Here are what the editors at HealthDay consider to be the most important developments in Urology for July 2012. This roundup includes the latest research news from journal articles, as well as the FDA approvals and regulatory changes that are the most likely to affect clinical practice.
Pelvic Floor Exercises Help With Incontinence in Late Pregnancy
TUESDAY, July 31 (HealthDay News) -- A 12-week exercise program, including pelvic floor muscle training (PFMT), during pregnancy can help prevent and treat urinary incontinence in late pregnancy, according to research published online July 17 in BJOG: An International Journal of Obstetrics and Gynaecology.
PSA Test Has Cut Metastatic Prostate Cancer at Presentation
MONDAY, July 30 (HealthDay News) -- If incidence rates for the pre-prostate-specific antigen (PSA) testing era (1983 to 1985) were present in the modern U.S. population, three times the number of men would have been expected to present with metastatic (M1) prostate cancer (PC) than the actual number observed in 2008, according to a study published online July 30 in Cancer.
Women With Diabetes Report Low Sexual Satisfaction
MONDAY, July 30 (HealthDay News) -- Women with diabetes are more likely than those without diabetes to report low overall sexual satisfaction, with insulin-treated women at higher risk for problems such as lubrication and orgasm, according to a study published in the August issue of Obstetrics & Gynecology.
Histological Subtype Impacts Survival in Renal Cell Cancer
MONDAY, July 30 (HealthDay News) -- The histological subtype of renal cell carcinoma (RCC) impacts both overall and cancer-specific survival, according to a study published in the August issue of The Journal of Urology.
Low-Dose Duloxetine Deemed Safe for Urinary Incontinence
FRIDAY, July 27 (HealthDay News) -- Duloxetine appears safe for the routine clinical care of women with stress urinary incontinence (SUI), according to a study published online July 23 in the British Journal of Clinical Pharmacology.
Better Analgesia From Pelvic Plexus Block in Prostate Biopsy
THURSDAY, July 26 (HealthDay News) -- Compared with periprostatic nerve block (PNB), pelvic plexus block (PPB), performed under Doppler ultrasound guidance, provides better pain relief for men during office-based transrectal ultrasound-guided prostate biopsy, according to research published in the August issue of The Journal of Urology.
Syphilis Cuts CD4 Counts, Ups Viral Load in HIV-Infected Men
WEDNESDAY, July 25 (HealthDay News) -- Syphilis is associated with a transient decrease in the CD4 cell count and with an increase in viral load (VL) in HIV-infected men, according to a study published online July 23 in the Archives of Internal Medicine.
'Genetic Score' May Improve Prostate Cancer Prediction
MONDAY, July 23 (HealthDay News) -- A genetic score can modestly improve the prediction of which men are likely to have positive biopsies for prostate cancer after an initial negative biopsy, according to a study published online May 16 in European Urology.
Hair Loss Drug Shows Long-Term Sexual Side Effects
MONDAY, July 23 (HealthDay News) -- For men with finasteride-associated side effects, sexual dysfunction may persist for months or years, even after discontinuation of the drug, according to a study published online July 12 in The Journal of Sexual Medicine.
Benefits of Prostate-Specific Antigen Testing Remain Unclear
THURSDAY, July 19 (HealthDay News) -- It remains unclear whether the benefits of prostate-specific antigen (PSA) testing outweigh the harms, but evidence suggests that men with a longer life expectancy may benefit from testing, according to a provisional clinical opinion from the American Society of Clinical Oncology published online July 16 in the Journal of Clinical Oncology.
Most Doctors Satisfied With Electronic Health Records
THURSDAY, July 19 (HealthDay News) -- Although only 55 percent of physicians had adopted electronic health records (EHRs) in 2011, most are somewhat or very satisfied with their system and most report enhanced patient care, according to a July data brief issued by the U.S. Centers for Disease Control and Prevention's National Center for Health Statistics (NCHS).
~12,000 Preventable Deaths in English Hospitals Annually
THURSDAY, July 19 (HealthDay News) -- Approximately 12,000 hospital deaths in England each year are preventable, according to research published online July 7 in BMJ Quality & Safety.
Poorer Patient Experience at Safety-Net Hospitals
THURSDAY, July 19 (HealthDay News) -- Safety-net hospitals (SNHs) perform worse on nearly every measure of patient experience, according to a study published online July 16 in the Archives of Internal Medicine.
Radical Prostatectomy Doesn't Cut Mortality Versus Observation
WEDNESDAY, July 18 (HealthDay News) -- For men with clinically localized prostate cancer, radical prostatectomy does not significantly reduce all-cause or prostate-cancer mortality compared with observation through 12 years of follow-up, according to a study published in the July 19 issue of the New England Journal of Medicine.
Social Network Analysis IDs Informal Physician Networks
TUESDAY, July 17 (HealthDay News) -- Informal networks among physicians who share patients demonstrate substantial geographic variability, while within networks, physician and patient characteristics are similar, according to a study published in the July 18 issue of the Journal of the American Medical Association.
Urinary Incontinence Common in Never-Pregnant Women
TUESDAY, July 17 (HealthDay News) -- Urinary incontinence (UI) is common in self-reports by young women who have never been pregnant, according to a study published in the July 17 issue of the Annals of Internal Medicine.
Active Surveillance Cost-Effective for Prostate Cancer
THURSDAY, July 12 (HealthDay News) -- In a theoretical cohort of 120,000 men, selecting active surveillance for prostate cancer results in considerable cost savings at five and 10 years of follow-up, compared with immediate treatment, according to a study published in the July issue of Cancer.
Erectile Dysfunction Prevalence Higher in HIV-Infected Men
THURSDAY, July 12 (HealthDay News) -- HIV infection in men is a strong, independent predictor of erectile dysfunction (ED), regardless of age and body mass index (BMI), according to a study published in the July issue of The Journal of Sexual Medicine.
Analysis Supports Cranberry Products for Reducing UTI Risk
WEDNESDAY, July 11 (HealthDay News) -- For some individuals, use of cranberry-containing products appear to protect against urinary tract infections (UTIs), according to the results of a review and meta-analysis published in the July 9 issue of the Archives of Internal Medicine.
UTI Risk Up for Uncircumcised Boys Despite Urethral Visibility
MONDAY, July 9 (HealthDay News) -- Circumcised boys have a significantly lower risk of urinary tract infection (UTI) compared with uncircumcised boys, regardless of the degree of visibility of the urethral meatus, according to a study published online July 9 in CMAJ, the journal of the Canadian Medical Association.
Similar Presentation for Bladder Outlet Obstructions
MONDAY, July 9 (HealthDay News) -- Women with dysfunctional voiding (DV) and primary bladder neck obstruction (PBNO) have similar clinical presentation, with poorer emptying for those with PBNO, according to a study published in the July issue of Urology.
Sentinel Node Biopsy Safe for Vulvar Squamous Cell Cancer
FRIDAY, July 6 (HealthDay News) -- For women with squamous cell carcinoma (SCC) of the vulva, sentinel lymph node (SLN) biopsy may be safely used in place of inguinal femoral lymphadenectomy, according to research published online July 2 in the Journal of Clinical Oncology.
Factors ID'd for Outcome of Percutaneous Nephrolithotomy
TUESDAY, July 3 (HealthDay News) -- Single-tract percutaneous nephrolithotomy (sPCNL) is effective for clearing renal stones, with stone size, location, and prior shockwave lithotripsy (SWL) identified as independent predictors of stone clearance, according to a study published in the July issue of Urology.
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