Urology News Feeds

Sensors detect disease markers in breath

MedicalNewsToday - Mon, 05/22/2017 - 02:00
A small, thin square of an organic plastic that can detect disease markers in breath or toxins in a building's air could soon be the basis of portable, disposable sensor devices.
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Five tips for treating bacterial vaginosis at home

MedicalNewsToday - Mon, 05/22/2017 - 02:00
While bacterial vaginosis can usually be treated with antibiotics, some women prefer to try home remedies first. Are they effective? What are the risks?
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Extracorporeal Shock Wave Lithotripsy Management of Renal Stones in Children: Does Anesthesia Affect the Treatment Outcomes on an Age Based Manner ?

Urology (Gold Journal) In Press - Mon, 05/22/2017 - 00:00
To evaluate beneficial effect of anaesthesia on extracorporeal shock wave lithotripsy (SWL) in children older than nine years.
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Seven tips to get rid of vaginal odor

MedicalNewsToday - Sun, 05/21/2017 - 08:00
In this article, learn about the different types of vaginal odor, which menstrual products should be selected, and how to practice gentle hygiene.
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Preoperatively Dilated Ureters are a Specific Risk Factor for the Development of Ureteroenteric Strictures After Open Radical Cystectomy and Ileal Neobladder

To evaluate preoperative ureteral obstruction as risk factor for the development of benign UEAS in patients undergoing open RC and INB diversion.
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Long-Term Treatment with OnabotulinumtoxinA Results in Consistent, Durable Improvements in Health-Related Quality of Life in Patients with Overactive Bladder

To present the long-term effects of repeat onabotulinumtoxinA 100U treatment on health-related quality of life in overactive bladder patients with urinary incontinence who had an inadequate response to/were intolerant of an anticholinergic.
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Prostate Arterial Embolization is a Viable Option for Treating Symptoms of Benign Prostatic Hyperplasia

The need for new minimally invasive techniques to treat lower urinary tract symptoms secondary to benign prostatic hyperplasia is demonstrated by the numerous publications on this subject every year and supported by the American Urological Association.6 Among the recent minimally invasive procedures to be developed in this area are Rezūm (NxTHERA, Maple Grove, Minnesota), UroLift® (NeoTract, Pleasanton, California) and prostate artery embolization. PAE has been accepted as a viable treatment for prostate related hematuria for a number of years with hundreds of cases published in the literature.
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Prostate Arterial Embolization is a Viable Option for Treating Symptoms of Benign Prostatic Hyperplasia

When I was in medical school and contemplating what specialty to enter, one of my mentors strongly advised me to stay away from urology. I can almost hear the words today telling me about a new pill being developed that would shrink the prostate and eliminate all surgeries for benign prostatic hyperplasia (BPH). That pill, finasteride, has undergone its own tumultuous story and clearly was not a panacea for BPH. The overwhelming take home message is that “shrinking the prostate” is not the Holy Grail of treating lower urinary tract symptoms (LUTS).
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Morcellation Efficiency in Holmium Laser Enucleation of the Prostate: Oscillating Morcellator Outperforms Reciprocating Morcellator with No Apparent Learning Curve

Urology (Gold Journal) In Press - Fri, 05/19/2017 - 00:00
To compare the morcellation efficiency of the Wolf® Piranha™ oscillating morcellator to the Lumenis® VersaCut™ reciprocating morcellator.
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Retroperitoneal Compartment Syndrome in Renal Transplantation, How to Salvage the Graft?

Urology (Gold Journal) In Press - Fri, 05/19/2017 - 00:00
Background: Early Allograft Dysfunction (EAD) may be caused by several technical factors including vascular complications such as thrombosis, kinking, or extrinsic compression. Renal Allograft Compartment Syndrome (RACS) is an unrecognized cause of EAD. This complication is characterized by increased pressure of the iliac fossa that reduce the blood supply to the graft with a potentially devastating consequence.
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Risk factors for daytime or combined incontinence in children with cerebral palsy

To identify risk factors for daytime or combined urinary incontinence (UI) in children with cerebral palsy (CP).
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Association Between Preoperative Albumin Levels and Length of Stay after Radical Cystectomy

Using contemporary population-based epidemiologic data, we measured the relationship between preoperative serum albumin level and hospital length of stay (LOS) after cystectomy and urinary diversion.
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Editorial Comment

The 7-item self-administered AUA-SS has stood the test of time and become a worldwide standard to measure the burden of lower urinary tract symptoms among men with LUTS attributable to BPH. However, in several studies, including this one, men with lower health literacy have had problems understanding and completing AUA-SS. One approach to this problem is an interviewer administered AUA symptom index.1 As outlined in this report, another approach is to develop alternative measures such as FLOW, which are easier for such men to understand.
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“Percutaneous Nephrolithotomy (PCNL) in Patients with Chronic Kidney Disease (CKD): Efficacy and Safety”

Urology (Gold Journal) In Press - Thu, 05/18/2017 - 00:00
While the effects of percutaneous nephrolithotomy (PCNL) on patients with normal functioning kidneys have been widely studied, the outcomes of PCNL in populations with renal insufficiency remains under reported. We aimed to examine the literature and evaluate the efficacy and safety of PCNL in this non-indexed patient group. A systematic search was performed in accordance with Cochrane guidelines. This served to identify original studies investigating PCNL carried out in the adult population with chronic kidney disease published over the past 20 years (since 1997)
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Rare Occurrence of Giant Metastatic Inguinal Lymph Nodes in Carcinoma Bladder

Urology (Gold Journal) In Press - Thu, 05/18/2017 - 00:00
Inguinal lymph node metastasis of a bladder cancer is a rare scenario. Till date, only four cases of inguinal lymph node metastasis from bladder cancer have been reported in the literature. We report a rare giant inguinal lymph node metastasis of transitional cell carcinoma(TCC) of bladder in a patient after radical cystoprostatectomy. Chemotherapy and radiotherapy were given, but showed no remission.
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Efficacy, Side Effects, and Monitoring of Oral Cyclosporine in Interstitial Cystitis/Bladder Pain Syndrome

Urology (Gold Journal) In Press - Thu, 05/18/2017 - 00:00
To evaluate the efficacy of oral Cyclosporine A (CyA) in treatment of refractory interstitial cystitis/bladder pain syndrome (IC/BPS) and assess safety using drug level and renal function monitoring.
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Clinical and Psychosocial Predictors of Urologic Chronic Pelvic Pain Symptom Change Over One Year: A Prospective Study from the MAPP Research Network

To examine baseline clinical and psychosocial characteristics that predict 12- month symptom change in men and women with urologic chronic pelvic pain syndromes (UCPPS).
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Studies: Concerns for bladder cancer risk of e-cigarette smokers and traditional smoking

MedicalNewsToday - Wed, 05/17/2017 - 02:00
Data being presented at the 112th Annual Scientific Meeting of the American Urological Association (AUA) shows harmful links between the use of e-cigarettes and bladder cancer risk, and associates...
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Editorial Comment

Patients with high risk prostate cancer undergoing active treatment exhibit highly variable oncologic outcomes (reference 8 in article). A North American study suggested a further stratification of these individuals into high and very high risk groups to address this issue (reference 9 in article). This new classification was adopted by the NCCN guidelines.
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Editorial Comment

My previous mentor and chairman, Dr. Fray Marshall, used to speak of times past when renal mass equaled radical nephrectomy. However, numerous studies have demonstrated equivalent cancer specific mortality rates for PN compared to RN for clinical T1 tumors.1 While there is significant data on the deleterious effects of RN compared to PN on renal function and cardiovascular risk, the impact on overall mortality is controversial (reference 14 in article). The current thoughtful, retrospective study by Shah et al demonstrates lower recurrence-free survival for PN vs RN in patients with clinical T1 tumors that are up staged to pathological T3a disease.
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