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Urological cancer may first present with haematuria and UTI

The basics - Visible haematuria

Careful assessment is needed when patients present with this worrying symptom, advises Dr Kamilla Po...

Chlamydia: screening implementation is 'nonsensical', says auditor

Poor chlamydia screening wasting £40 million a year

Up to £40 million of NHS funding will be wasted this year if chlamydia screening services in England...

Prostate cancer: diagnosis via PSA velocity 'no better than PSA/age'

Speed of PSA change 'does not predict risk of cancer'

Changes to PSA levels over time are no more accurate at predicting prostate cancer than actual PSA, ...

It is important to give the patient a full account of the investigation and outcomes, along with lessons learned for future practice

Practice dilemma - A high PSA result is missed

The dilemma: An elderly patient comes to see you in clinic for back pain and worsening lower urinary...

Encourage water-based drinks and fizzy drinks should be avoided

Paediatric medicine - Daytime wetting in children

Mr Prasad Godbole explores the management options available to deal with this common problem....

Change to kidney cancer drugs

Kidney cancer therapies may improve quality of life

Kidney cancer drugs in development could improve patients' quality of life and allow more effective ...

There is no particular approach to treating anterior urethral injuries

Case study - Rugby injury is no laughing matter

A slip in training caused amusement at the time, but it was no joke, as Dr Keith Barnard explains....

CKS clinical solutions - Bacterial vaginosis

The case - A 26-year-old woman comes to see you complaining of a fishy-smelling vaginal discharge. Y...

urinary incontinence

The basics - Female urinary incontinence

Although UI is very common, it remains under-reported and undertreated. By Dr Louise Newson...

Hospital-provided transport for kidney patients condemned

Patients travelling to hospital for life-saving dialysis could be better off taking the bus than rel...

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