TUF Newsletter The Urology Foundation Spring/Summer 2015
Transcription
TUF Newsletter The Urology Foundation Spring/Summer 2015
The Urology Foundation Newsletter Spring / Summer 2015 04 Ben’s Biking Bash 12 Gala Dinner Raises Thousands for Research 16 Research Report on Severe Male Infertility Leading the fight against urology disease theurologyfoundation.org Contents Welcome Fundraising Welcome 03 04 Ben’s Biking Bash 04 Tony Norris TUF Marathon 06 Daredevil Tom Defies Fear of Heights for TUF Spotlight on Fundraising 08 News 10 12 Our Gala Dinner 12 TUF’s Urology Survey 14 TUF is Rebranding 16 Patient Stories 18 Mike Bygrave’s Battle with Prostate Cancer 18 Doctor’s Kidney Diagnosis Helps Her See Patient Perspective 20 Medical Insight 22 Report: Kidney Stone clinical visit to Nadiad, India 22 Progress Report: Meiotic Defects in Severe Male Infertility 24 About TUF 26 Dates for your Diary 26 Who’s Who 27 About TUF 28 In our first newsletter of 2015 I’m happy to report that 2014 was a good year for The Urology Foundation. We were buoyed by how incidences of fundraising by individuals have increased compared with previous years. Thank you to everyone who dusted down their trainers for a challenge, baked a cake or donated unwanted clothing for the cause. Particular thanks have to be paid to the wonderful, redoubtable Sinfields who sailed all around Britain (featured in the previous newsletter) and who attracted a lot of press coverage along the way, and to the ‘Two Bens’, extraordinary urologists who persuaded colleagues and patients alike to don their cycling shorts and bike from Paris to Canterbury over a weekend. Grand gestures like these do much to attract not only much needed donations, but also much needed awareness for urological conditions and diseases. This lack of awareness was very sharply brought home to us when we commissioned some polling ahead of last September’s first Urology Awareness Month. As you will read, there is still a significant amount of shame and embarrassment attached to urological conditions that discourage people from seeking help. We continue to work to banish the stigma which can have such a negative impact on outcomes and survival. One way we hope to do this is through a new logo and website. It has become clear to us that our current look and feel is too medical and clinical to appeal to a wider, general public. Many are not even clear that we need to fundraise in order to fulfil our remit. We need to ensure that the way we present ourselves fits in with a warmer, friendlier approach that sits with and competes with other public-facing charities. The website redesign will make it easier to access relevant information, whether you are a member of the public or urology professional and will better illustrate the impact of our work. Importantly, our focus and our objectives remain unchanged. We hope you will love the new look as we do. Finally, I have to end on some very sad news. Our much-loved Trustee, Nick Rogers, finally succumbed to kidney cancer earlier this year. Nick was a great advocate for TUF and an engaged board member, ensuring that TUF made the best of its resources and delivered as much as possible to the frontline in terms of research and training. He is sorely, sorely missed and our condolences go out to his widow, Sue, and all his family. Louise de Winter, Chief Executive Learn more about our work and how you can help at theurologyfoundation.org 2 theurologyfoundation.org T: 020 77139538 3 Fundraising Ben’s Biking Bash TUF-funded Ben Eddy and his team have raised just over £14,000 for The Urology Foundation by cycling from Paris to Canterbury – a total of 250 miles. The three-day event, in which 13 Kent residents participated, took place in September. It was organised by urologist Ben Eddy, who lives in Bridge, Canterbury, and works at Kent and Canterbury Hospital. He said: “I am very satisfied and proud with what everyone has achieved. We cycled 95 miles on the first day, 70 miles on day two and 60 on day three – these are distances we haven’t cycled before. The team departed from the Eiffel Tower and finished at Kent and Canterbury Hospital. Ben, 43, who is married to Ali and has three children Lily, James and Archie, was inspired to fundraise for The Urology Foundation after directly benefitting from the charity’s work. He and his colleagues were funded to visit The Vanderbilt University Hospital in Nashville, Tennessee, where they received robotic training from a worldwide expert in robotic surgery and observed how a robotic service works and how to set up their own service. Ben was also funded for a robotic prostate fellowship in Australia. Ben said: “My experiences had an immediate impact on my work because within six months I was able to implement a robotic service for prostate cancer patients in Kent. Ben Challacombe and Ben Eddy at the finish 4 “The robotic service in Canterbury performed 200 robotic cases last year (including robotic prostatectomies, cystectomies and partial nephrectomies). The service has now been expanded to treat men and women with bladder and kidney cancer. We continue to grow – we are training up another surgeon so that we can treat West Kent patients as well and we are in the top five in terms of volume in centres in the UK.” Treating patients robotically offers many advantages. “The robotic procedure leads to faster recovery times – patients are often only in hospital overnight and can resume normal activities or work quicker. There is less blood loss, less pain and the patients seem to recover continence quicker. “I am extremely grateful to The Urology Foundation for supporting our service with their Robotic preceptorships and wanted to do this challenge to give something back. I am delighted with the amount of money we have raised for the charity – a huge thank you goes to everyone who has donated including BMI Chaucer, Lawmed and Teleflex Medical.” Ben was joined on the challenge by another TUF-funded urologist, Ben Challacombe from Guy’s Hospital and several theatre staff but the participants were also made up of people from the local community who are interested in cycling or have been affected by cancer. We had achy legs and shoulders but were filled with such a sense of elation when we completed the challenge. Ben’s team at the Dover crossing Ben Challacombe added: “I’ve known about The Urology Foundation throughout my training as a registrar and the organisation is currently funding one of our nurses to undertake research which will have a direct impact on nursing. I have a lot of respect for The Urology Foundation and the excellent work it does – we have benefitted hugely and I know other centres have too.” The money raised by the cycling team will be used to fund research and develop better diagnoses and treatments into prostate, bladder and kidney cancers, as well as other urological conditions such as incontinence. Louise de Winter, chief executive of The Urology Foundation said: “We are so grateful that these busy urologists have given up their spare time to fundraise for TUF. The amount of money raised by the Paris to Canterbury cycle challenge is fantastic and will help us carry out our work which is so urgently needed.” If that wasn’t enough, Ben is also set to undergo another challenge for TUF. In June, he is organising a bike ride from London to the BAUS (British Association of Urological Surgeons) conference in Manchester. The 210 mile trip is taking place over three days and they want urologists, patients and friends to join them either as an individual or as a team. The money that Ben’s team has raised for TUF has enabled us to invest in vital research to combat the effects of deadly and debilitating urological conditions. If you would like to join him on his next challenge, please visit bike2baus.co.uk theurologyfoundation.org T: 020 77139538 5 Fundraising Marathon Man raises £2,500 for TUF Well-established supporter of The Urology Foundation, Tony Norris, has pushed himself to the limit by running the Amsterdam Marathon – a total of 26 miles - to raise money for The Urology Foundation. Tony, 40, from Esher, who is married to Suzanne and has two children, Ollie, five and Hugo, three, was inspired to fundraise for The Urology Foundation after his father, Steven (and former TUF chairman), was diagnosed with a prostate condition. “The efforts of my wife, Suzanne, put me to shame. She set off having never run more than a half marathon before and with the sole intention of hopping over the barriers into the handily located Metro station at the half-way point. But spurred on by crowds, bananas and more energy drinks than most supermarkets stock she managed to cross the finishing line in Amsterdam’s Olympic Stadium in a remarkable five hours and seventeen minutes. He has raised over £2,500 for TUF. He said: “I’d always wanted to run a marathon but I’d never got round to doing it or even a 10k run. Once I’d had my 40th birthday I thought: ‘It’s now or never.’ “Even though our times won’t trouble any record keepers it was a fantastic experience. 44,000 people are estimated to have taken part and there was certainly a great atmosphere all around the course. We were lucky to have a very mild, dry day with a gentle breeze and thankfully a very flat course. The spectators were great and there was lots to keep an idle mind off thoughts of weary legs. “I enjoy running because it relaxes me – it stops me from thinking too much. But I didn’t just do it for personal relaxation or to fulfil my ambitions. I learnt about The Urology Foundation because of my father and I want to remind men, who are approaching middle age that if they have any concerns whatsoever they should get themselves checked out.” “Crossing the finishing line was quite emotional though because I was incredibly touched by people’s generosity. The thought that their donations really do help The Urology Foundation to change and save lives, through research, the introduction of new techniques and through early diagnosis certainly spurred me on when walking (let alone running) was proving a challenge!” Tony completed the marathon in four hours and twenty nine minutes. He said: “My head and my heart tell me that’s a good target to beat next time. My body tells me never again! Tony says he feels ‘privileged’ to be able to support TUF. I learnt about The Urology Foundation because of my father and I want to remind men, who are approaching middle age that if they have any concerns whatsoever they should get themselves checked out. “Urology isn’t something you think about until you are personally affected. My dad had a couple of prostate scares and it is concerning when there is something wrong with someone you love and care about,” he said. “Breast cancer is much more publicised than prostate cancer and other urological problems – it is important that public awareness is raised. It is vitally important that we find ways to better deal with urological diseases.” 6 Inspired by Tony to take up a TUF challenge? Visit: theurologyfoundation.org/get-involved theurologyfoundation.org T: 020 77139538 7 Fundraising Fundraising Daredevil Tom defies fear of heights for TUF In March, Tom Nicholson completed his death-defying skydive, jumping out of a plane from over 13,000 feet and travelling at speeds of over 120 miles per hour in freefall. He has currently raised over £1,000 for TUF through donations from friends, family and work colleagues. We caught up with Tom before the dive. Tom, 24, from Wakefield, West Yorkshire, was inspired to undertake this challenge after the treatment his grandfather, Terry Harnell, received for penile cancer which he was diagnosed with in 2010. Four years and two separate pieces of surgery later, Terry has now finally been completely discharged from hospital. Terry’s penile cancer, an incredibly rare condition that only affects one in every one hundred thousand men, had changed both his life and the lives of his family. The cancer is potentially fatal, and usually affects men over the age of sixty. Terry was 72 when he was diagnosed. As a result of his grandfather’s cancer, Tom has now learnt a lot more about urology, having not previously known much about the type of conditions it covered. “I didn’t know very much about urological diseases before this whole thing. I knew about testicular and prostate cancer but I didn’t even know you could get penile cancer. I am definitely more conscious of my own health now because of him. I was quite ignorant before and I’m happy that I know more now. Tom completed his skydive on the 22 March and is still in the process of raising funds for it. Through his family, his friends and his work colleagues he is looking to raise £1,000 as a minimum for TUF. When we spoke to Tom the reality of actually doing the skydive finally hit him, who has never done anything like this before. “Last week I was in London and my friend and I were on the London Eye. We got to the top and she turned around and said to me ‘God, look how far down it is from here… when you’re doing your skydive you’re going to fall from a lot higher than this!’ Then I looked down myself and I thought to myself ‘Oh my God, what am I doing?!’” Tom did not have any doubts about going through with the dive though. “I didn’t want the fundraising to be all pleasure, so I’m looking forward to it, I think. Coincidentally, a friend of mine did one just this Saturday and he told me it was the best feeling he’d ever had, so I’m hoping that’s true for me too. Knowing you are raising money makes it more rewarding as well, you know.” All the money Tom raises will go towards funding new research projects and clinical visits for urology professionals. The Foundation funds research into all kind of urology cancers which are currently severely underfunded within the UK. 8 Nerveless Tom prepares for his 13,000 foot sky dive Terry was treated at Spire Leeds Hospital by Mr Ian Eardley, who is a member of TUF’s Science and Education Committee. One of his specialisations is penile surgery and reconstruction; crucial to Terry’s case. What I have learnt is what everyone else learns, I imagine – that is – to look after yourself more and to be more aware that these things can happen to anyone and that no-one is ever completely immune. Mr Eardley told TUF: “Although modern medicine can diagnose and treat many urological conditions, there is still a lot that we don’t know. That’s why it is important that we continue to undertake research into urological disease. Research takes time, expertise and money, which is why it is so helpful that people like Tom undertake fundraising events to support the work of The Urology Foundation.” Tom would also like other people to get involved with fundraising for TUF. “It’s really important to fund this type of research. You know, I was so naïve until my grandfather had penile cancer. I would recommend that as many people as possible affected by urological cancers promote the charity because that’ll raise awareness of these types of cancers that no-one really talks about very much.” Doing a skydive is just one way you can raise money for TUF. For more ideas about how you could fundraise for TUF, please visit theurologyfoundation.org/get-involved theurologyfoundation.org T: 020 77139538 9 Fundraising Spotlight on fundraising Thank you to our TUF Heroes Your support makes our work possible. Without you we would not be able to fund vital research, education and training in the fight against urology disease. Every pound raised, every minute given, every pedal turned and every unwanted jumper donated will make a massive difference to thousands of people. Make a Regular Donation Choose a Cycling Challenge Giving a monthly donation either by standing order or through your payroll allows us to plan ahead and invest in key urology research and training programmes. Your ongoing support will not just make a difference today but every day. Get on your bike and raise money for The Urology Foundation. Turn an Old Car into Cash Do you have an unwanted car? By scrapping or selling it through Giveacar your old car could help us fund more urology research. Our partners at Giveacar will collect your car and either sell it at auction or scrap it, giving the proceeds to TUF. To find out more call Giveacar on 020 7736 4242 or visit giveacar.co.uk and nominate us as your chosen charity. Urology Awareness Month September 2015 TUF’s Urology Awareness Month is about promoting urology health and the signs and symptoms of common urological conditions to encourage early diagnosis. We need your support to help us make more people aware of their urology health and banish the stigma associated with urology cancers and conditions. Whether you’re a urology professional or have been affected by a urology disease, we’d love you to become a TUF speaker. Email [email protected] to find out more. Get TUF on your Wardrobe Planning a Spring clean on your wardrobe? Why not donate your unwanted clothes and shoes and help raise money for TUF? Our partner, Clothes for Charity, make it simpler and much more secure for you to donate your unwanted items and in turn help us. Visit clothesforcharity.org.uk and search for The Urology Foundation for more information. 10 Saturday 6 – Sunday 7 June, Nightrider London While the capital sleeps be part of the 100km charity cycle ride, taking in some of London’s most iconic sights at night while you raise money for TUF. And, if the thought of a 100km has you shaking in your padded shorts, you can join the new 60km Nightrider route. Sunday 2 August, Ride London-Surrey 100 Realise your inner Bradley Wiggins as you celebrate the cycling legacy created by the London 2012 Olympics and ride the 100-mile route on closed roads through the capital and into Surrey’s stunning countryside before concluding on The Mall in central London. Places are still available in this year’s Nightrider London and Ride LondonSurrey 100 TUF cycling teams, and we need to fill them before 13th May. Are you interested? Do you know some who might be? Contact Sayara today to find out more or to book your place. Email Sayara at [email protected] TUF Scholars Ben Eddy, Ben Challacombe and their 10 fellow cyclists who rode 250 miles in three days from Paris to Canterbury. Together they raised just over £14,000. The NHS England Derbyshire and Nottinghamshire area team put their baking skills during Urology Awareness Month last September. Their cake sale raised £64. In October Nick Raison took on the Beachy Head Marathon, one of the UK’s toughest marathons in the UK, in aid of TUF. He raised £460. Ankit Desai, a urology core surgical trainee, climbed 5,895m to reach the summit of Mount Kilimanjaro in January. So far he has raised £250, with sponsorship still coming in. Father-of-two Tony Norris completed the Amsterdam Marathon in 4 hours and 29 minutes. He raised £2,780. Pauline D’Errico held her annual ball, An Evening in Pink, for TUF. It was an entertaining night with dinner, dancing, a raffle and an auction. She raised a fantastic £13,000. Caroline Gower, urology nurse and blogger, will run her first marathon at this year’s Brighton Marathon. She plans to raise as much as she can. In April grandfather-of-ten Terry Keen will take on the South Downs Double, twice over, cycling 400 miles with ascents up to 7,620 metres. He hopes to raise over £500. Thank you to our youngest TUF Hero five-year old Charlie Chalmers who raised an amazing £50 baking and selling cakes. A group of urology SpRs from the Midlands Urology Club had 30 long hairy days in November growing moustaches. Together they raised £279. Inspired by his grandfather’s experience of a urological cancer, Tom Nicholson from Wakefield did a 13,000 feet sky dive in March. He has currently raised over £1,000. Shop Online with easyfundraising A Fundraiser’s Fancy We’ve teamed up with easyfundraising.co.uk so you can shop at all your favourite online stores, including Amazon, Marks and Spencer’s, Tesco and John Lewis, and we’ll receive a free donation (up to 15% of your purchase) from the retailer you’ve shopped with at no extra cost to you. Sign up today at easyfundraising.co.uk and make that grocery shop go even further. Quite simply without you we could not continue our work in the fight against urology disease. If you are planning your own challenge or event, or have a unique fundraising idea we’re here to help make your event a success. So whatever takes your fancy every penny you raise will make a big difference. For more information on our fundraising or to find out how you can get involved, contact Sayara on 020 7713 9538 or email [email protected] theurologyfoundation.org T: 020 77139538 11 In November 2014 The Urology Foundation hosted its bi-annual gala dinner at Drapers’ Hall, raising over £90,000 for the charity. The event was a sellout with 190 guests in attendance for the black tie event, including many urology professionals with whom we work closely and our supporters. Before dinner, guests assembled for drinks in the magnificent 19th century drawing room. Drapers’ Hall has long since been a favoured location for filming, with scenes from the Harry Potter series and The King’s Speech filmed inside. Dinner was served in the stunning livery hall, adorned with Drapers’ Hall’s vast collection of royal portraits and ceiling paintings depicting Shakespearean scenes. Guests were then served a magnificent banquet including a chestnut tart tatin, a loin of venison and a chocolate teardrop. Speeches soon followed, and one of our most well-known guests, Ronnie Corbett CBE, who is a patron of the charity, was invited to the stage to say a few words about the evening and about TUF. What happened next was not strictly scripted, with Ronnie and his wife breaking out into an impromptu rendition of There’s No Business like Show Business followed by Ronnie delivering a Christmasthemed poem. TUF Chief Executive, Louise de Winter, then came on stage to talk about the reason we were all there; to raise as much as possible in order to continue the work that TUF do on a day-to-day basis; funding research projects and clinical 12 visits so that urologists can further develop their skills which results in better patient care and better quality of life outcomes in the United Kingdom. There was a great number of fantastic auction items that had been donated for the Gala Dinner which were split between a silent auction and a live auction. Throughout the evening, the silent auction had been open for guests to bid on a vast array of different items. Competing online with other guests, winners received superb prizes such as a four-ball at the prestigious Swinley Forest Golf Club, a Real Madrid shirt signed by the most expensive footballer in the world, Gareth Bale, a pair of Paris Chandelier earrings made by award winning jewellery designer Imogen Belfield alongside other amazing lots. live auction Our guests prepare for the The main event, however, was the live auction in the room, masterfully steered by legendary auctioneer Nick Stewart. The live auction prizes went down a storm, with many amazing opportunities on offer. The biggest sum raised on the night was for an incredible Greek cruise, with a privately-chartered, fully crewed yacht for a week. The £20,000 paid for it on the night will have a profound effect on © @mattbultitude News Thousands raised for research in TUF’s Gala Dinner the work we are able to fund and thus patient care in the UK. Other big ticket items included £8,000 for a three-quarter length portrait, painted by TUF supporter and esteemed artist Johnny Jonas. Jonas painted the Queen Mother on the occasion of her 100th birthday and was commissioned to paint an official portrait of Prime Minister David Cameron so the winner is in good company. Another TUF supporter, Aslam Merchant, very generously offered two fixtures in a corporate box at the Emirates stadium and kindly contributed fantastic leather table gifts. Other prizes expertly auctioned off by Nick Stewart included two British Airways Club World return tickets for flights anywhere in the world, a week’s stay for a dozen people in a stunning character property set in fourteen acres of the Gers countryside in the South of France and an Arsenal shirt signed by all of the members of the squad that won 2014’s FA Cup final last May. What happened next was not strictly scripted, with Ronnie and his wife breaking out into an impromptu rendition of There’s No Business like Show Business! Guest Ben Challacombe, Consultant Urologist at Guy’s Hospital, said: “This year’s Gala Dinner really was a fantastic evening in majestic surroundings spent with friends and colleagues raising money for a truly important cause. Well done to TUF on a great success and please book me in for next year now!” TUF will now be able to dedicate the £90,000 raised to funding more research projects and clinical visits so that we can improve urology care all over the UK. This November be part of the Great Big Dinner of the Year by hosting your own supper party and help raise money for The Urology Foundation. For more information and to sign-up contact [email protected] All in all, Drapers’ Hall proved to be an exceptional venue for TUF’s flagship event of 2014, with everyone declaring it an overwhelming success. theurologyfoundation.org T: 020 77139538 13 News TUF Survey: Startling new figures show lack of awareness about urology Nearly half of all people within the United Kingdom do not know what the field of urology entails and many more are too embarrassed to go to their doctor for help with a urological condition, a survey carried out by The Urology Foundation has revealed. In what were troubling results, it became apparent that many people are allowing existing urological complaints to worsen before seeking medical attention due to a perceived embarrassment at their condition. Urology is broadly defined as the branch of medicine that deals with the diseases of the kidney, bladder, prostate, the urinary tract and male reproductive organs. Unfortunately, when asked, many of our respondents were not able to define urology in those terms. As we can see from the charts, over 40% of all people do not know what urology entails. This is 45% of men and 38% of women. This statistic is very troubling, as it shows that a great number of people do not consider their urological health on a regular basis. This makes it more likely that they will not spot the signs of a problem and this will have a negative impact on patient outcomes further down the line. Only 1 in 4 respondents knew what urology covered. 15% 26% Yes No 59% Don’t know what it is We have also established that age is a very significant factor in terms of the understanding of a whole range of urological concerns. The highest proportion of people who did not know what urology covered were young people (a huge 68%). They were also least likely to be able to identify any symptoms of urological conditions. One of the main reasons, however, for which patient outcomes are so difficult to improve is because one’s urological health is often an embarrassing subject to broach. The following chart shows which age groups find it most embarrassing to talk about their urological health. It is clear that to a large extent, the older you are, the less likely you are to be embarrassed about your urological health. The lack of desire to speak out about urological conditions due to perceived awkwardness is one of the main reasons for which patients do not visit the doctor until they are desperate, which has a profoundly negative effect on patient outcomes. There are also many people who live with very debilitating - but eminently treatable - conditions, such as incontinence, purely because they are too embarrassed to go and see the doctor. Our study shows that going to the doctor when identifying a symptom is more difficult for some parts of society more than others. When we asked our respondents what they would do if they were to experience incontinence, the results showed that men were far more likely than women to go to see Embarrassed Which age groups are most embarrassed by speaking out on urological conditions? 52% 48% 18-24 53% 47% 25-34 58% 42% 35-44 their doctor straight away, with 62% of them saying they would, with the same percentage of women saying they wouldn’t. More women would wait to see if the condition got worse before they would seek medical help. Commenting on the findings of the survey, Chief Executive of The Urology Foundation, Louise de Winter, said. “It is plain from these findings that much more needs to be done to banish the stigma of urological disease. We know that seeking help early can have a positive impact on outcomes and part of our focus in September’s Urology Awareness Month is to promote this message. Not embarrassed 75% 72% 76% 25% 28% 24% 45-54 55-64 65+ Who participated in the survey? An independent agency surveyed 1015 people in total, including 483 men and 532 women. Our respondents hailed from all areas of the United Kingdom, while we ensured that we asked the broadest cross-section of people that we could, with all socio-economic backgrounds included, young and old, working and retired, with children and without. “One in every two people will suffer from a urological condition during their lifetime and it is vitally important not only that they are aware of what their symptoms may mean, but also that they are willing to seek medical help when they need to do so. Early diagnosis is crucial in obtaining better outcomes. Our survey shows that more needs to be done to spread the name of urology into the public sphere in order to erase the stigma associated with it and improve patient outcomes.” theurologyfoundation.org T: 020 77139538 15 News The Urology Foundation is Rebranding Great Big Dinner of the Year This November home cooks, wannabe chefs and BBQ kings in the UK will be cooking up a storm for our Great Big Dinner of the Year to raise money for vital urology research, training and education. We are delighted to announce that The Urology Foundation is set to unveil our brand new logo and website later this year. The new TUF look will be rolled out across all of our communications channels, from our website to our supporter newsletters and printed leaflets. The website redesign will make our site more userfriendly in terms of organisation of information and will be responsive to those visiting the site on their mobile, tablet, and those using their laptop. It is important to note that while we are changing TUF’s image, the objectives remain the same. Our overall mission is clear; we will continue to fight urology diseases through funding cutting-edge research, training and education that will lead to the very best urology practices, care and treatment in the UK and Ireland. So why are we doing this? Our main goal is that the new look will better communicate the values of The Urology Foundation and reinforce the mission of the charity to those who come into contact with our work. Over the past year, we have recognised that the current TUF brand has a distinctly clinical feel, lacking the warmth of many other charity brands. As we seek to encourage people to connect with our aims and values and to fundraise for us, we believe it is important that the way we present ourselves fits in with a more personable approach and one that competes with other charities. To support the launch of the new TUF look, we will ensure that our vision, mission and values are consistently emphasised through our communication activity both to the professionals we support and the public we benefit. We very much hope that you will like the look of the new brand as it is rolled out in the next few months. So whether you prefer to entertain over a big bowl of spag bol or a seven-course candlelight supper you can help fight urology disease from your kitchen. Be part of it! Sign-up today and get more information on planning your evening, invitation templates, menu ideas and much more. Email [email protected] or call Sayara on 020 7713 9538 Leaving a TUF By remembering The Urology Foundation in your will you can be part of future urology research and training, helping millions of people suffering from a urology condition. TUF has always been funded by the generosity of people like you. With a gift in your will, no matter how big or small, you can help us continue our vital work tomorrow so that fewer lives will be devastated by urology disease in the years ahead. www.theurologyfoundation.org 16 If you would to leav like e a gif t in you to TUF r will please your s make olicito sure r u s es our addres full na s and me, charity The Ur ology n umber. Found registe ation, red in a char the UK ity Regist no. 11 ered o 28683 f fice: U Court, . nit 3 P 80-82 ride White L ion Str Londo eet, n N1 9 PF Thank You LEADING THE FIGHT AGAINST UROLOGY DISEASE The Urology Foundation is a UK registered charity (no. 1128683) When someone is diagnosed with prostate cancer, it is not uncommon for them to live one or even two decades with the disease. But of course, that is not always the case. When national freelance journalist Mike Bygrave was diagnosed with prostate cancer, he and his wife Carolyn were determined to remain strong, believing they had many more years together. Tragically, just two years later, Mike passed away at the age of 68. Here is his story. A co-founder of Time Out magazine, Mike was born in Birmingham but spent much of his adult working life in Los Angeles writing articles and non-fiction stories. He was in the US when prostate cancer first started to get big publicity. When he returned to the UK, he was one of the early adopters of the PSA test. He was tested regularly but then flaws were discovered in the test. Knowing that the removal of the prostate could lead to side effects like impotence or incontinence he balanced the risks of the test with actually getting prostate cancer and resolved not to continue with it. It was three years ago in Italy that Mike first noticed some symptoms. He was working in an olive grove when he got very bad back pain and a restriction of urine, which he assumed was from the heavy physical work. He made a doctor’s appointment but played down the symptoms. A few weeks later when Mike was in LA, he injured himself while out running. Mike was a keen runner and went three times a week but one morning found himself doubled over in pain. Mike mentioned his previous symptoms. A doctor examined Mike and sent him for a biopsy. As soon as Mike was diagnosed with cancer he and Carolyn saw Roger Kirby, consultant urologist at The Prostate Centre, one of TUF’s founders and current Secretary. Mike had been recommended to Roger by his Time Out co-founder, Tony Elliott. “We were told it was terminal,” said Carolyn. “We were shocked and upset by the diagnosis but it didn’t really sink in – it was a blur. There was lots to do and it all happened so quickly – there wasn’t the time to sit and think about it all. 18 “You can have terminal cancer and live for years and years and we believed this would be the case. But every treatment failed. Even Zoladex which patients normally take for years only worked for Mike for three months. When the treatments failed we couldn’t believe it – we always hoped the next treatment would be the one to kick it.” Mike’s treatment consisted of various forms of hormone therapy, radiotherapy and chemotherapy and a new treatment called Alpha Radium. “He really struggled with the fact the cancer couldn’t be taken out,” says Carolyn. “But our reaction was to be optimistic and positive. Mike was determined to fight it. I was so worried but he never showed his fears, I think he was protecting me. We never asked how long he had. He didn’t want to know and if he didn’t, neither did I. With cancer you have so few choices but this was our choice and something we could control whether or not to know. “We planned for the future, even talking about how his 80th birthday would be held in a wacky restaurant in Piccadilly Circus. We have always travelled a lot and when Mike was first diagnosed we went to my house in Italy, where I grow olives to try and absorb the news. Just being away helped – it was so tranquil and beautiful. “We travelled to Italy, Paris and New York. But what Mike really wanted was to return to his beloved LA. Unfortunately, no insurance company would cover him and help us make this dream a reality. This caused him a huge amount of distress and it makes me very angry.” Los Angeles held a special place for Mike because of its freedom, rootlessness, climate and openness © David May Patient Stories Mike Bygrave’s battle with prostate cancer and Carolyn said he also found it to be a very romantic place. Mike had spent years living in Los Angeles in an apartment complex off the Sunset Strip, filing stories for newspapers including the Sunday Times and Guardian. He had interviewed many of the big stars and directors – once even ending up in costume in a crowd scene on a Nicholas Roeg film set. “It broke his heart that he couldn’t return there,” said Carolyn. “He wanted to see his old friends. And what about people who have family living on the other side of the world? When you are dying you want to see your children or grandchildren and give them a hug.” Mike passed away last year (2014). At the end of the service mourners were played ‘California’ by The Beach Boys and ‘California Dreaming’ by The Mamas and Papas. We never asked how long he had. He didn’t want to know and if he didn’t, neither did I. With cancer you have so few choices but this was our choice and something we could control whether or not to know. Raising awareness of insurance problems for cancer patients is now one of Carolyn’s major concerns, and increasing the publicity of companies that do consider people in that position, such as InsureCancer, is something she sees as a longterm goal. Mike’s story highlights how urological cancers can affect anyone at any time, and despite all of the advances in treating them, there are still a great number of people every year who are unable to overcome them. Help us fund cutting-edge research and leading training and education so fewer lives will be devastated. Visit theurologyfoundation.org “I think he would have loved that” says Carolyn. theurologyfoundation.org T: 020 77139538 19 Patient Stories Doctor’s kidney diagnosis helps her see patient perspective Abbey told The Urology Foundation: “When I had my first kidney infection, the pain was very severe. I woke up one morning not feeling quite right and this quickly developed into severe pains in one side of my abdomen. I couldn’t get comfortable no matter where I positioned myself and I spent most of the day in bed. The pain got worse and I went to A&E. By then, I couldn’t keep still because it was so intense. It was constant and getting worse in waves. “Initially doctors couldn’t work out what was wrong; they thought it could be gall stones. I spent four days in hospital, had some scans, was given some antibiotics and was sent home as they then thought it was just a bad kidney infection. They called me in after a couple of days saying the CT scan showed I had a very large kidney stone and that I needed an operation. The stone was blocking the lower part of my left kidney and doctors didn’t want to wait in case it got worse. “I wanted an operation in the summer, because I didn’t want it to impact my studies, but my surgeon was reluctant to wait that long. I had it six weeks before my exams; I tried to take work into hospital with me but I didn’t get anything done. “I had a percutaneous nephrolithotomy (PCNL) where a urologist makes a small cut in the back, then breaks the stone into small pieces and removes it through the incision. My stone was 20 Abbey Cargill from Hampshire was studying for a medical degree when she had her first kidney stone. Throughout her studies she has suffered from continual stones and UTIs (Urinary Tract Infections) which left her in agony. Now aged 24, and a junior doctor, her experience has shaped the way she treats her patients. “I was diagnosed with duplex kidney, essentially two kidneys in one, which made it almost impossible to get rid of the stone as it would damage the kidney when removing it. The duplex kidney was also the cause of the UTIs I kept getting. so large it wasn’t moving which was very lucky because it meant it didn’t cause me any pain. I was left with a device to drain the kidney for four days after, which was the worst bit. Fortunately, I bounced back from the procedure and did fine in my exams. “The care I’ve received has been fantastic - almost all my clinic appointments were taken by my consultant surgeon who also came to see me in recovery and on the ward later after the operation. I have his email address if I have any questions and I really feel like my surgeon cares. “The following year, however, I started to have pains again and knew exactly what it was. Again I went into hospital for four days. When I had a follow-up, they said I had stones in the right kidney as well. “Although being in hospital isn’t fun, it was useful to me as a medical student. It was valuable to see the NHS from the perspective of a patient, rather than a doctor. I don’t think I appreciated before quite how much being unwell and in hospital can affect your mood; I am generally a very chipper person, but in hospital I felt tearful and down at times, particularly when I didn’t know when I would be able to go home. In turn, this made tests and investigations much more significant. This has caused me to reflect on how freely we, as doctors, sometimes request tests and investigations for patients without pausing to think. Of course, these tests are necessary, but I hope I can remember to think about how these things might be affecting my patient. The care I’ve received has been fantastic - almost all my clinic appointments were taken by my consultant surgeon who also came to see me in recovery and on the ward later after the operation. I have his email address if I have any questions and I really feel like my surgeon cares. “After my operation failed, I decided with my consultant that I wouldn’t try and have another. He’s been great, talking me through the operations and offering his opinions on what’s best. It doesn’t bother me day-to-day, but when I do get a kidney infection I feel really awful. It knocks me back for ages, so I hope that it isn’t going to keep recurring every few months. It’s odd - duplex kidney is usually diagnosed in childhood, so I have no idea why it has started to affect me now. “Because of my degree I know all about the different treatments. I’ve even bought myself some urine dipsticks so I can diagnose myself with a UTI. I’ve also asked my doctor to write me an emergency prescription I can keep at home, so I can start on antibiotics as soon as I realise. At this stage, my condition is stable, but that might change. I may someday need another operation using new techniques, so I’m grateful for the role The Urology It was valuable to see the NHS from the perspective of a patient, rather than a doctor. I don’t think I appreciated before quite how much being unwell and in hospital can affect your mood; I am generally a very chipper person, but in hospital I felt tearful and down at times, particularly when I didn’t know when I would be able to go home. Foundation is doing to fund them. The urologists can’t offer an explanation of why I keep getting stones, just that I’m awfully young. I haven’t decided what area of medicine I want to specialise in, but maybe I should become a urologist so I can find out for myself!” Kidney stones is one of the most painful conditions to suffer from. TUF is funding work to improve the lives of those affected by kidney stones. Help us fund more research into all urology conditions. Visit theurologyfoundation.org for more information. theurologyfoundation.org T: 020 77139538 21 Medical Insight Clinical Visit – Micro and Mini PCNLs – Muljibhai Patel Urological Hospital Nadiad, India By Bhaskar Somani, Consultant Urological Surgeon, University Hospital, Southampton Day 4 As a team, four Consultants from Southampton including two interventional radiologists (Dr Tim Bryant and Dr Iain Wilson), a paediatric urological surgeon (Mr Stephen Griffin) and myself, an adult urological surgeon, went on a clinical visit to Nadiad, India, funded by The Urology Foundation. The funding gave us the opportunity to set up a week’s visit to the Muljibhai Patel Urological Hospital in Nadiad, India. One of the first hospitals in India devoted entirely to nephrology and urology, MPUH has performed more than 12,000 PCNL procedures. Our main goal was to learn advanced micro and mini PCNL techniques for paediatric patients here in Southampton. Our clinical visit was organised via email exchanges with Dr Mahesh Desai and his team who are worldleading experts in all forms of adult and paediatric stone treatments. We flew to Mumbai, then went on to Nadiad where we arrived at the height of their colourful local festival. Day 1 By 9am, we had arrived at our hotel, opposite the hospital. Although named Comfort World, it was nothing of the sort and really resembled a building site. Nevertheless we refreshed and went straight to the hospital. We were welcomed at MPUH by Dr Desai and his team. We then participated in various cases, the most notable of which was ureteroscopy for stone disease and we had to bail out with retrograde stenting due to infected material seen in the renal pelvis. Following this we changed our hotel and had a late lunch. In the evening while we were at the gym, we had quite a dramatic experience as we were asked to go to the police station to verify our identity. Thankfully it was quite straightforward in the end. 22 The first case of the day was a 9 month-old girl scheduled for cystoscopy for further investigation of incontinence. Review of her MCUG revealed a suspected right refluxing ectopic ureter to a simplex right kidney – not a common pathological pattern in the UK. Day 2 Our second day began with a teaching session on paediatric stones by Dr Desai. After this we visited the different parts of the hospital including the wet and dry labs and the lecture theatres. The afternoon commenced with a micro PCNL on a 3-year-old child for a 1 cm renal stone. This was one of the index procedures we most wished to see. This was the first time we had seen a live unedited version of the procedure. Stone clearance was achieved using a 16G (4.8F) needle for access, a 0.9mm camera with 10,000 pixels for vision and a 200micron laser fibre. Once we finished we retired back to the hotel for dinner and discussing how we could replicate micro PCNLs at our unit in Southampton. Day 3 After reaching the hospital we joined Dr Desai briefly on his ward round. This was followed by a stage 3 of adult PCNL for complete stone clearance. In addition to this we also saw a robotic partial nephrectomy and could really appreciate the advantages it had to offer compared to other modalities of renal sparing surgery – a real advantage of being on the trip. Cystoscopy confirmed this in addition to ectopic left ureter and an abnormal bladder neck. Mr Griffin assisted the local consultant in confirming absence of a vagina and diagnosis of the rare Mayer Rockitansky Syndrome. He also suggested a future management plan. Later that afternoon, we visited an ancient temple near Nadiad. Day 5 Our last day began with a presentation by Dr Tim Bryant specifically discussing the Southampton experience of percutaneous radio frequency ablation and cryotherapy. Following this we discussed possible future collaboration in clinical and academic areas. We then took our transport back to Ahmedabad and commenced our long journey back to London. Bhaskar Somani made national news in January after using a 3D model of a patient’s kidney to help him complete an operation. Read more at: theurologyfoundation.org/news What we learnt This trip enabled our team of 4 enthusiastic consultants to take time out to see new minimally invasive percutaneous access techniques in a completely different environment. Dr Desai is an inspirational leader and teacher and we feel honoured to be given the opportunity, with the help of TUF, to view these techniques first hand. As opposed to live surgery at a national or international meeting, we had ample opportunity to question Dr Desai about specific technical details, to view a state-of-the-art teaching facility, and to discuss plans to start using micro and mini percutaneous access in suitable adult and paediatric patients at our unit. Since returning, we have already met with representatives of Polydiagnostic – the company who market the kit required and are making arrangements to present our plans to the local New Procedures Committee. We are sure that these techniques can be of benefit to local paediatric and adult patients and are in no doubt that our visit to Dr Desai’s unit will aid our delivery of this stone treatment and open up opportunities for future collaboration. In addition to our clinical experiences, none of us will forget the shared curries, lassi, chai (Indian tea) and trip to the police station! These group experiences will stay with us forever. In the evening we were invited to Dr Desai’s home for dinner. His farmhouse was very impressive with very good selection of vegetarian food. theurologyfoundation.org T: 020 77139538 23 Medical Insight Raveen Sandher Research Progress Report: Prevalence and functional significance of Meiotic defects in Severe Male Infertility By Raveen Sandher, Institute of Ageing and Health, Newcastle University I started The Urology Foundation Research Fellowship in September 2013, looking into the growing medical problem of male infertility and how to combat it. In 40% of all cases of male infertility, we do not know the trigger. Given the recent breakthroughs in sperm extraction and injection offering otherwise infertile men the chance to have a child, research into exactly why some men are impaired in creating sperm is currently lacking. My work is designed to explore the reasons why spermatogenesis (the creation of sperm within the body) is impaired in infertile men and to discover how to preserve or even restore fertility based on that information. The results could provide a big development in the understanding of a field which would transform the lives of thousands of severely infertile men in the UK. My planned work has three connected strands. First, I have been examining the DNA of patients who have no or very few quality sperm but show signs of meiosis having taken place. Meiosis is a specialised process of cell division that ultimately results in sperm being produced. The reason for which I have taken DNA from these patients is in order to perform whole genome sequencing. This is the process of determining the complete genetic code of an individual. These patients are most likely to have had a higher rate of changes (mutations) in their genetic code which cause errors during meiosis, leading to the defective creation of sperm. Studying their cases allows me to assess the features of meiotic mutations in more depth. Second, I will look into the incidence and types of aneuploidy in sperm. Aneuploidy is a large type of defect in the genetic code when there is either a missing chromosome in a cell or an extra one. The DNA sequencing enables me to detect how often aneuploidy occurs in sperm and spermatocytes which again helps me to understand meiotic mutations more deeply. 24 I have made excellent progress with these two parts of the project, collecting and banking relevant specimens from patients. The third element of my project, however, is wider-reaching, and is an attempt to contribute to the endeavour of preserving or restoring fertility in men, which would be an enormous breakthrough in the field. This aim is to successfully propagate in the laboratory, store, and then transplant back human spermatogonial stem cells. These cells are crucial in maintaining spermatogenesis as they self-renew and produce daughter cells that become sperm. This process is performed in vitro – that is to say – studying these cells in the lab. Additionally, in the case of young boys having treatment for cancer, we need to be able to preserve the spermatogonial stem cells over a long period of time so that they may be transplanted when all the cancer treatment and follow up is finished to restore their fertility. Doing this involves cryopreservation; the act of keeping cells at very low temperatures so that any chemical breakdown of the cell is stopped. The fact that the transplantation of stem cells worked in mice proves that the principle works. The problem, however, is that the way cryopreservation works is different in humans and mice. Freezing these cells can cause its own damage, and that could then possibly have an impact on meiosis making sperm production difficult. As a result of this, the work I am doing is to explore clinically safe ways of preserving spermatogonial stem cells using cutting-edge techniques, such as vitrification. The completion of all of my three aims together would provide an advancement in determining how to combat male infertility. From being able to reliably store stem cells for future transplantation to understanding completely why meiotic mutations occur and being able to address them, the work completed during my fellowship has the potential not only to transform the lives of severely infertile men in the UK today but also to combat infertility for years to come. Raveen’s work has the potential to vastly improve the long-term fertility prospects of young men who have had cancer. Success in this field could have a great transformative effect on the quality of their lives and it is crucial that The Urology Foundation continues to fund this type of work. For more information visit theurologyfoundation.org This process is particularly relevant today as there is a big issue in trying to preserve or restore future fertility for boys who have had to have treatment for cancer at a young age. The cancer treatment tends to kill or seriously damage the spermatogonial stem cells in the boy’s testicle. Finding a way to preserve these cells before the cancer treatment is started would have a huge impact on the future life of boys having cancer treatment. The basic principles of harvesting and propagating these cells were established using laboratory mice a decade ago. The cells were removed from a young healthy mouse and transplanted into a sterile mouse which restored sperm production. There remain sizeable challenges, however, in replicating this technique in humans so that it can be used in clinical care. Scientists have not yet established a reliable and reproducible protocol for culturing the human type of these stem cells, and we need to ensure that we can culture enough of them to transplant back into the testes, restoring sperm production. As part of my work, therefore, I have successfully investigated ways of improving the efficiency of culturing the cells in the laboratory after harvesting in order to complete this goal. Raveen aims to make a ground-breaking impact on patient care. theurologyfoundation.org T: 020 77139538 25 Medical Insight TUF Noticeboard A review of the BAUN Conference in Glasgow, 2014 In 2014 TUF launched two new initiatives for nurses. Our smaller research projects fund has up to £10,000 available per applicant to fund nurse-led patient projects that seek to improve clinical services and patient care, and our second fund has up to £600 per applicant to pay for nurses to attend an educational or training course or conference. To spread the word, TUF attended the annual BAUN conference in Glasgow on the 24th-25th November last year. The event was a huge success as we met many nurses who had previously been unfamiliar with our work and who were very interested in the opportunities presented by our new funds. We have since received our first applications for funding from nurses and we hope for many more in the future. We will also be attending this year’s conference in Brighton by which time we hope some of the attending nurses could well be TUF Alumni! For Professionals BAUS Conference: Monday June 15th to Thursday, June 18th. Venue: Manchester Central Convention Complex. TUF will be present, and Mr Indy Gill will be delivering the TUF lecture at the conference. We shall also be awarding our first TUF Research Scholar Medal at Conference. BAUN Conference: Monday November 16th to Tuesday November 17th. Venue, Hilton Metropole, Brighton. Don’t forget: the next deadline for applications to The Small Research Projects Fund is the 30th May. For Fundraisers Nightrider London: Saturday 6 - Sunday 7 June Prudential Ride: 100 miles Surrey to London. Sunday 2 August Cycle India – Taj Mahal to Jaipur: Thursday 19 November to Saturday 28 November. The Great Big Dinner of the Year is happening throughout November. 26 Who’s who? TUF links with SURG TUF spoke to Ashish Kumar at the Specialist Urological Registrars Group (SURG), a charity that provides a forum throughout the UK and Ireland for members to discuss matters and express opinion on training issues arising on a regional and national level. What does SURG do? SURG acts to represent the needs and views of the urology trainee body in the UK offering all trainees – regardless of stage of training – a voice in the urological community on a range of factors which govern our urological care. We provide a forum throughout the UK and Ireland for trainee members to discuss matters and express opinion on training issues arising on a regional and national level. Such issues that will affect trainees and consultant urologists within the NHS are debated and these opinions are expressed on member’s behalf by the SURG committee. SURG represents Urological trainees at relevant national meetings including the SAC, ASIT and ESRU, as well as on BAUS council. What services do you offer to those trainee urologists who join your organisation? We offer trainee urologists access to information on courses, fellowships, post-FRCS, advice on obtaining funding for research, access to revision material and contacts to aid career planning, among other things. How do you see working with TUF in the future? TUF plays a vital role in highlighting urological issues that require greater exposure and clinical research. Through SURG we have the ability to expose our membership to those research and training opportunities which in turn allow the quality of the care provided in the UK to rise. With the modern day reality of limited funding resources and the continued desire to provide better treatments and care for our patients, the important link between SURG and TUF is perhaps at its most valued point. If you want to find out more about SURG and how to join, go to: surg-online.net We would very much like to thank the patrons, trustees and committee members of the Urology Foundation for their ongoing support. PATRONS RESEARCH SCHOLARSHIP REVIEW PANEL Ronnie Corbett CBE Handel Evans Sir Ranulph Fiennes OBE Rosemary Macaire Jane MacQuitty Steven Norris Bruno Schroder Dr Thomas Stuttaford OBE In addition to the SEC members, Research Scholarships are marked by the Review Panel. Our thanks for their hard work and giving so generously of their time go to: TRUSTEES John Tiner CBE, Chairman Professor Roger Kirby, Secretary Professor John Kelly, Chairman of the Science and Education Committee Christopher Smith, Treasurer Scott Cormack Kate Holmes Roger Plail David Quinlan Su Sayer CBE Mark Speakman SCIENTIFIC AND EDUCATION COMMITTEE SEC members help shape The Foundation’s funding priorities and programmes and assess applications to our research and grants programmes. Professor John Kelly, Chairman Professor Marcus Drake Mr Ian Eardley Professor Howard Kynaston Mr Ian Pearce Professor Abhay Rane OBE Mr Grant Stewart Professor Christopher Woodhouse The Urology Foundation and members of the SEC would like to thank Professor Clare Fowler CBE who stepped down from the Board and the SEC earlier this year following her retirement. Clare had served on both committees with energy, intelligence and verve. Clare remains interested in the work of TUF and we will do our utmost to maintain her high standards! We wish her all the very best health and happiness in her retirement. Professor Chris Chapple Professor Noel Clarke Professor Christopher Fry Professor Freddie Hamdy Professor David Neal Professor Rob Pickard Mr Mark Speakman (BAUS president) Professor William Watson THE NURSING PANEL The Nursing Panel is responsible for reviewing and assessing applications made by nurses to TUF’s Small Projects fund and Travel Grant fund. Again our thanks to the panel for their time. Philippa Aslet Fiona Sexton (BAUN President) Bruce Turner (BAUN Education Lead) STAFF Louise de Winter Chief Executive Serena Wyman Events Manager Alastair Bayliss Communications Officer (maternity cover) Kate Skelton Communications Manager (on maternity leave) Sayara Muthuveloe Fundraising Manager Oliver Morris Information & Administration Officer theurologyfoundation.org T: 020 77139538 27 SUPPORT US About TUF Our urology health is vital to our quality of life. But diseases and cancers of the kidneys, bladder, prostate and the male reproductive system are becoming more prevalent and devastating the lives of many men, women and children in the UK. The Urology Foundation is committed to transforming the lives of people with a urology condition. By working with researchers, urology and health care professionals we are dedicated to beating all urology disease so fewer lives will be devastated. The Urology Foundation. Leading the fight against urology disease. www.justgiving.com/theurologyfoundation/Donate This is just some of what we do: •Through our annual research scholarships, we fund urological trainees, surgeons and consultant urologists on programmes for 1-3 years of full time laboratory research. •We provide training for all urology professionals. This involves sending both urologists and urology nurses on clinical visits all around the world. They bring their new skills back to the UK - improving care across the country. •We bring urology professionals together through special events and meetings. Our network includes some of the leading figures in urology and we promote the development of the community. If you would like any further information, or indeed would like to host a fundraiser for The Urology Foundation, please call: Sayara Muthuveloe, Fundraising Manager: 020 7713 9538 email: [email protected] Serena Wyman, Events Manager: 01449 737971 email: [email protected] THE UROLOGY FOUNDATION Unit 3, Pride Court, 80-82 White Lion Street, London N1 9PF T. 020 7713 9538 [email protected] theurologyfoundation.org Twitter: @TUF_Tweets Incorporated in England and Wales under the Companies Act 1985. Registered number 6817868. Charity number 1128683. Registered office: Unit 3, Pride Court, 80-82 White Lion Street, London N1 9PF