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

Whistleblowing: what progress since the Francis Inquiry report?
Whistleblowing is established as an important aspect of safeguarding patients. Nevertheless, whistleblowers themselves have suffered as a result of their efforts to expose ‘wrongdoing’. In this paper, based on a presentation at the Royal Society of Medicine, in March 2019, the author considers what progress has been made since the Francis Inquiry report. (Source: Trends in Urology and Men's Health)
Source: Trends in Urology and Men's Health - July 25, 2019 Category: Urology & Nephrology Authors: David Nicholl Tags: Opinion Source Type: research

Modern management of diverticular disease in men
The presentation of diverticular disease and its complications are varied: it is common and most people with diverticulosis are asymptomatic. In this article the authors review the burden of diverticular disease and its causes, and present two clinical cases of complicated diverticulitis with a urology theme. (Source: Trends in Urology and Men's Health)
Source: Trends in Urology and Men's Health - July 25, 2019 Category: Urology & Nephrology Authors: Kathryn Oakland, Sina Dorudi Tags: Gastrointestinal health Source Type: research

Vicryl Tack for graft fixation during bulbar urethroplasty
Urethral stricture disease continues to be a prevalent condition with significant morbidity. Oral mucosal graft augmentation urethroplasty for long segment bulbar urethral strictures is an established management option. Here the authors outline the results of their pilot study designed to evaluate the efficacy of using two innovative steps for graft augmentation. (Source: Trends in Urology and Men's Health)
Source: Trends in Urology and Men's Health - July 25, 2019 Category: Urology & Nephrology Authors: Pankaj M Joshi, Sheliyan Raveenthiran, Devang J Desai, Jyotsna Kulkarni, Sanjay B Kulkarni Tags: New research Source Type: research

The effects of recreational drug use on the genitourinary tract
Recreational use of drugs may be viewed by those who indulge as a relatively victimless pursuit. However, as the author discusses in this article, that is far from the truth and those who engage in such activity should be made aware of the potential harms of their action, not least to the genitourinary system. (Source: Trends in Urology and Men's Health)
Source: Trends in Urology and Men's Health - July 25, 2019 Category: Urology & Nephrology Authors: Christopher Woodhouse Tags: Patient safety Source Type: research

Back to nature: a personal account of complex PTSD
Nick Goldsmith, former Royal Marine, 45 Commando, here provides a candid insight into his personal experience of complex post ‐traumatic stress disorder and the treatment he received for it. (Source: Trends in Urology and Men's Health)
Source: Trends in Urology and Men's Health - July 25, 2019 Category: Urology & Nephrology Authors: Nick Goldsmith Tags: Comment Source Type: research

Post ‐traumatic stress disorder: diagnosis and management
A minority of people who experience traumatic events also develop symptoms of post ‐traumatic stress disorder (PTSD). Here the authors describe the diagnosis and management of PTSD, along with the valuable role healthcare professionals can play in talking to individuals about trauma they may have experienced. (Source: Trends in Urology and Men's Health)
Source: Trends in Urology and Men's Health - July 25, 2019 Category: Urology & Nephrology Authors: Victoria Williamson, Neil Greenberg Tags: Mental health Source Type: research

Time to act: climate change and toxic air
In this editorial, Roger Kirby, Editor ‐in‐Chief onTrends in Urology and Men's Health, discusses the hazards of climate change and air pollution on human health. (Source: Trends in Urology and Men's Health)
Source: Trends in Urology and Men's Health - May 28, 2019 Category: Urology & Nephrology Authors: Roger Kirby Tags: First word Source Type: research

History of the prostate, part two: the cause of urinary symptoms
In the second article in this series the author describes how it gradually became understood that the prostate caused urinary symptoms, and how surgeons tried to manage them. (Source: Trends in Urology and Men's Health)
Source: Trends in Urology and Men's Health - May 28, 2019 Category: Urology & Nephrology Authors: Jonathan Charles Goddard Tags: Medical history Source Type: research

Plague and anthrax: diagnosis and management
Plague and anthrax may be long forgotten in many parts of the world because they are rarely (if ever) seen. However, travel to parts of the world previously unvisited by most people brings the possibility of contracting these diseases. Therefore, the author argues, it behoves every doctor to be familiar with the signs, symptoms, diagnosis and management of these diseases. (Source: Trends in Urology and Men's Health)
Source: Trends in Urology and Men's Health - May 28, 2019 Category: Urology & Nephrology Authors: Christopher Brightman Tags: Infections Source Type: research

Who self ‐cares wins: an updated perspective on men and self‐care
Men's health has generally been overlooked in the self ‐care field. This matters because, even though male life expectancy and healthy life expectancy have improved significantly over the past 40 years, men's health outcomes remain far poorer than they could be. Drawing on the Global Action on Men's Health's new report, the author explores how a great er focus on self‐care could make a significant difference. (Source: Trends in Urology and Men's Health)
Source: Trends in Urology and Men's Health - May 28, 2019 Category: Urology & Nephrology Authors: Peter Baker Tags: Men's health Source Type: research

Dementia in men: some useful non ‐pharmacological solutions
There are almost twice as many women with dementia as men in the UK, so care services tend to more female ‐centric to reflect this patient population. Care services and care professionals may therefore need specific training to provide high quality care for men. In this article the author highlights some aspects of caring for men with dementia that need to be considered. (Source: Trends in Urology and Men's Health)
Source: Trends in Urology and Men's Health - May 28, 2019 Category: Urology & Nephrology Authors: June Andrews Tags: Dementia Source Type: research

A NICE change? The evidence for mpMRI triage in prostate cancer
The updated NICE guidance on the diagnosis and management of prostate cancer includes offering a new first ‐line investigation to help reduce unnecessary biopsy. Here the author assesses the impact the proposed change could have on clinical practice. (Source: Trends in Urology and Men's Health)
Source: Trends in Urology and Men's Health - May 28, 2019 Category: Urology & Nephrology Authors: Catherine Elizabeth Lovegrove Tags: Prostate disease Source Type: research

Never mind Brexit, it's time to celebrate ‘TRexit’
In this comment piece the authors discuss the ‘Trexit’ initiative to encourage the complete cessation of transrectal prostate biopsies in favour of the transperineal route. (Source: Trends in Urology and Men's Health)
Source: Trends in Urology and Men's Health - May 28, 2019 Category: Urology & Nephrology Authors: Nick Simson, Jonah Rusere, Luke Stroman, Rick Popert Tags: Comment Source Type: research

Assisted dying in the UK: RCP switches to a neutral stance
The recent Royal College of Physicians' poll of members about assisted dying stirred strong reactions. However, this is a debate that needs to happen and one that the medical profession as a whole should engage in, for the good of all – public and professionals alike. (Source: Trends in Urology and Men's Health)
Source: Trends in Urology and Men's Health - May 28, 2019 Category: Urology & Nephrology Authors: Jacky Davis Tags: Opinion Source Type: research

Current and future simulation in urological surgery training
Simulation training offers new opportunities as the restrictions on traditional surgical training increase and the drive for higher quality and greater accountability continues. The authors describe different types of simulation, their role in surgical training and some of the benefits they may offer in the future. (Source: Trends in Urology and Men's Health)
Source: Trends in Urology and Men's Health - May 28, 2019 Category: Urology & Nephrology Authors: Christopher Berridge, Sunjay Jain, Chandra Shekhar Biyani Tags: New approaches Source Type: research

Multiparametric MRI in prostate cancer and the NHS
Uday Patel, Consultant Radiologist at St George's Hospital and Medical School, London, discusses the impact of new NICE recommendations for a multiparametric MRI for all men before prostate biopsy. (Source: Trends in Urology and Men's Health)
Source: Trends in Urology and Men's Health - May 28, 2019 Category: Urology & Nephrology Authors: Uday Patel Tags: Comment Source Type: research

Time to act: climate change and toxic air
In this editorial, Roger Kirby, Editor ‐in‐Chief onTrends in Urology and Men's Health, discusses the hazards of climate change and air pollution on human health. (Source: Trends in Urology and Men's Health)
Source: Trends in Urology and Men's Health - May 28, 2019 Category: Urology & Nephrology Authors: Roger Kirby Tags: First word Source Type: research

History of the prostate, part two: the cause of urinary symptoms
In the second article in this series the author describes how it gradually became understood that the prostate caused urinary symptoms, and how surgeons tried to manage them. (Source: Trends in Urology and Men's Health)
Source: Trends in Urology and Men's Health - May 28, 2019 Category: Urology & Nephrology Authors: Jonathan Charles Goddard Tags: Medical history Source Type: research

Plague and anthrax: diagnosis and management
Plague and anthrax may be long forgotten in many parts of the world because they are rarely (if ever) seen. However, travel to parts of the world previously unvisited by most people brings the possibility of contracting these diseases. Therefore, the author argues, it behoves every doctor to be familiar with the signs, symptoms, diagnosis and management of these diseases. (Source: Trends in Urology and Men's Health)
Source: Trends in Urology and Men's Health - May 28, 2019 Category: Urology & Nephrology Authors: Christopher Brightman Tags: Infections Source Type: research

Who self ‐cares wins: an updated perspective on men and self‐care
Men's health has generally been overlooked in the self ‐care field. This matters because, even though male life expectancy and healthy life expectancy have improved significantly over the past 40 years, men's health outcomes remain far poorer than they could be. Drawing on the Global Action on Men's Health's new report, the author explores how a great er focus on self‐care could make a significant difference. (Source: Trends in Urology and Men's Health)
Source: Trends in Urology and Men's Health - May 28, 2019 Category: Urology & Nephrology Authors: Peter Baker Tags: Men's health Source Type: research

Dementia in men: some useful non ‐pharmacological solutions
There are almost twice as many women with dementia as men in the UK, so care services tend to more female ‐centric to reflect this patient population. Care services and care professionals may therefore need specific training to provide high quality care for men. In this article the author highlights some aspects of caring for men with dementia that need to be considered. (Source: Trends in Urology and Men's Health)
Source: Trends in Urology and Men's Health - May 28, 2019 Category: Urology & Nephrology Authors: June Andrews Tags: Dementia Source Type: research

A NICE change? The evidence for mpMRI triage in prostate cancer
The updated NICE guidance on the diagnosis and management of prostate cancer includes offering a new first ‐line investigation to help reduce unnecessary biopsy. Here the author assesses the impact the proposed change could have on clinical practice. (Source: Trends in Urology and Men's Health)
Source: Trends in Urology and Men's Health - May 28, 2019 Category: Urology & Nephrology Authors: Catherine Elizabeth Lovegrove Tags: Prostate disease Source Type: research

Never mind Brexit, it's time to celebrate ‘TRexit’
In this comment piece the authors discuss the ‘Trexit’ initiative to encourage the complete cessation of transrectal prostate biopsies in favour of the transperineal route. (Source: Trends in Urology and Men's Health)
Source: Trends in Urology and Men's Health - May 28, 2019 Category: Urology & Nephrology Authors: Nick Simson, Jonah Rusere, Luke Stroman, Rick Popert Tags: Comment Source Type: research

Assisted dying in the UK: RCP switches to a neutral stance
The recent Royal College of Physicians' poll of members about assisted dying stirred strong reactions. However, this is a debate that needs to happen and one that the medical profession as a whole should engage in, for the good of all – public and professionals alike. (Source: Trends in Urology and Men's Health)
Source: Trends in Urology and Men's Health - May 28, 2019 Category: Urology & Nephrology Authors: Jacky Davis Tags: Opinion Source Type: research

Current and future simulation in urological surgery training
Simulation training offers new opportunities as the restrictions on traditional surgical training increase and the drive for higher quality and greater accountability continues. The authors describe different types of simulation, their role in surgical training and some of the benefits they may offer in the future. (Source: Trends in Urology and Men's Health)
Source: Trends in Urology and Men's Health - May 28, 2019 Category: Urology & Nephrology Authors: Christopher Berridge, Sunjay Jain, Chandra Shekhar Biyani Tags: New approaches Source Type: research

Multiparametric MRI in prostate cancer and the NHS
Uday Patel, Consultant Radiologist at St George's Hospital and Medical School, London, discusses the impact of new NICE recommendations for a multiparametric MRI for all men before prostate biopsy. (Source: Trends in Urology and Men's Health)
Source: Trends in Urology and Men's Health - May 28, 2019 Category: Urology & Nephrology Authors: Uday Patel Tags: Comment Source Type: research

Should patient assisted dying be legalised?
In this editorial, Roger Kirby, Editor onTrends in Urology and Men's Health, discusses the responsibilities that UK medical organisations have to reach a clear verdict on their stance towards patient assisted dying. (Source: Trends in Urology and Men's Health)
Source: Trends in Urology and Men's Health - March 25, 2019 Category: Urology & Nephrology Authors: Roger Kirby Tags: First word Source Type: research

Post ‐prostatectomy urinary incontinence
Post ‐prostatectomy incontinence is an increasing problem that can have a devastating impact on men's lives. In this article the authors consider some of the options for management and discuss the efficacy as well as advantages and disadvantages of the different approaches to management that are curren tly available. (Source: Trends in Urology and Men's Health)
Source: Trends in Urology and Men's Health - March 25, 2019 Category: Urology & Nephrology Authors: Eliza Gimson, Daniel Majidian, Anvarjon Mukhammadaminov, Claire Taylor, Sachin Malde, Arun Sahai Tags: Lower urinary tract symptoms Source Type: research

Rezum water vapour therapy for benign prostatic hyperplasia
A new minimally invasive technique for managing benign prostatic hyperplasia provides real choice for patients. Here the authors describe the technique and discuss how it compares to the other established management options. (Source: Trends in Urology and Men's Health)
Source: Trends in Urology and Men's Health - March 25, 2019 Category: Urology & Nephrology Authors: Maximilian J Johnston, Richard G Hindley Tags: Prostate disease Source Type: research

The diagnosis and management of Fournier's gangrene
Fournier's gangrene is a life ‐threatening condition and, although rare, should be considered in anyone with painful swelling of the scrotum or perineum with features of sepsis. In this article the author discusses risk factors, diagnosis and management of Fournier's gangrene and the importance of early diagnosis and treatment . (Source: Trends in Urology and Men's Health)
Source: Trends in Urology and Men's Health - March 25, 2019 Category: Urology & Nephrology Authors: Andrew Brown, Nadine Coull Tags: Infections Source Type: research