Urology News Feeds

Benefits and harms of osteoporosis medications unclear for patients with CKD

MedicalNewsToday - Tue, 04/11/2017 - 02:00
More research is needed to determine the benefits and harms of osteoporosis medications on bone mineral density (BMD), fracture risk, and safety among patients with chronic kidney disease (CKD).
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Development and Initial Testing of the FLOW Instrument, a Novel Assessment of Lower Urinary Tract Symptoms in Men

To develop a method of assessing lower urinary tract symptoms (LUTS) regardless of literacy/numeracy.
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Outcomes of Patients with Renal Cell Carcinoma and Sarcomatoid Dedifferentiation Treated with Nephrectomy and Systemic Therapies Over Three Decades: Comparison Between the Cytokine (1987-2005) and the Targeted Therapy (2006-2015) Eras

To study the overall survival and prognostic factors of patients with sarcomatoid renal cell carcinoma treated with nephrectomy and systemic therapy in the cytokine and targeted therapy eras.
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Predictive Nomogram for Recurrence Following Surgery for Non-Metastatic Renal Cell Cancer with Tumor Thrombus

Following surgery for non-metastatic renal cell carcinoma (RCC) with tumor thrombus, the risk of recurrence is significant but variable among individual patients. The purpose of this study is to develop and validate a predictive nomogram for individual estimation of recurrence risk following surgery for RCC with venous tumor thrombus.
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Reply by Authors

The thoughtful commentaries from Drs. Lemack and Dmochowski raise good followup points regarding the need for longitudinal and investigative studies of patients with chronic urinary retention. When writing this white paper, the CUR workgroup developed a partial list of needed research studies.
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Editorial Comment

“Dr. Consensus, we just received a referral for man with a PVR of 750 ml. The referring internist is requesting that you place a catheter and see him right away.” How many times have we all received such calls?
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Editorial Comment

The term “urinary retention” remains a poorly defined conceptual construct, enshrouded in urological lore, encumbered by incomplete evidence and confounded by irrational therapeutic intervention. Historically, this entity has been associated with the absolute requirement for urinary catheterization, and yet more recent experience derived from neurotoxin or neuromodulation clinical experience has identified the variability of an isolated PVR evaluation and subsequent impact on health status. The concern with PVR assessment is its inherent variability in bedside diagnostic methods.
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W-Pouch with Modified Non-Isolated Extra Limb for Continence in Cutaneous Diversion after Radical Cystectomy

Urology (Gold Journal) In Press - Tue, 04/11/2017 - 00:00
To report the functional results of continent cutaneous ileal urinary diversion using modified W-pouch with non-isolated extra limb for continence .
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Robot Assisted Transplanted Ureteral Stricture Management

Urology (Gold Journal) In Press - Tue, 04/11/2017 - 00:00
To assess the feasibility of robot assisted transplanted ureteral reimplantation as a minimally invasive alternative to open surgery.
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“Surgical Management of Primary Spindle Cell Sarcoma of Prostate”

Urology (Gold Journal) In Press - Tue, 04/11/2017 - 00:00
Primary spindle cell sarcoma of prostate is an extremely rare malignancy and very few cases of it have been reported [1, 2]. We searched literature through Med-Line database using Pub-Med and Scopus for the articles published between January 1988 and September 2016. Our search was limited to the following keywords: “spindle cell sarcoma”, “prostate” and “surgical management”. Most of the papers focused on histopathology of the tumour; very few were found discussing the surgical management. We here present a case of localized primary spindle cell sarcoma of prostate operated at our institute with the difficulties we faced and their management.
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Author Reply

Urology (Gold Journal) In Press - Tue, 04/11/2017 - 00:00
We appreciate the commentary provided and are in agreement on nearly all points mentioned, including that the take-home point should not be that penile traction (PTT) is not a viable therapy for men with Peyronie disease (PD). We are also supportive of PTT in general and strongly recommended it during collagenase Clostridium histolyticum (CCH) injections because of a belief that it would enhance outcomes. Both the paper and commentary highlight 3 important points:
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Editorial Comment

Urology (Gold Journal) In Press - Tue, 04/11/2017 - 00:00
Traction therapy has emerged over the past decade as 1 of the 3 primary nonsurgical treatment options for men with Peyronie disease (PD), including oral medications and intralesional injection therapy.1 Traction therapy has been shown to induce changes in tissue by a process known as mechanotransduction.2 Chung et al demonstrated the effects of tension applied to fibroblasts derived from Peyronie plaques in a cyclic cell strain model.3 They found that there was decreased smooth muscle actin, representing decreased myofibroblast activity and an increase in metalloproteinase activity.
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How to manage nocturia: Treating an overactive bladder at night

MedicalNewsToday - Mon, 04/10/2017 - 11:00
In this article, we look at the causes of nocturia, which causes frequent urination at night. Learn about how to prevent it and get a good night's sleep.
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Low ammonium levels in urine may indicate serious risks for kidney disease patients

MedicalNewsToday - Mon, 04/10/2017 - 02:00
New research indicates that measuring ammonium excretion in the urine may be help identify patients with chronic kidney disease (CKD) who face serious health risks.
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Best medications to treat overactive bladder

MedicalNewsToday - Mon, 04/10/2017 - 02:00
In this article, learn about the initial treatments for an overactive bladder, which medications may be used, and what further treatment may help.
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Clinical trial shows benefit of yoga for side effects of prostate cancer treatment

MedicalNewsToday - Mon, 04/10/2017 - 02:00
Men who attended a structured yoga class twice a week during prostate cancer radiation treatment reported less fatigue and better sexual and urinary function than those who didn't, according to a...
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Author Reply

Urology (Gold Journal) In Press - Mon, 04/10/2017 - 00:00
As presented in this Author Reply, one of the largest challenges facing urologic practice is the generation of appropriate educational tools to ensure that patients are receiving accurate, complete, and understandable information about prostate-specific antigen (PSA) testing. The ease with which patients have access to information about any subject through the Internet and the social media is great, but, depending on the source of that information, it may be compromised by bias or lack of completeness.
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Editorial Comment

Urology (Gold Journal) In Press - Mon, 04/10/2017 - 00:00
The controversies surrounding routine use of prostate-specific antigen (PSA) and digital rectal examination for prostate cancer screening are now well known. To a large degree, this clinical debate is attributable to the marked disagreement ranging from the United States Preventive Services Task Force issuing a grade D recommendation against prostate cancer screening for all men at average risk for prostate cancer contrasted to the American Urological Association, American Cancer Society, and National Comprehensive Cancer Network endorsing shared decision making (SDM) about reviewing the merits of screening and eliciting patient preferences into the decision for early detection of prostate cancer.
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Editorial Comment

The field of fertility preservation is gaining a lot of attention. It is likely to continue to expand thanks to the speed of technological advances and increasing awareness of factors that can threaten the future reproductive ability of children and adolescents. The current state of affairs, promising new frontiers and ongoing controversies, is well summarized in this article by Johnson et al.
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Re: Public Perceptions of Overlapping Surgery

M. Kent, R. Whyte, A. Fleishman, D. Tomich, L. Forrow and J. Rodrigue
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