TFTC team contribute to landmark study showing oncological outcomes from focal therapy comparable to radical prostatectomy, Read Evidence,in the media and Recent Blog Post.

An Inconvenient Truth

Toilets – no one likes the word, few can look you in the eye when saying it, some even associate its use with one’s place in society. All this hate for something each and every one of us uses multiple times daily.

Except when one isn’t available. And when this is the case, as it is on a public basis across the country, it can change behaviour and health for the worse.

This week’s blog is about toilets – or the lack of them. In case you are not aware, The UK is currently experiencing a public toilet crisis, caused by the perfect storm of Covid19 restrictions, reduced local Council budgets, and economic hard times. It is an inconvenient truth for everyone, but for older folks and men with prostate disease, it hits particularly hard, creating a major disincentive to leave the house. The Health Editor of The Daily Mail recently took the unusual step of recounting his own personal experience to highlight the issue.

According to Tom Riley of the wonderfully named organisation Lockdown Loo, a lack of loos is bad for the economy, mental well-being, and our nation’s health. He set up Lockdown Loo to provide an updated, interactive map of public toilets throughout the UK. Writing in The Telegraph recently (in celebration of World Toilet Day – yes, it is a thing) he described the spike in use of his Lockdown Loo app during Covid, and cited comments from users:

“It’s an issue. I walk miles photographing in urban spaces, and the increasing lack of public loos in London over the last 10 years has become noticeable.”

“It’s a basic human right that a toilet can be accessed when required in towns and out and about. I totally agree, that having an underlying health condition has stopped me being able to go out independently. N Ireland is particularly bad.”

The eminent health think tank Kings Fund examined the problem from a public health and health inequalities perspective and was disappointed to find that little is being done to change the situation:

“there appears to be very little activity on a national level from the relevant departments. There does not seem to be a coordinated approach to addressing the reduction in public toilet facilities across the country. This seems like a missed opportunity to address an issue with a significant health impact.”

It appealed for people to come forward and share their concerns and stories to build a case they can bring to government.

So what can you do in a world with inadequate public toilets? A few suggestions are outlined below:

1. The Urology Foundation provides a card to use in restaurants and other public places to reduce embarrassment

2. Prostate Cancer UK also provides a card but, given its stature and influence on all things to do with prostate cancer, it is disappointingly silent on the issue.

3. Positive Ageing London has issued a “Toilet Manifesto” which you can support and share amongst your community

4. Write to your MP and leader of your local council asking why public toilet provision is inadequate and point out how it discriminates against older people and men with prostate disease

5. Support the British Toilet Association Where Can I Go campaign

The Focal Therapy Clinic is keen to lobby on this issue. If you have a story that you’d like to share, please get in touch.

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“HIFU is something people need to be aware of – I believe this treatment should be more widely available and more widely promoted. It wasn’t something suggested to me as a possibility by my urologist and I actually raised it myself. I would recommend HIFU and in fact have recommended it to others.”

Keith (The Focal Therapy Clinic Patient)

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As a group of consultants we are passionate about all prostate cancer sufferers knowing about all of their treatment options.

Based upon the details that you know and can provide to us, we will send you a Plain English personalised preliminary suitability report for HIFU Focal Therapy treatment of your prostate cancer.

You can use the information we provide in your conversations with your existing NHS and/or private treatment consultant. Should you wish to talk with us further we would be grateful to help you, but there is absolutely no obligation for you to do so whatsoever.