Here are what the editors at HealthDay consider to be the most important developments in Urology for October 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.
Endorectal Imaging Benefit Seen in Prostate Cancer
FRIDAY, Oct. 30 (HealthDay News) -- Endorectal magnetic resonance (MR) imaging may be useful in categorizing men with stage T1c prostate cancer for proper treatment management, according to research published in the November issue of Radiology.
Immobilization After Intrauterine Insemination May Boost Success
FRIDAY, Oct. 30 (HealthDay News) -- A brief period of immobilization after intrauterine insemination improves ongoing pregnancy rates, according to a study published online Oct. 29 in BMJ.
Additional Recommendations for Imaging on the Rise
THURSDAY, Oct. 29 (HealthDay News) -- Recommendations for additional imaging in radiology reports at one institution increased steeply in recent years, and from 1980 to 2006, radiologic and nuclear medicine procedures increased roughly 10-fold and 2.5 fold, respectively, according to two studies the November issue of Radiology.
Vessel Type Linked to Disease Severity in Prostate Cancer
THURSDAY, Oct. 29 (HealthDay News) -- Men with prostate tumors whose vascular supply consists of vessels with primitive morphology are more likely to develop lethal disease, according to a study published online Oct. 26 in the Journal of Clinical Oncology.
Prostate-Specific Antigen Velocity Linked to Mortality
THURSDAY, Oct. 29 (HealthDay News) -- Men with unfavorable prostate cancer whose prostate-specific antigen (PSA) levels rapidly increase at recurrence have a higher risk of death, but only if they have no or minimal comorbidities, according to a study published online Oct. 26 in the Journal of Clinical Oncology.
Male Foreskin Size Can Affect Risk of HIV Infection
THURSDAY, Oct. 29 (HealthDay News) -- Men with larger foreskins are at higher risk of being infected with HIV, according to a study in the Oct. 23 issue of AIDS.
Antibiotic Prophylaxis May Halt UTI Recurrence in Children
WEDNESDAY, Oct. 28 (HealthDay News) -- In children with recurrent urinary tract infections, low-dose, continuous oral antibiotic therapy may help prevent future recurrences, according to an Australian study in the Oct. 29 issue of the New England Journal of Medicine.
Testicular Cancer Survivors Report High Quality of Life
WEDNESDAY, Oct. 28 (HealthDay News) -- Long-term survivors of testicular cancer generally report a high quality of life, according to a study published online Oct. 26 in the Journal of Clinical Oncology.
Medical School Enrollment Continues to Expand
MONDAY, Oct. 26 (HealthDay News) -- Almost 18,400 students enrolled in medical school in the United States in 2009, a 2 percent increase over the previous year, but even more expansion is needed to meet future demand, according to an Oct. 20 report from the Association of American Medical Colleges (AAMC).
Researchers Evaluate New Prostate Specific Antigen Test
FRIDAY, Oct. 23 (HealthDay News) -- A new test for prostate-specific antigen (PSA) levels is considerably more sensitive than commercial assays and allows better monitoring for recurrence after prostatectomy for early-stage prostate cancer, according to a study published online Oct. 19 in the Proceedings of the National Academy of Sciences.
Radiation for Prostate Linked to Later Pelvic Cancer
THURSDAY, Oct. 22 (HealthDay News) -- Radiation following radical surgery for prostate cancer may increase the risk of late primary pelvic second primary cancer, according to research published in the October issue of Urology.
Some Hospital Staff Predicted to Be Infection Superspreaders
THURSDAY, Oct. 22 (HealthDay News) -- Hospital staff such as therapists and radiologists who are in contact with all patients have the potential to be superspreaders of infection if they fail to wash their hands regularly, according to a study published online Oct. 19 in the Proceedings of the National Academy of Sciences.
Psychiatric Problems Affect Impact of Urinary Infections
WEDNESDAY, Oct. 21 (HealthDay News) -- Psychiatric health problems and sexual trauma are common among women who present with lower urinary tract infections, and these issues have an effect on the impact of such infections, according to a study published online Oct. 20 in advance of the December print issue of The Journal of Urology.
Sources Find Different Numbers of Active Physicians
WEDNESDAY, Oct. 21 (HealthDay News) -- Estimates from U.S. Census Bureau surveys find fewer older physicians remaining active compared with the American Medical Association Physician Masterfile data, according to research published in the Oct. 21 issue of the Journal of the American Medical Association.
Guidelines Offered for Erectile Dysfunction Therapy
TUESDAY, Oct. 20 (HealthDay News) -- The American College of Physicians (ACP) recommends the use of phosphodiesterase-5 (PDE-5) inhibitors in the treatment of erectile dysfunction (ED), but the jury is still out on hormonal treatments for the condition, according to a pair of articles published online Oct. 20 in the Annals of Internal Medicine.
Smoking Linked to Sperm Harm in Men With Varicocele
MONDAY, Oct. 19 (HealthDay News) -- In men with varicocele, smoking more than 10 cigarettes daily was associated with a harmful effect on sperm motility and morphology, according to research published in the October issue of Urology.
Study Assesses Testicular Cancer Survivors' Symptoms
MONDAY, Oct. 19 (HealthDay News) -- Among survivors of testicular cancer, clinical symptoms of androgen deficiency were linked to sexual problems and older age, but not serum testosterone, according to research published in the October issue of Urology.
FDA Launches Drug Disposal Advice Web Page
FRIDAY, Oct. 16 (HealthDay News) -- The U.S. Food and Drug Administration has launched a new Web page for consumers to educate them on the safe disposal of certain medicines that can be dangerous or even fatal if they end up in the wrong hands.
Prediction Model Can Benefit Bladder Cancer Patients
THURSDAY, Oct. 15 (HealthDay News) -- In the management of bladder cancer patients who have undergone cystectomy, use of a multivariate prediction model ("bladder nomogram") for referral to adjuvant chemotherapy may lead to better outcomes than the use of pathologic stage, according to a study published online Oct. 12 in Cancer.
Mixed Outcomes Seen for Less Invasive Prostate Surgery
TUESDAY, Oct. 13 (HealthDay News) -- Although minimally invasive radical prostatectomy (MIRP) may be associated with some benefits compared to retropubic radical prostatectomy (RRP), it is also associated with more genitourinary complications, according to research published in the Oct. 14 issue of the Journal of the American Medical Association.
Standards of Care Evolving for Uncommon Uterine Cancer
TUESDAY, Oct. 13 (HealthDay News) -- Uterine papillary serous carcinoma (UPSC), the less common form of endometrial cancer, causes a disproportionate number of deaths, and more clinical trials are needed to develop evidence-based management strategies, according to a literature review in the October issue of Gynecologic Oncology.
Study Evaluates Hospital Quality and Mortality Rates
TUESDAY, Oct. 13 (HealthDay News) -- Hospital mortality rates in the United States have improved, although major differences in quality still exist between the best and worst hospitals, according to a report published Oct. 13 by HealthGrades.
Health Care Disparities Among States Found to Be Widening
FRIDAY, Oct. 9 (HealthDay News) -- Increasing health care costs and growing disparities in coverage among U.S. states point to the urgent need for national health care reform, according to an Oct. 8 state-by-state report card from the Commonwealth Fund Commission, a private foundation supporting research on the health care system.
Organ Donor Family Consent Request Protocols Compared
FRIDAY, Oct. 9 (HealthDay News) -- Organ donation using collaborative requesting instead of routine requesting by a patient's clinician may not provide increases in consent rates, according to an unblinded, multi-center, randomized controlled trial performed in the United Kingdom published Oct. 8 in BMJ.
Cancer Patients at Risk of Jaw Necrosis After Treatment
THURSDAY, Oct. 8 (HealthDay News) -- Cancer patients treated with bisphosphonates have a higher risk of developing osteonecrosis of the jaw (ONJ) if they have had dental extractions or dentures, according to a study published online Oct. 5 in the Journal of Clinical Oncology.
Roundtable Discussion Tackles Health Care Reform
WEDNESDAY, Oct. 7 (HealthDay News) -- The health care payment system, the role of consumers in responsible health care spending, and the use of comparative-effectiveness research were topics covered in a roundtable discussion with several health economics experts published in the Oct. 8 issue of the New England Journal of Medicine.
Medical Students Want More Practice of Medicine Training
WEDNESDAY, Oct. 7 (HealthDay News) -- Medical students in the United States perceive that they are not getting enough training in the practice of medicine, particularly in medical economics, according to a study in the September issue of Academic Medicine.
Effectiveness and Cost Help to Make Coverage Decisions
TUESDAY, Oct. 6 (HealthDay News) -- Countries using evidence-based cost-effectiveness and effectiveness to help make drug coverage decisions show how these factors can successfully support decision making and can also be adapted to the specific conditions of other countries, according to a study in the Oct. 7 issue of the Journal of the American Medical Association.
Combination May Improve Prostate Cancer Prediction
MONDAY, Oct. 5 (HealthDay News) -- Combining endorectal MRI, magnetic resonance spectroscopy, and a low free-to-total prostate-specific antigen (PSA) ratio is highly accurate in predicting prostate cancer in men with high PSA levels, according to a European study in the October issue of Radiology.
MRI Deemed Accurate for Diagnosing Endometriosis
MONDAY, Oct. 5 (HealthDay News) -- Pelvic MRI is a highly accurate and noninvasive way to diagnose and map endometriosis preoperatively in women suspected of having the condition, according to a study in the October issue of Radiology.
Procedure May Be Helpful in Diagnosing Prostate Cancer
FRIDAY, Oct. 2 (HealthDay News) -- Transurethral prostate resection may be a useful addition to prostate biopsy in detecting cancer in men whose prostate-specific antigen (PSA) remains a concern after previous negative biopsies, according to research published in the October issue of the Journal of Urology.
Kidney Disease Risk May Be Higher in Allergic Diabetics
FRIDAY, Oct. 2 (HealthDay News) -- In male diabetics, there is a correlation between eosinophil counts and microalbuminuria that may point to increased risk of diabetic kidney disease in those with allergic rhinitis or asthma, according to a study published online Oct. 1 in the Clinical Journal of the American Society of Nephrology.
Low Late Toxicity With Radiation Post Prostatectomy
THURSDAY, Oct. 1 (HealthDay News) -- Men with prostate cancer who receive salvage external beam radiotherapy (EBRT) after radical prostatectomy have a low risk of severe late toxicity, according to a study published online Sept. 22 in Radiotherapy & Oncology.
Surgical Masks Found to Be Non-Inferior to Respirators
THURSDAY, Oct. 1 (HealthDay News) -- Surgical masks may be no less effective than N95 respirators in preventing influenza in health care workers, according to a study published online Oct. 1 in the Journal of the American Medical Association.
CDC Says States Not Meeting Fruit and Veggie Objectives
THURSDAY, Oct. 1 (HealthDay News) -- In a Sept. 29 press release, the U.S. Centers for Disease Control and Prevention says no U.S. state is currently meeting the national Healthy People 2010 objectives for fruit and vegetable consumption.
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