Estrogen receptor modulator reduces ADT fractures
September 1st 2009Androgen deprivation therapy leads to an increased risk of bone fractures and other side effects of estrogen deficiency in men with prostate cancer, but those effects can be successfully treated with the use of an oral selective estrogen receptor modulator, suggest the results of a large, prospective, randomized tria presented at the AUA annual meeting in Chicago.
Botulinum effective in refractory urge incontinence
February 1st 2008Botulinum toxin A (Botox) is highly effective as a treatment for refractory urge incontinence symptoms in women with urodynamic evidence of detrusor overactivity incontinence, but patients require assessment for transient urinary retention.
At 1 year, TOT is equal/superior to TVT in stress urinary incontinence
February 1st 2008A recent multicenter study provides some justification for the increasing popularity of transobturator slings in the treatment of stress urinary incontinence in patients with and without concurrent pelvic organ prolapse.
Intraprostatic analgesic may improve TUMT outcomes
December 1st 2006Cleveland-Intraprostatic injection of mepivacaine epinephrine through a specialized catheter reduces the need for analgesia, as well as treatment time and energy consumption in patients undergoing high-energy transurethral microwave thermotherapy (TUMT) for BPH, researchers reported here.
Elevated PSA, infection are most predictive of AUR
December 1st 2006Ankara, Turkey-Elevated PSA levels and the presence of urinary tract infection are the symptomatic parameters that are most predictive of acute urine retention in men with BPH, according to a group of Turkish researchers. Their data also suggest that plasmakinetic resection of the prostate may provide 1-year outcomes similar to those of open prostatectomy in BPH patients who do not have retention.
Crossing vessel transposition optional in pyeloplasty
November 1st 2006Cleveland-Routine transposition of an anterior crossing vessel during laparoscopic pyeloplasty may be unnecessary, appears to depend on the surgeon's intraoperative subjective assessment of its obstructive nature, and seems to occur more often when a transperitoneal approach is used, Cleveland Clinic investigators reported.
Larger stone volume equals more work, similar outcomes
November 1st 2006Cleveland-The size and volume of upper-urinary-tract calculi do not necessarily predict outcomes of ureteroscopic lithotripsy, but stones of larger size and volume require significantly more time and effort to clear, according to a group of urologists from St. Paul, MN.
Up to 40% of cancers may not present clinically
September 1st 2002Seattle-Despite the way it was portrayed in some of the lay media, the authors of a recent study on the "overdiagnosis" of prostate cancer insist their work should not be construed as hostile to the practice of PSA screening. In fact, says one investigator, results of the study paint an overall favorable picture of screening.