Lisette Hilton, president of Words Come Alive, has written about health care, the science and business of medicine, fitness and wellness for 25 years. Visit www.WordsComeAlive.com.
ERAS ushers in new age of surgical care
March 1st 2018Enhanced Recovery After Surgery, or ERAS, is radically changing and standardizing preoperative, perioperative, and postoperative approaches to major surgeries, including radical cystectomy. And while the changes can seem troublesome at first, urologic surgeons who perform radical cystectomy say letting go of dogma is worth it for patients, physicians, and staff.
Guideline linked to reduction in urodynamics testing
February 28th 2018Researchers have reported an association with the release of the AUA/SUFU Adult Urodynamics Guideline and reduction of urodynamics performed for diagnosis of overactive bladder, stress urinary incontinence, and mixed urinary incontinence.
Gout patients at 60% greater risk for stone disease
September 4th 2017Men and women with gout are at 60% greater risk for nephrolithiasis than adults without gout, according to a study looking at not only the chronic kidney condition’s incidence but also potential risk factors for first-time nephrolithiasis in people with and without gout.
Shock wave lithotripsy: Down, but not out
March 1st 2016Once considered a primary option for kidney stone treatment, shock wave lithotripsy appears to be losing traction. Many urologists say its outcomes aren’t as reliable as those from ureteroscopy. But others say it remains an option that works well with proper patient selection and technique and offers what ureteroscopy doesn’t: a noninvasive option.
Risk calculator predicts breakthrough UTIs in reflux patients
September 24th 2015A new study on the use of a reflux calculator, developed at Children’s Hospital of Orange County in Irvine, CA, suggests the web-based risk stratification and probability model helps to predict vesicoureteral reflux patients’ 2-year risk of breakthrough urinary tract infection.
Alpha-blocker may have benefit in larger stones
July 27th 2015While there is no benefit from using tamsulosin (Flomax) versus placebo for the treatment of small ureteral stones, there is a potential upside of increased passage from using the drug to treat 5- to 10-mm stones, according to a study from Australia published online in the Annals of Emergency Medicine (July 13, 2015).
Few low-risk prostate cancer patients undergo observation
October 1st 2006Ann Arbor, MI-Evidence-based expectant management of men with lower-risk prostate cancer does not seem to be catching on among physicians and their patients. A new study suggests that, among men who are appropriate candidates for the wait-and-see approach, physicians are treating more than half with surgery or radiation therapy.
Radical prostatectomy superior to other treatments for cT4 disease
October 1st 2006Atlanta-Patients who undergo radical prostatectomy for clinical stage T4 prostate cancer have a higher survival rate than do patients who receive radiation or hormone therapies alone, and surgical prostate cancer patients' survival is comparable to that of patients who receive both hormone and radiation therapies.