Salvage cryotherapy offers advantages in prostate Ca radiation failures
May 11th 2004As a salvage for locally recurrent prostate cancer after failed radiation,targeted cryoablation of the prostate provides a "significantly betteroverall quality of life" than salvage radical prostatectomy, said AaronKatz, MD.
Neoadjuvant hormones: 8-months regimen appears to be no better than3-month regimen
May 11th 2004Eight months of neoadjuvant hormone therapy prior to radiation therapyappears to offer no significant advantage over the standard of 3 monthsof therapy, at least in low- and intermediate-risk prostate cancer patients.
Surgeon experience, technique impact cancer control in RP patients
May 11th 2004Surgeon experience is an independent predictor of PSA progression inmen undergoing radical prostatectomy, but among high-volume surgeons operatingin a single institution, the individual surgeon alone is a significant prognosticfactor, according to a study reported yesterday by researchers from MemorialSloan-Kettering Cancer Center, New York.
Timing of post-BCG bladder Ca recurrence does not impact survivalprobability
May 11th 2004Recurrence after induction BCG for high-risk bladder cancer portendsan adverse effect on survival, regardless of whether the recurrence is earlyor late, according to a retrospective analysis of a clinical database presentedhere Sunday.
Is post-PNL nephroscopy necessary? Medical therapy may be better option
May 11th 2004Second-look nephroscopy following percutaneous nephrolithotomy(PNL) could be supplanted by metabolic evaluation and aggressive medicaltherapy, advise researchers from the Duke University Medical Center. Second-looknephroscopy is currently the gold standard for assessing and achieving stone-freestatus, but the Duke researchers sought to determine whether this additionalprocedure was necessary.
Surveys show significant impact of incontinence, confusion over condition
May 11th 2004Results of two recently released surveys show that symptoms of urinaryincontinence are prevalent in the U.S. population, and that incontinencesufferers are confused about the significance of the condition and oftendo not seek treatment.
Dr. Arnold receives SWIU community service award in men's health
May 10th 2004The Society of Women in Urology presented its first CommunityService Award in Men's Health to Janice Lee Arnold, MD. Dr. Arnold, a privatepractitioner in Reston, VA and SWIU's immediate past-president, was recognizedfor her work to improve education and awareness of prostate cancer screeningin the Washington, DC and northern Virginia metropolitan areas.
Sacral stimulation: Improvements in QoL fade over the long term
May 10th 2004Although quality of life improves significantly 6 months after treatmentwith sacral neuromodulation for voiding dysfunction, the reported qualityof life indicators are not statistically significant in the long term. However,not even the mitigation of symptoms is enough to keep patients happy overtime, said Anurag K. Das, MD, during a presentation at the AUA meeting Sunday.
Study finds no link between brachytherapy and bladder cancer
May 10th 2004Younger men opting for brachytherapy to treat their prostate cancer mayhave concerns about the long-term effects of radioactivity, including thepossibility of bladder cancer. According to Frank A. Critz, MD, medicaldirector of the Radiotherapy Clinics of Georgia, Decatur, there may no beno need to worry.
Laparoscopy lawsuits fall outside the learning curve
May 10th 2004Is there an increased risk of medical liabilitylitigation associated with the emerging technology of laparoscopy? RobertMarcovich, MD, assistant professor of urology at the University of TexasHealth Science Center, San Antonio, thinks that may be the case.
Tension-free sling reduces abrasion, erosion
May 9th 2004Bard Urological Division introduces PelviLace BioUrethral Support System,a tension-free sling technology combined with a Pelvicol porcine acellularcollagen matrix sling. Natural tissue-to-tissue contact with the host reducespotential for urethral and vaginal abrasion or erosion, according to thecompany.
Residents urged to become involved politically, financially
May 9th 2004Many of the problems a beginning urologist may faceboil down to one common factormoney or the lack of it. Michael Naslund,MD, of the University of Maryland Medical Center, Baltimore, discussed someof the financial pitfalls residents may face during a seminar held Saturday.
Analysis contradicts self-report data on PSA testing utilization
May 9th 2004The use of PSA testing by urologists and primary care physiciansis much lower than that suggested by practitioner- and patient-based publishedself-report estimates, according to a study of national clinic-report dataconducted by urologists at the University of Michigan, Ann Arbor.
Ejaculatory pain affects three-fourths of men with CPPS
May 9th 2004Analysis of data from the National Institutes ofHealth Chronic Prostatitis Cohort Study has found that about three-fourthsof men with chronic pelvic pain syndrome always have post-ejaculatory pain,and that these men have more severe prostatitis symptoms overall. In addition,the researchers found no indication that ejaculatory obstruction, occultinfection, or worse inflammation was responsible.
Hand-assisted nephrectomy without formal closure called safe
May 9th 2004Hand-assisted partial nephrectomy without formalclosure of the collecting system or pre-procedure ureteral stenting is safe,efficacious, and can offer several advantages over pure laparoscopic oropen procedures, according to Stephen E. Strup, MD.
Tx delay raises risk in patients with high-risk PCa
May 1st 2004San Francisco--A 3-month delay in definitive treatment of high-risk prostate cancer patients seems to increase the risk of recurrence, according to Judd W. Moul, MD, director of the Center for Prostate Disease Research and professor of surgery,