How to prevent stone formation in patients with metabolic syndrome
May 7th 2014This article examines the relationship between the metabolic syndrome and kidney stone disease. We explain elements of the metabolic workup and practical strategies for prevention and management of stones in patients with the metabolic syndrome.
Effects of PDE-5 inhibitors, active surveillance among localized prostate cancer topics
May 7th 2014Studies examining the post-prostatectomy effects of phosphodiesterase type-5 inhibitors and those discussing active surveillance are among the key papers in localized prostate cancer to be presented at this year's AUA annual meeting, according to Leonard G. Gomella, MD.
FDA proposes reclassification of transvaginal mesh
May 5th 2014The FDA recently issued two proposed orders that, if finalized, would reclassify surgical mesh for transvaginal pelvic organ prolapse from a moderate-risk device (class II) to a high-risk device (class III) and require manufacturers to submit a premarket approval application for the agency to evaluate safety and effectiveness.
Vitamin D deficiency may raise aggressive prostate cancer odds
May 5th 2014African-American and European-American men at high risk of prostate cancer have greater odds of being diagnosed with an aggressive form of the disease if they have vitamin D deficiency, researchers from Chicago’s Northwestern Medicine and the University of Illinois at Chicago reported in a recently published study.
States push independence for NPPs: A solution to work force crisis?
May 1st 2014Of the myriad proposed solutions to physician shortages, an expanded scope of practice for non-physician providers can be swiftly implemented by policymakers eager for a quick fix. Unfortunately, quick fixes usually involve shoddy workmanship and, as applied to the provision of health care, shoddy workmanship endangers patient safety.
Convective heat system shows efficacy in treating BPH
April 25th 2014Analyses of serial magnetic resonance imaging and three-dimensional renderings of those images provide proof of principle for using convective thermal heating to ablate prostate tissue, and early evidence suggests the efficacy and potential clinical advantages of using this novel technology to treat BPH, said first author Lance A. Mynderse, MD, at the European Association of Urology annual congress in Stockholm, Sweden.
Peyronie’s treatment shows efficacy in phase III studies
April 23rd 2014Intralesional injection of collagenase clostridium histolyticum (CCH [XIAFLEX]) improves the physical and psychological aspects of Peyronie’s disease in men regardless of erectile dysfunction severity and whether they have a history of prior treatment or prostatectomy, according to a recent study.
Focal therapy: Magic bullet or unproven treatment?
April 23rd 2014Focal therapy has been promoted as a minimally morbid option for men with localized low-risk prostate cancer who nevertheless want their disease treated. Opponents of focal therapy note the heterogeneity and multifocal nature of prostate cancer, the difficulty of accurately targeting and destroying an index tumor with focal therapy, and the unknown biologic potential of the tumor.
Robotic vs. open RP: Equivocal results (again)
April 21st 2014A new study has found that for men 65 years of age and older, robot-assisted radical prostatectomy and open prostatectomy have similar rates of complications, providing further evidence that outcomes between the two procedures are not significantly different.