Here are what the editors at HealthDay consider to be the most important developments in Urology for July 2009. 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.
Electronic Disease Surveillance Systems Vary Widely
FRIDAY, July 31 (HealthDay News) -- Electronic disease surveillance systems vary widely from state to state and the lack of homogeneity will raise the cost of data sharing, according to a study published in the July 31 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.
U.S. Health Data Network a Powerful Tool for Quality
FRIDAY, July 31 (HealthDay News) -- The U.S. health care system is on the verge of a new era in which distributed health data networks will assure local control of sensitive individual patient data, while providing medical researchers and policy makers access to powerful aggregate data on millions of patients, according to a pair of articles in the September 1 issue of the Annals of Internal Medicine.
Long-Term Risk of Death After Radical Prostatectomy Low
THURSDAY, July 30 (HealthDay News) -- A model developed to predict the 15-year risk of dying of prostate cancer after radical prostatectomy shows that the risk is very low, particularly in more recent patients treated in the era of widespread prostate-specific antigen (PSA) screening, according to a study published online July 27 in the Journal of Clinical Oncology.
Urine Test Could Effectively Screen Men for Chlamydia
WEDNESDAY, July 29 (HealthDay News) -- A rapid urine test is a reliable diagnostic tool for chlamydia infection in men, and could be a cost-effective alternative to polymerase chain reaction assay in high-prevalence settings, according to a study published online July 28 in BMJ.
Older Cancer Survivors Report Good Quality of Life
TUESDAY, July 28 (HealthDay News) -- Older long-term cancer survivors rate their quality of life better than the norms for their age despite a tendency to poor health behaviors, according to a study published online July 27 in Cancer.
Prostate Cancer Vaccine Elicits Immune Response
TUESDAY, July 28 (HealthDay News) -- A vaccine against a prostate tumor antigen is safe, elicits an immune response, and may increase prostate-specific antigen doubling time in patients with recurrent prostate cancer, according to an early-stage study published online July 27 in the Journal of Clinical Oncology.
New Method Decreased Wait Times at Urology Practice
FRIDAY, July 24 (HealthDay News) -- In urological practices, a streamlined scheduling system may improve access for new patients, according to a study published in the August issue of the Journal of Urology.
Metabolic Syndrome Linked to Urinary Tract Symptoms
FRIDAY, July 24 (HealthDay News) -- Younger men with lower urinary tract symptoms are significantly more likely to exhibit metabolic syndrome than men without urinary tract symptoms, according to a study published in the August issue of the Journal of Urology.
Methods to Determine Health Care Priorities Questioned
FRIDAY, July 23 (HealthDay News) -- Evaluating health care priorities based on the attitudes of patients (direct method) or the attitudes of the general public (indirect method) can produce different results, complicating decisions on the allocation of health care resources, according to two papers published July 22 in BMJ.
Camera Phones Can Help Doctors Make Rare Diagnoses
FRIDAY, July 24 (HealthDay News) -- A pregnant patient with an uncommon nipple condition captured images of the transient changes to her nipples and gave them to her doctor, enabling an accurate diagnosis, according to an article published online July 22 in BMJ.
Marker of Renal Injury May Aid in Diagnosis
FRIDAY, July 24 (HealthDay News) -- Urinary levels of neutrophil gelatinase-associated lipocalin (NGAL), a marker of renal tubular injury, are higher in patients with HIV-associated nephropathy (HIVAN) and in critically ill patients who develop acute kidney injury, according to two studies published online July 23 in the Journal of the American Society of Nephrology.
Treatment Can Reduce Bone Turnover in Prostate Cancer
THURSDAY, July 23 (HealthDay News) -- Treatment of bone metastases in prostate cancer patients with denosumab, which blocks bone resorption, reduces bone turnover compared with bisphosphonates, according to a study in the August issue of the Journal of Urology.
Baseline Function Can Affect Change After Prostate Therapy
TUESDAY, July 21 (HealthDay News) -- The long-term effect of prostate cancer treatments on men's sexual, bowel, and urinary function depends on patients' baseline levels of function, according to research published online July 20 in the Journal of Clinical Oncology.
Obesity Not an Obstacle for Prostate Specific Antigen Test
MONDAY, July 20 (HealthDay News) -- A patient's weight does not significantly affect the usefulness of prostate specific antigen (PSA) testing to determine prostate cancer, according to a study in the August issue of the Journal of Urology.
Age of Undescended Testis Linked to Germ Cell Loss
MONDAY, July 20 (HealthDay News) -- In children with cryptorchidism, the longer an affected testis remains undescended, the greater the risk of the loss of germ cells and Leydig cells, according to a study in the August issue of the Journal of Urology.
Multidisciplinary Approach Recommended for Pelvic Pain
MONDAY, July 20 (HealthDay News) -- In a commentary on three diverse studies in the August Journal of Urology, a leading urologist advocates a multidisciplinary approach to unravel the complex pathologies of pelvic pain, prostatitis, painful bladder syndrome, and interstitial cystitis.
Commentary - Moon (subscription or payment may be required)
Abstract - Tekin
Full Text (subscription or payment may be required)
Abstract - Liang
Full Text (subscription or payment may be required)
Abstract - FitzGerald
Full Text (subscription or payment may be required)
Depression, Insomnia Affect Many Prostate Cancer Patients
MONDAY, July 20 (HealthDay News) -- Many men with prostate cancer suffer from insomnia, depression and distress, and younger men as well as those receiving radiation therapy are most at risk, according to a study published the August issue of Applied Nursing Research.
Sexual Health Not Improving in Teens and Young Adults
FRIDAY, July 17 (HealthDay News) -- The sexual and reproductive health status of adolescents and young adults is flattening or worsening after a long period of improvement, according to a new Surveillance Summary published July 17 in the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.
Obesity Rates Highest Among African-American Population
FRIDAY, July 17 (HealthDay News) -- The prevalence of obesity is far higher among African-Americans than Caucasians in America, and Hispanics also have significantly higher obesity rates, according to a study published in the July 17 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.
Circumcision Does Not Cut Female Partners' HIV Risk
FRIDAY, July 17 (HealthDay News) -- Circumcision of HIV-infected men does not confer any additional protection on their female sexual partners, and condoms remain essential for prevention of HIV transmission, according to a study published in the July 18 issue of The Lancet.
Combination Therapy Can Cut Prostate Cancer Death Risk
THURSDAY, July 16 (HealthDay News) -- The risk of death from prostate cancer is lower for patients treated with brachytherapy supplemented by external-beam radiation therapy (EBRT) and androgen suppression therapy (AST) than it is for those treated with brachytherapy alone, according to a study published online July 13 in the Journal of Clinical Oncology.
Heavy Drinking Linked to Higher Prostate Cancer Risk
TUESDAY, July 14 (HealthDay News) -- Heavy alcohol consumption may interfere with finasteride's effectiveness for reducing the risk of prostate cancer, according to research published online July 13 in Cancer.
Potassium Citrate May Prevent Stones in Ketogenic Diet
MONDAY, July 13 (HealthDay News) -- An oral potassium citrate supplement, Polycitra K, can prevent the formation of kidney stones in children put on a ketogenic diet for intractable epilepsy, according to a study published online July 13 in Pediatrics.
Obesity Rates for American Adults Still Going Up
THURSDAY, July 9 (HealthDay News) -- At least 25 percent of the adult population in 32 states is now obese, and national prevalence of obesity has risen from 25.6 percent in 2007 to 26.1 percent in 2008, according to a July 8 report by the U.S. Centers for Disease Control and Prevention (CDC).
Sex-Specific Cancer Death Risk Higher in African-Americans
WEDNESDAY, July 8 (HealthDay News) -- African-American patients with sex-specific cancers had worse mortality than patients of other races despite similar therapies and follow-up, according to a study published online July 7 in the Journal of the National Cancer Institute.
Protein in Non-Metastatic Tumors May Inhibit Metastasis
TUESDAY, July 7 (HealthDay News) -- Prosaposin, a protein secreted by non-metastatic tumors, inhibits metastasis by producing factors that inhibit angiogenesis, and may be a potential cancer treatment, according to a study published online July 6 in the Proceedings of the National Academy of Sciences.
Prostate Condition Symptoms Linked to Ejaculation Problems
MONDAY, July 6 (HealthDay News) -- Urologists treating patients with lower urinary tract symptoms (LUTS), which suggest benign prostatic hyperplasia (BPH), should counsel patients on the increased risk that LUTS/BPH and BPH treatment present for ejaculatory dysfunction, according to a literature review published in the July issue of Urology.
Soldiers in Iraq Have Fewer Urinary Stones Than Expected
FRIDAY, July 3 (HealthDay News) -- Despite the hot climate and risk of dehydration, servicemen and women deployed to Southwest Asia had a lower incidence of urolithiasis than the general U.S. population, according to a survey reported in the July issue of Urology.
Mayo Clinic Streamlines Protocol Development
THURSDAY, July 2 (HealthDay News) -- At the Mayo Clinic Cancer Center, a project using focused process engineering has significantly accelerated the development and approval of clinical trials, according to a study published online June 29 in the Journal of Clinical Oncology.
Bone Loss Process Not Clear in Hypercalciuria, Kidney Stones
THURSDAY, July 2 (HealthDay News) -- Bone loss in patients with hypercalciuria and nephrolithiasis results from a poorly understood breakdown of the body's mineral metabolism involving the kidneys, the intestines and the bones themselves, according to a literature review reported in the July issue of Urology.
Priorities Set for Comparative Effectiveness Research
WEDNESDAY, July 1 (HealthDay News) -- The extent to which large-scale public investment in comparative effectiveness research can achieve its goals of better decision making and improved uptake of new knowledge depends on engaging the medical profession and patients, according to recommendations by the Institute of Medicine published online June 30 in the Annals of Internal Medicine.
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