ConsolidAiT

Causes and management of dyspareunia

Dr Catherine Corden InnovAiT 2013 6(2): 66–75 DOI: 10.1177/1755738012470253

Dyspareunia is defined as pain on sexual intercourse. It is difficult to estimate the number of patients suffering from dyspareunia as the condition is vastly under-reported, but research suggests the point prevalence to be up to 20% of women and 2% of men. It is an important condition requiring prompt assessment, as it can be the cause of emotional distress and relationship disharmony. A range of conditions, many of which are treatable, cause dyspareunia. This article aims to highlight the important causes and their initial management in primary care.

Diagnosis of lower urinary tract symptoms resulting from benign prostatic hyperplasia

Professor Roger Kirby, Mr John Anderson, Mr Adrian Joyce and On behalf of the Trustees of the British Association of Urological Surgeons

InnovAiT 2013 6(2): 88–92 DOI: 10.1093/invait/ins114

Benign prostatic hyperplasia (BPH) is the most prevalent condition affecting the prostate, accounting for over 80% of clinical presentations for prostate disease. The recommendations set out in this article are in line with the guidelines set out by the British Association of Urological Surgeons, the 2006 European Association of Urology Guidelines and the 2010 National Institute for Health and Clinical Excellence guidelines on the management of lower urinary tract symptoms (LUTS) in men.

Termination of pregnancy

Dr Joanna Clark and Dr Tracey Masters InnovAiT 2013 6(2): 76–81 DOI: 10.1093/innovait/ins007

Termination of pregnancy is a commonly requested procedure. At least one-third of British women will have had a termination of pregnancy by the time they reach 45 years of age. GPs are often the first point of contact for women faced with an unwanted pregnancy, including those under the age of 16 years. They have a key role in supporting women with their decision-making, facilitating access to services and providing sexual health education, and this article provides a review.

Urethritis in men

Mr Thomas Joseph Smith InnovAiT 2013 6(2): 83–87

DOI: 10.1177/1755738012471656 The causes of urethritis can be split into three groups. The first is gonococcal urethritis, following infection with Neisseria gonorrhoeae. Non-gonococcal urethritis forms the second group and is more common than gonococcal urethritis. The third group consists of recurrent or persistent urethritis, and occurs in 10%–20% of cases treated for non-gonococcal urethritis. This article provides a review.

Testicular cancer and self-examination

Mr John Anderson and Mr Thomas Francis InnovAiT 2013 6(2): 93–102 DOI: 10.1093/invait/ins101

Testicular cancer (TC), although relatively rare, is the most common solid tumour among men. Any scrotal swelling in a young man should be carefully examined and if there is any suspicion of TC, he should be referred to an appropriate specialist for further clinical examination and investigation. It is important for GPs to know about TC and testicular self-examination (TSE) to ensure early detection, prompt referral and increased awareness among patients.