Men’s health issues often extend beyond the physical
July 14th 2017"Urology providers and caregivers can serve as the primary venue for positively impacting both the psychological and physical components of men’s health as men trust us with their most intimate and personal issues of life," writes SUNA President Gwendolyn Hooper, PhD, APRN.
Infertility/Andrology: Statins linked to decreased ejaculate volume
July 14th 2017A study documenting that male paternal age is increasing across the U.S. and a finding that men with Sertoli cell-only syndrome have increased damage to seminiferous tubules with aging are among the take-homes in infertility/andrology at the AUA annual meeting in Boston.
Female Urology: How dynamic MRI compares with physical exam for evaluating POP
July 13th 2017A study that found that age was more strongly associated with selection of colpocleisis than frailty and a comparison of two common wide pore polypropylene Y meshes were among the noteworthy female urology/incontinence research at the AUA annual meeting in Boston.
Pre-Bx rectal swab use reduces costs, lowers number of infections
July 13th 2017Other infection/inflammation take-home messages from the AUA annual meeting include a study of predictors of fluoroquinolone resistance in the rectal vault of men undergoing prostate biopsy and a study of 1,310 patients evaluated over 16 years for CP/CPPS.
Imaging: MRI/fusion Bx improves risk stratification
July 12th 2017A prospective evaluation of cancer detection rates with PI-RADS and the finding that use of micro-computed tomography enabled rapid phenotyping of GU anomalies in adult and embryonic mice were among other key imaging studies from the AUA annual meeting.
Sexual Dysfunction: Non-standard shift work predicts low T
July 12th 2017Other AUA 2017 take-home messages in sexual dysfunction included a study indicating that obstructive sleep apnea correlated with increased venous leak as well as a finding that wounded veterans from Iraq and Afghanistan with genitourinary injuries had higher injury severity scores and were more likely to have urinary and sexual dysfunction than those without GU injuries.
Chemo instillation reduces bladder Ca recurrence
July 10th 2017For suspected low-grade, newly diagnosed, or occasionally recurrent bladder cancer, a single post-transurethral resection of bladder tumor instillation of gemcitabine (Gemzar) reduces bladder cancer recurrence by 47%, according to a recent study.
Robotic vs. open cystectomy: How PFS, OS compare
July 10th 2017Evaluation of upper tract surveillance for high-grade, nonmuscle-invasive bladder cancer and evidence suggesting that androgen receptor activity may be related to recurrence and treatment of bladder cancer were among the take-home messages in this area from AUA 2017.
Pediatrics: Less than half of undervirilized males receive molecular Dx
July 10th 2017The finding that the glans is a significant variable in hypospadias complications and an evaluation of external pelvic fixation alone without osteotomy at time of newborn bladder exstrophy closure were among the noteworthy studies in pediatric urology at AUA 2017.
Quality Improvement: Tool identifies drivers of 30-day readmission after RP
July 10th 2017The AUA 2017 Quality Improvement and Patient Safety take-home messages also highlighted a QI project that led to reductions in catheter trauma rates and a QI program for robot-assisted radical prostatectomy that uses video clips.
Penile/Urethral Ca: Low adherence to lymph staging guidelines seen
July 6th 2017Other take-home messages in penile/urethral cancer included discussion of proposed 2018 AJCC penile cancer guidelines as well as the finding that in women with primary urethral cancer, adenocarcinoma was the most common pathology.
Specialty groups make health reform pitch
July 1st 2017As the Republican-led Congress wrestles with the daunting challenge of developing comprehensive health care legislation to replace the Affordable Care Act, specialty organizations-including those representing urology-are working to influence the ultimate outcome.
Higher reclassification rate seen with saturation biopsy
July 1st 2017Transrectal saturation biopsy resulted in higher rates of disease reclassification compared with magnetic resonance (MR) fusion biopsy plus extended sextant prostate biopsy in patients with low-risk prostate cancer on active surveillance.
How postpartum depression can affect new fathers
July 1st 2017Maternal postpartum depression (PPD) is a widely studied and discussed phenomenon, whereas much less is known about the concept of paternal PPD. Nonetheless, recent studies have indicated that depression in new fathers is a significant public health concern.
Informed consent: A medicolegal guide for urologists
July 1st 2017Informed consent in medicine generally refers to one of two things: the process by which a provider obtains consent through discussion of risks, benefits, and alternatives with patients, and the actual form that is signed by the physician and the patient. Both are critical pieces to any medical malpractice litigation where a claim for lack of informed consent has been pled.
Prostate Ca immunotherapy induces T-cell response
June 30th 2017A study aimed at further elucidating the mechanism of action of sipuleucel-T (Provenge) in advanced prostate cancer provides fairly convincing evidence that the immunotherapy agent induces T-cell responses in humans, says Charles G. Drake, MD, PhD.