Multimodal course effective in node-positive prostate cancer
August 1st 2008New data confirm that excellent clinical outcomes can be achieved when men with node-positive prostate cancer are treated with a multimodal approach combining radical prostatectomy, pelvic lymph node dissection, and adjuvant hormonal treatment, investigators reported.
Cryotherapy eases burden of locally recurrent prostate cancer
August 1st 2008Salvage cryotherapy for locally recurrent prostate cancer following primary radiotherapy is curative in approximately one-third of men after 10 years of follow-up, according to results from a retrospective chart review investigating long-term treatment outcomes.
Urologic pelvic pain: Diagnosis and management
August 1st 2008Urologic pelvic pain is a debilitating condition that affects significant numbers of men and women during their lifetime. Diverse disease states, physiologic conditions, and lifestyle factors may cause or exacerbate pain, challenging diagnosis and treatment efforts. We outline the fundamentals of a multimodal approach to managing urologic pelvic pain.
The artificial urinary sphincter: An update on applications, technique, and outcomes
August 1st 2008Proper preoperative evaluation, meticulous attention to surgical detail, and an understanding of the variety of cuff placement techniques play a crucial role in minimizing the postoperative morbidity and complications associated with AUS placement.
Mid-urethral slings: Techniques and outcomes
August 1st 2008Mid-urethral slings represent a significant advance in the treatment of stress urinary incontinence, which levies a severe toll on the quality of life of millions of American women. This article examines the expanding family of mid-urethral slings and techniques that have defined the modern approach to anti-incontinence surgery.
Reimbursement for brachytherapy seeds assured through 2009
July 31st 2008The Medicare Improvements for Patients and Providers Act of 2008, enacted July 15, prolongs Medicare’s reimbursement safeguards (first enacted in 2003) for brachytherapy seeds given to hospital outpatients through Dec. 31, 2009. The new extension ensures that Medicare will not implement possibly restrictive reimbursement caps during this period.
Survey: 40% of men with ED still do not discuss it with their doctor
July 31st 2008While 82% of men with erectile dysfunction recognize it as an indicator of other health problems, nearly 40% have never discussed their condition with their physician, according to a new survey sponsored by Eli Lilly & Co. designed to further understand men’s current beliefs about ED and ED treatment options.
Researchers locate, image prostate cancer spreading
July 31st 2008Using an engineered common cold virus, UCLA Jonsson Cancer Center researchers delivered a genetic payload to prostate cancer cells that allows scientists to identify diseased cells encroaching into the lymph nodes. This discovery could aid oncologists in earlier detection and treatment of metastasis, according to Lily Wu, MD.
Global warming may increase incidence of stone disease
July 31st 2008Global warming is likely to increase the proportion of the population affected by kidney stones by expanding the higher-risk region known as “the kidney-stone belt” into neighboring states, according to researchers at the University of Texas Southwestern Medical Center in Dallas.
Dr. Pugach elected vice chair of AMA governing council
July 17th 2008Robert Pugach, MD, medical director of Pacific Coast Urology Medical Center, Beverly Hills, CA, was elected vice chair of the American Medical Association’s Organized Medical Staff Governing Council at its June meeting in Chicago. He previously served as secretary and Western States caucus chair of this section.
Heart failure associated with RCC treatment
July 17th 2008Sunitinib malate (Sutent), indicated for the treatment of metastatic renal cell carcinoma, may be associated with heart failure in less than 3% of patients receiving the drug, according to a study published in Cancer (2008; 112:2500-8). The finding may represent a potentially serious toxicity and may underscore the need for careful monitoring of cardiac function and aggressive control of hypertension in these patients.
Gastric bypass surgery may increase kidney stone risk
July 17th 2008Morbidly obese patients who undergo a particular type of gastric bypass surgery called Roux-en-Y gastric bypass (RYGB) are at increased risk of developing kidney stones within a few months following the procedure, rather than several months to years afterward, according to research published in the Journal of the American College of Surgeons (2008; 206:1145-53).
Androgen deprivation does not improve survival in older men
July 17th 2008Compared with conservative management of the disease, androgen deprivation therapy does not appear to be associated with improved survival in elderly men with localized prostate cancer, according to a study in JAMA (2008; 300:173-81).
Localized kidney cancer: Changing patterns of care
July 1st 2008Open radical nephrectomy has long been the standard of care for patinets with organ-confined or locally advanced renal cell carcinoma. In recent years, however, laparoscopy has replaced open surgery for some patients undergoing radical nephrectomy, based on easier convalescence with equivalent cancer control.q
Use of minimally invasive BPH treatment up significantly
July 1st 2008Use of minimally invasive surgical treatments (MISTs) for BPH has increased tremendously in the past decade, but urologists should be careful about overusing these newer technologies, given the lack of long-term evidence of their efficacy, according to researchers from the University of Minnesota, Minneapolis.