA in recurrent non ‐muscle invasive bladder cancer
Recent NICE guidance says there is limited evidence for the efficacy of transurethral laser ablation for recurrent non ‐muscle invasive bladder cancer and that ‘special arrangements’ need to be in place if it is to be offered to patients. Here the authors consider the advantages and drawbacks of the treatment. (Source: Trends in Urology and Men's Health)
Source: Trends in Urology and Men's Health - February 15, 2020 Category: Urology & Nephrology Authors: Somita Sarkar, Nikhil Mayor, Hugh Mostafid Tags: NICE guidance Source Type: research

Active surveillance for prostate cancer: an update
An increasing number of men diagnosed with localised prostate cancer has been accompanied by more men being considered for active surveillance as a management option. Here the author provides an update on recent developments in active surveillance and changes to NICE guidance. (Source: Trends in Urology and Men's Health)
Source: Trends in Urology and Men's Health - February 15, 2020 Category: Urology & Nephrology Authors: Sam Merriel Tags: Prostate disease Source Type: research

Cholera: what every doctor should know
In 1817 there was a major outbreak of cholera in India that spread to Asia and Europe. The disease reached England in 1831, and war in America and Europe helped its spread. Here the author describes the bacteriology, pathogenesis, diagnosis, treatment and prevention of this notifiable disease. (Source: Trends in Urology and Men's Health)
Source: Trends in Urology and Men's Health - February 15, 2020 Category: Urology & Nephrology Authors: Christopher Brightman Tags: Infections Source Type: research

Clinical teaching fellows: a mutually beneficial relationship
Clinical teaching fellow (CTF) jobs give junior doctors the opportunity to develop their mentoring and teaching skills, yet awareness of the posts remains low. Here the authors describe what being a CTF entails and the benefits it can offer. (Source: Trends in Urology and Men's Health)
Source: Trends in Urology and Men's Health - February 15, 2020 Category: Urology & Nephrology Authors: Charlotte Marriott, John Boyd Tags: Education Source Type: research

Dealing with the NHS staff recruitment and retention crisis
‘Crisis’, some may argue, is a frequently overused term. For the NHS, however, the recent numbers seem to confirm what many fear. Here the author discusses the issues and some solutions. (Source: Trends in Urology and Men's Health)
Source: Trends in Urology and Men's Health - February 15, 2020 Category: Urology & Nephrology Authors: Roger Kirby Tags: Comment Source Type: research

Professor John Betteridge, 1948 –2019
Trends in Urology&Men's Health, Volume 11, Issue 1, Page 35-35, January/February 2020. (Source: Trends in Urology and Men's Health)
Source: Trends in Urology and Men's Health - February 15, 2020 Category: Urology & Nephrology Authors: Roger Kirby Tags: Obituary Source Type: research

Is the NHS experiencing a workforce crisis?
Trends in Urology&Men's Health, Volume 11, Issue 1, Page 4-4, January/February 2020. (Source: Trends in Urology and Men's Health)
Source: Trends in Urology and Men's Health - January 27, 2020 Category: Urology & Nephrology Authors: Roger Kirby Tags: Editorial Source Type: research

Testicular cancer: low testosterone and the metabolic syndrome
Cure rates for stage 1 testicular cancer are reaching 100%. However, long ‐term treatment‐related side effects pose their own health risks. Regular follow up and monitoring are important for early detection and timely treatment of conditions such as testosterone deficiency and metabolic syndrome. (Source: Trends in Urology and Men's Health)
Source: Trends in Urology and Men's Health - January 27, 2020 Category: Urology & Nephrology Authors: Mike Kirby Tags: Oncology Source Type: research

Systemic lupus erythematosus: causes and manifestations
Little is known about the precise aetiology of systemic lupus erythematosus, but treatment should be individualised according to predominant symptoms, organ involvement, response to previous therapy and disease activity and severity. (Source: Trends in Urology and Men's Health)
Source: Trends in Urology and Men's Health - January 27, 2020 Category: Urology & Nephrology Authors: Laura Barcia ‐Sixto, David Isenberg Tags: Rheumatology Source Type: research

Microscopic haematuria in general practice
Investigation of gross haematuria is warranted because of the prevalence of cancer. However, opinion varies for non ‐visible haematuria and decisions about who should be investigated further or referred depend on a variety of factors. (Source: Trends in Urology and Men's Health)
Source: Trends in Urology and Men's Health - January 27, 2020 Category: Urology & Nephrology Authors: Christopher Woodhouse Tags: Investigations Source Type: research

TULA in recurrent non ‐muscle invasive bladder cancer
Recent NICE guidance says there is limited evidence for the efficacy of transurethral laser ablation for recurrent non ‐muscle invasive bladder cancer and that ‘special arrangements’ need to be in place if it is to be offered to patients. Here the authors consider the advantages and drawbacks of the treatment. (Source: Trends in Urology and Men's Health)
Source: Trends in Urology and Men's Health - January 27, 2020 Category: Urology & Nephrology Authors: Somita Sarkar, Nikhil Mayor, Hugh Mostafid Tags: NICE guidance Source Type: research

Active surveillance for prostate cancer: an update
An increasing number of men diagnosed with localised prostate cancer has been accompanied by more men being considered for active surveillance as a management option. Here the author provides an update on recent developments in active surveillance and changes to NICE guidance. (Source: Trends in Urology and Men's Health)
Source: Trends in Urology and Men's Health - January 27, 2020 Category: Urology & Nephrology Authors: Sam Merriel Tags: Prostate disease Source Type: research

Cholera: what every doctor should know
In 1817 there was a major outbreak of cholera in India that spread to Asia and Europe. The disease reached England in 1831, and war in America and Europe helped its spread. Here the author describes the bacteriology, pathogenesis, diagnosis, treatment and prevention of this notifiable disease. (Source: Trends in Urology and Men's Health)
Source: Trends in Urology and Men's Health - January 27, 2020 Category: Urology & Nephrology Authors: Christopher Brightman Tags: Infections Source Type: research

Clinical teaching fellows: a mutually beneficial relationship
Clinical teaching fellow (CTF) jobs give junior doctors the opportunity to develop their mentoring and teaching skills, yet awareness of the posts remains low. Here the authors describe what being a CTF entails and the benefits it can offer. (Source: Trends in Urology and Men's Health)
Source: Trends in Urology and Men's Health - January 27, 2020 Category: Urology & Nephrology Authors: Charlotte Marriott, John Boyd Tags: Education Source Type: research

Dealing with the NHS staff recruitment and retention crisis
‘Crisis’, some may argue, is a frequently overused term. For the NHS, however, the recent numbers seem to confirm what many fear. Here the author discusses the issues and some solutions. (Source: Trends in Urology and Men's Health)
Source: Trends in Urology and Men's Health - January 27, 2020 Category: Urology & Nephrology Authors: Roger Kirby Tags: Comment Source Type: research

Professor John Betteridge, 1948 –2019
Trends in Urology&Men's Health, Volume 11, Issue 1, Page 35-35, January/February 2020. (Source: Trends in Urology and Men's Health)
Source: Trends in Urology and Men's Health - January 27, 2020 Category: Urology & Nephrology Authors: Roger Kirby Tags: Obituary Source Type: research

2020: an anniversary year for urology
In this editorial, Roger Kirby, Editor ‐in‐Chief onTrends in Urology and Men's Health, discusses why 2020 is an important anniversary year for urology. (Source: Trends in Urology and Men's Health)
Source: Trends in Urology and Men's Health - November 27, 2019 Category: Urology & Nephrology Authors: Roger Kirby Tags: Editorial Source Type: research

NICE guideline: the diagnosis and management of hypertension
New targets for blood pressure control have sparked controversy not just because of the increase in the numbers of people defined as hypertensive but also because different interpretations of the same data seemed to have been reached in the UK, Europe and the USA. Here the author examines the data behind the guideline decisions to try to make sense of the differences. (Source: Trends in Urology and Men's Health)
Source: Trends in Urology and Men's Health - November 27, 2019 Category: Urology & Nephrology Authors: Laura Corr Tags: Hypertension Source Type: research

Non ‐alcoholic fatty liver disease in men
Non ‐alcoholic fatty liver disease (NAFLD) is becoming a significant clinical and economic burden globally. It affects more men than women for reasons that are not yet completely understood. If identified in the early stages and treated, NAFLD can be reversed. Here the authors review the diagnosis and management of NAFLD in men. (Source: Trends in Urology and Men's Health)
Source: Trends in Urology and Men's Health - November 27, 2019 Category: Urology & Nephrology Authors: Emma Michael, William Alazawi Tags: Liver disease Source Type: research

The urological management of renal trauma
Serious knife attacks make the headlines all too frequently these days and kidney injury can be the result of such trauma. The authors describe their work in one of London's four major trauma centres, documenting the types of injury managed and the impact of knife crime on the workload of these centres. (Source: Trends in Urology and Men's Health)
Source: Trends in Urology and Men's Health - November 27, 2019 Category: Urology & Nephrology Authors: Sophie Rintoul ‐Hoad, Jonathan Makanjuola, Christian Brown Tags: Renal trauma Source Type: research

The diagnosis and management of haematospermia
Haematospermia is rarely associated with malignancy, especially in patients under 40, but causes significant anxiety. Here the authors provide an update on developments in diagnosis and management of the condition. (Source: Trends in Urology and Men's Health)
Source: Trends in Urology and Men's Health - November 27, 2019 Category: Urology & Nephrology Authors: William Gallagher, Alistair Ramsden Tags: Genital problems Source Type: research

Dupuytren's disease: is surgery still the best option?
Dupuytren's disease can have a significant impact on the daily lives of patients. Traditionally, treatment focused on surgical correction, but advances in rheumatic pharmacology and surgical techniques have opened up a wider scope of management options. Here the authors give a background of the disease and its treatment, while providing evidence for a link with Peyronie's disease. (Source: Trends in Urology and Men's Health)
Source: Trends in Urology and Men's Health - November 27, 2019 Category: Urology & Nephrology Authors: Oliver Ralph, Nikita Shroff Tags: New approaches Source Type: research

Penile lengthening and the treatment options available
Penile lengthening can restore normal functioning length and improve a patient's quality of life. Determining the underlying pathology is central to guiding choice of treatment, which will vary depending on individual patient circumstances. (Source: Trends in Urology and Men's Health)
Source: Trends in Urology and Men's Health - November 27, 2019 Category: Urology & Nephrology Authors: Abigail Kwok, Arie Parnham, Marc Lucky Tags: Genital problems Source Type: research

Journal watch
Mike Kirby, Editor onTrends in Urology and Men's Health, picks some interesting recent papers and highlights the ‘take‐home’ message. (Source: Trends in Urology and Men's Health)
Source: Trends in Urology and Men's Health - November 27, 2019 Category: Urology & Nephrology Authors: Mike Kirby Tags: Journal watch Source Type: research

The case for shared medical appointments
Shared medical appointments have been shown to have potential benefits for patients, healthcare professionals and the healthcare system, but they have been slow to be adopted in the UK. Here the authors examine the use of shared medical appointments and consider why they are not adopted more widely. (Source: Trends in Urology and Men's Health)
Source: Trends in Urology and Men's Health - November 27, 2019 Category: Urology & Nephrology Authors: Mariam Keji Belgore, Paula Allchorne, James SA Green Tags: New approaches Source Type: research

NICE guideline: the diagnosis and management of hypertension
New targets for blood pressure control have sparked controversy not just because of the increase in the numbers of people defined as hypertensive but also because different interpretations of the same data seemed to have been reached in the UK, Europe and the USA. Here the author examines the data behind the guideline decisions to try to make sense of the differences. (Source: Trends in Urology and Men's Health)
Source: Trends in Urology and Men's Health - November 27, 2019 Category: Urology & Nephrology Authors: Laura Corr Tags: Hypertension Source Type: research

Non ‐alcoholic fatty liver disease in men
Non ‐alcoholic fatty liver disease (NAFLD) is becoming a significant clinical and economic burden globally. It affects more men than women for reasons that are not yet completely understood. If identified in the early stages and treated, NAFLD can be reversed. Here the authors review the diagnosis and management of NAFLD in men. (Source: Trends in Urology and Men's Health)
Source: Trends in Urology and Men's Health - November 27, 2019 Category: Urology & Nephrology Authors: Emma Michael, William Alazawi Tags: Liver disease Source Type: research

The urological management of renal trauma
Serious knife attacks make the headlines all too frequently these days and kidney injury can be the result of such trauma. The authors describe their work in one of London's four major trauma centres, documenting the types of injury managed and the impact of knife crime on the workload of these centres. (Source: Trends in Urology and Men's Health)
Source: Trends in Urology and Men's Health - November 27, 2019 Category: Urology & Nephrology Authors: Sophie Rintoul ‐Hoad, Jonathan Makanjuola, Christian Brown Tags: Renal trauma Source Type: research

The diagnosis and management of haematospermia
Haematospermia is rarely associated with malignancy, especially in patients under 40, but causes significant anxiety. Here the authors provide an update on developments in diagnosis and management of the condition. (Source: Trends in Urology and Men's Health)
Source: Trends in Urology and Men's Health - November 27, 2019 Category: Urology & Nephrology Authors: William Gallagher, Alistair Ramsden Tags: Genital problems Source Type: research

Dupuytren's disease: is surgery still the best option?
Dupuytren's disease can have a significant impact on the daily lives of patients. Traditionally, treatment focused on surgical correction, but advances in rheumatic pharmacology and surgical techniques have opened up a wider scope of management options. Here the authors give a background of the disease and its treatment, while providing evidence for a link with Peyronie's disease. (Source: Trends in Urology and Men's Health)
Source: Trends in Urology and Men's Health - November 27, 2019 Category: Urology & Nephrology Authors: Oliver Ralph, Nikita Shroff Tags: New approaches Source Type: research

Penile lengthening and the treatment options available
Penile lengthening can restore normal functioning length and improve a patient's quality of life. Determining the underlying pathology is central to guiding choice of treatment, which will vary depending on individual patient circumstances. (Source: Trends in Urology and Men's Health)
Source: Trends in Urology and Men's Health - November 27, 2019 Category: Urology & Nephrology Authors: Abigail Kwok, Arie Parnham, Marc Lucky Tags: Genital problems Source Type: research

2020: an anniversary year for urology
In this editorial, Roger Kirby, Editor ‐in‐Chief onTrends in Urology and Men's Health, discusses why 2020 is an important anniversary year for urology. (Source: Trends in Urology and Men's Health)
Source: Trends in Urology and Men's Health - November 27, 2019 Category: Urology & Nephrology Authors: Roger Kirby Tags: Editorial Source Type: research

Journal watch
Mike Kirby, Editor onTrends in Urology and Men's Health, picks some interesting recent papers and highlights the ‘take‐home’ message. (Source: Trends in Urology and Men's Health)
Source: Trends in Urology and Men's Health - November 27, 2019 Category: Urology & Nephrology Authors: Mike Kirby Tags: Journal watch Source Type: research

The case for shared medical appointments
Shared medical appointments have been shown to have potential benefits for patients, healthcare professionals and the healthcare system, but they have been slow to be adopted in the UK. Here the authors examine the use of shared medical appointments and consider why they are not adopted more widely. (Source: Trends in Urology and Men's Health)
Source: Trends in Urology and Men's Health - November 27, 2019 Category: Urology & Nephrology Authors: Mariam Keji Belgore, Paula Allchorne, James SA Green Tags: New approaches Source Type: research

Herbal medication: a worthwhile therapeutic consideration
Herbal medicine is undergoing something of a modern renaissance as it becomes more formally recognised as part of the therapeutic landscape. In this article the author reviews some of the more commonly used herbal medicines and puts the case for the appropriate recommendation of those formulations covered by European regulations and identified by the traditional herbal registration logo. (Source: Trends in Urology and Men's Health)
Source: Trends in Urology and Men's Health - September 30, 2019 Category: Urology & Nephrology Authors: David Edwards Tags: Pharmacology Source Type: research

Cancer survivorship: living with and beyond cancer
Cancer survivorship is becoming an increasingly important part of a cancer patient's journey. Here the author discusses how it should now be recognised as part of the overall cancer care package, with the aim of supporting patients' health and wellbeing beyond chemotherapy. (Source: Trends in Urology and Men's Health)
Source: Trends in Urology and Men's Health - September 30, 2019 Category: Urology & Nephrology Authors: Eric Watts Tags: Oncology Source Type: research

The diagnosis and management of men with low sperm motility
Investigations into infertility typically start with semen analysis. In this article the authors describe the diagnostic criteria, potential causes and approaches to the management of low sperm motility. (Source: Trends in Urology and Men's Health)
Source: Trends in Urology and Men's Health - September 30, 2019 Category: Urology & Nephrology Authors: Niyati Lobo, Maria Satchi Tags: Reproduction Source Type: research

Biologic treatments for rheumatoid arthritis
Biologic disease ‐modifying antirheumatic drugs (bDMARDs) have made a significant difference to the lives of people with rheumatoid arthritis (RA), in particular those who do not respond to conventional drugs. In this article the authors review the place in therapy of bDMARDs for RA and consider a range of factors that could contribute to further improvements to patient otucomes. (Source: Trends in Urology and Men's Health)
Source: Trends in Urology and Men's Health - September 30, 2019 Category: Urology & Nephrology Authors: Jalpa B Kotecha, Patrick DW Kiely Tags: Rheumatology Source Type: research

The assessment and management of renal and ureteric stones
To address the management of urolithiasis in the UK, NICE has recently published guidance on the assessment and management of renal and ureteric stones (NG118). In this article, the authors consider the impact of new guidelines in an update on the assessment and management of renal and ureteric stone disease. (Source: Trends in Urology and Men's Health)
Source: Trends in Urology and Men's Health - September 30, 2019 Category: Urology & Nephrology Authors: Luke Hanna, Matthew Bultitude Tags: Stone disease Source Type: research

The athlete's heart
Athletes undergoing intensive training can exhibit cardiac changes that overlap with cardiomyopathy. Here the authors review cardiac changes that can occur in athletes and how to distinguish between normal adaptations and those that may signal pathology that can result in sudden death. (Source: Trends in Urology and Men's Health)
Source: Trends in Urology and Men's Health - September 30, 2019 Category: Urology & Nephrology Authors: Elisavet Arsenaki, Sanjay Sharma Tags: Cardiovascular medicine Source Type: research

The perils of toxic masculinity: four case studies
The term ‘toxic masculinity’ is increasingly used to describe cultural masculine norms that are harmful to the men themselves and society in general. Here the authors illustrate, through case studies, the devastating toll that ‘toxic masculinity’ can take and highlight the urgent need for men to take greater care of themselves if they wish to live longer and healthier lives. (Source: Trends in Urology and Men's Health)
Source: Trends in Urology and Men's Health - September 30, 2019 Category: Urology & Nephrology Authors: Roger Kirby, Mike Kirby Tags: Men's health Source Type: research

‘Toxic masculinity’: the problem with men
Trends in Urology&Men's Health, Volume 10, Issue 5, Page 4-4, September/October 2019. (Source: Trends in Urology and Men's Health)
Source: Trends in Urology and Men's Health - September 30, 2019 Category: Urology & Nephrology Authors: Roger Kirby Tags: First word Source Type: research

Whistleblowing
In this editorial, Roger Kirby, Editor ‐in‐Chief onTrends in Urology and Men's Health, discusses the inadequate protection and safeguards that currently exist to protect NHS whistleblowers. (Source: Trends in Urology and Men's Health)
Source: Trends in Urology and Men's Health - July 25, 2019 Category: Urology & Nephrology Authors: Roger Kirby Tags: Editorial Source Type: research

Anal fistulae: an ancient problem; a challenge today
This article describes the anatomy, classification and treatment opti ons for men with this common but potentially embarrassing condition. (Source: Trends in Urology and Men's Health)
Source: Trends in Urology and Men's Health - July 25, 2019 Category: Urology & Nephrology Authors: Faris Soliman, Rachel Hargest Tags: Gastrointestinal health Source Type: research

PSMA PET ligands in prostate cancer: a game ‐changer?
A new imaging technique may provide a means of localising recurrent prostate cancer associated with low prostate ‐specific antigen levels, which has hitherto been undetectable by conventional imaging methods. Here, the authors describe the technique and outline its potential to allow early intervention and improve outcomes. (Source: Trends in Urology and Men's Health)
Source: Trends in Urology and Men's Health - July 25, 2019 Category: Urology & Nephrology Authors: Ranju T Dhawan, Tara D Barwick, Sameer Khan, Valerie J Lewington, Nishanth Dharmarajah Tags: Prostate disease Source Type: research

Whistling in the wind?
In this comment piece Peter Duffy, Consultant Urological Surgeon, details his personal experience of whistleblowing, including the punitive action and retaliation he received from NHS management and co ‐workers. (Source: Trends in Urology and Men's Health)
Source: Trends in Urology and Men's Health - July 25, 2019 Category: Urology & Nephrology Authors: Peter Duffy Tags: Comment Source Type: research