Urology News Feeds
Scientists have identified a key molecule linked to kidney disease in people with diabetes.
The commonly used antibiotic azithromycin is not linked to an increased risk of ventricular arrhythmia, an often life-threatening rapid, irregular heartbeat, according to a large study published in...
To understand the role of Advanced Practice Providers (APPs) in urologic procedural care, and its change over time. As the population ages and the urologic workforce struggles to meet patient access demands, the role of APPs in the provision of all aspects of urologic care is increasing. However, little is currently known about their role in procedural care.
Clinical Efficacy of 1-Year Intensive Systematic Dietary Manipulation as Complementary and Alternative Medicine Therapies on Female Interstitial Cystitis/Bladder Pain Syndrome Patients
To evaluate the clinical efficacy of intensive systematic dietary manipulation (ISDM) for female patients with interstitial cystitis (IC)/bladder pain syndrome (BPS) in stable condition who were followed in our hospital.
Could Reduced Fluid Intake Cause the Placebo Effect Seen in Overactive Bladder Clinical Trials? Analysis of a Large Solifenacin Integrated Database
OBJECTIVETo assess the hypothesis that patients receiving placebo in overactive bladder (OAB) trials who experience less benefit from ‘treatment’ continue with behavioral modifications such as fluid restriction, whereas those on active treatment adopt more normal drinking patterns. This may manifest itself as a reduction in micturition frequency (MF).MATERIALS AND METHODSWe interrogated a large integrated database containing pooled patient data from 4 randomized, placebo-controlled phase III OAB solifenacin studies.
Cytoreductive Prostatectomy for Metastatic Prostate Cancer: First Lessons Learned From the Multicentric Prospective LoMP Trial
To prospectively evaluate patients with newly diagnosed metastatic prostate cancer (mPCa) in the context of the LoMP trial (which investigates the role of cytoreductive radical prostatectomy [cRP] in addition to standard of care [SoC]). To provide a preliminary analysis of patient's characteristics, safety of cRP and early local symptoms.
We agree that more research is needed to solidify the role of the calcium-to-citrate ratio in predicting kidney stone recurrence in children. However, we want to clarify that although patients had received dietary advice, they were not administered pharmacological intervention during the observation period before collection of the 24-hour urine for metabolic profile.
Prognostic factors predicting kidney stone recurrence in the pediatric population are lacking. Management decisions made in pediatric stone formers are often guided by adult data. Children have important differences in urinary risk factors relative to adults.1
While the nonpalpable testis represents only a small portion of all cryptorchid testes, it remains a clinical challenge for pediatric urologists. Many controversies about the best evaluation and management exist. This narrative review serves as an update on what is known about the nonpalpable testis: etiology, pre-operative evaluation, the best surgical management, novel techniques, and ongoing controversies.
One common cause of erectile dysfunction is diabetes, but why might diabetes lead to this condition? Learn why, along with symptoms and treatment options.
Pezzoni et al's article is a very good study looking at differences in values for peak systolic velocity, end-diastolic velocity (EDV), and derived resistive index in more than 100 patients each in 2 groups of patients with erectile dysfunction (ED) confirmed by International Index Erectile Function at 2 anatomic sites. The first group was positive for clinical patterns of arterial insufficiency and the second group did not display clinical pattern of arterial disease. The first group obtained a suitable erection with intracavernosal injection of 20 µg of prostaglandin E-1 (PGE-1) and the second group failed to obtain erection with PGE-1, but did obtain a suitable erection with a bimix (20 µg of PGE-1 and 20 mg of papaverine) intracavernosal injection.
Analysis of Complications of Pelvic Mesh Excision Surgery Using the Clavien-Dindo Classification System
To describe and categorize complications in patients undergoing vaginal mesh excision surgery using the Clavien-Dindo classification system.
Partial gland treatment of prostate cancer utilizing high-intensity focused ultrasound in the primary and salvage setting: a systematic review
Advances in prostate imaging, biopsy and ablative technologies have been accompanied by growing enthusiasm for partial gland ablation, particularly using high-intensity focused ultrasound (HIFU) for treating prostate cancer. The preservation of non-cancerous prostate tissue and minimizing damage to the neurovascular bundles and external urethral sphincter may improve functional outcomes.
To assess performance of The European Organization for Research and Treatment of Cancer (EORTC) and Club Urologico Español de Tratamiento Oncologico (CUETO) non-muscle invasive bladder cancer (NMIBC) predictive models compared to current US National Comprehensive Cancer Network (NCCN) treatment guidelines in a US population.
Thank you for your shared interest in US for this patient population. Our findings that the majority of patients who undergo initial US did not go on to require CT was somewhat surprising when looking through the eyes of the urologist. Due to the known limitations of US, urologists often use the information provided by CT (stone size, number, location and density) to help guide management. In addition, the finding of hydronephrosis on ultrasound, which serves as a surrogate for ureteral stone obstruction, is not always predictive of such.
The authors present a single institution, retrospective review of more than 10,000 stone episodes. Overall 20% of subjects underwent renal ultrasound as the first imaging and 80% of this group avoided CT entirely. It is unclear whether these trends are representative of other institutions but they provide an example of what is possible with a commitment to using ultrasound as a first line diagnostic test for stones.
Learn about the factors that can lead to an overactive bladder in children. What are the signs and when should treatment be given for this condition?
Overactive bladder is a urinary disorder that can affect men and women. What are the causes in men and can lifestyle changes or medical treatments help?
To report the first exclusively pediatric series of robot-assisted urachal remnant excisions in children.