Articles tagged with Urology
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A new study by the Regenstrief Institute found that lack of protocols or standard operating procedures in the recovery room is a significant barrier to administering post-operative chemotherapy to reduce bladder cancer recurrence. The researchers identified 58 Michigan urologists who reported this as a major obstacle, emphasizing the n...
Researchers found diet-associated molecules in the gut are associated with aggressive prostate cancer, linking them to higher levels of metabolites like phenylacetylglutamine and nutrients choline and betaine. The study's findings may have clinical implications for diagnosing and preventing lethal prostate cancer.
A study published in Urology Practice found that online patient decision aids for common urologic conditions are often of poor readability and quality, failing to meet recommended standards. The researchers recommend simplifying language and ensuring thoroughness to improve the effectiveness of these tools.
A new study found women with recurrent urinary tract infections are unhappy with limited management options and fear the potential adverse effects of antibiotics. Researchers recommend modifying management strategies to address their concerns and devoting more research to improving non-antibiotic options for prevention and treatment.
A novel combination of abiraterone acetate and prednisolone has been shown to prolong survival in patients with hormone/castration-sensitive prostate cancer. Studies PEACE-1 and STAMPEDE found that the addition of these drugs to standard therapy lengthened survival compared to standard therapy alone.
A multidisciplinary organization has reached consensus on guidelines for performing, interpreting, and reporting MR defecography. The consensus templates aim to standardize care for patients with evacuation disorders of the pelvic floor.
A study analyzing 6,775 patients with low-risk prostate cancer found that cancer-related factors such as tumor grade and size are key risk factors for conversion to active treatment. The study also found that higher Gleason grade, PSA level, tumor stage, and number of positive biopsy cores are related to shorter conversion times.
A team of scientists has reported a technique that provides the most detailed picture of kidney stone components yet. The researchers used a novel method to analyze kidney stones, revealing the distribution of three different proteins and their role in crystal growth.
A population-based study found that nearly half of men with low-risk prostate cancer transitioned from active surveillance to definitive treatment within five years after diagnosis. The study, published in The Journal of Urology, analyzed data from 8,541 men and identified factors associated with the likelihood of transition, including...
Researchers found that removing race-based adjustments from equations estimating kidney function could make Black patients ineligible for cancer treatments and lower their doses. The analysis showed that Black patients in the US are more frequently diagnosed with cancer and are more likely to die from it than white Americans.
A study highlights the need for better diagnostic tools, alternative treatments, and prevention strategies for women with recurrent UTIs. Women report feeling frustrated with their doctors' overuse of antibiotics and lack of education on preventing UTIs.
The American Board of Urology has outlined processes to promote diversity, equity, and inclusion in its leadership structures. The report highlights the need for continuous efforts to improve representation, particularly in terms of gender and racial/ethnic diversity.
Women with recurrent urinary tract infections (UTIs) experience fear and frustration due to the risks associated with repeated antibiotic use. The study highlights the need for patient-centered research to address gaps in current UTI treatment algorithms, focusing on non-antibiotic options for prevention.
Research reveals that women with urinary incontinence are more likely to experience depression, lower self-worth, and poorer mental health outcomes. The study emphasizes the importance of discussing mental health with patients undergoing treatment.
A study by Brigham and Women's Hospital found that patient-provider discussions about bariatric surgery result in patients with obesity losing more weight; however, such discussions occur in less than 10% of eligible cases. Patients who had these conversations were 10 times more likely to undergo weight loss surgery.
A new type of penile traction therapy (PTT) device has been shown to increase penile length and preserve erectile function in men who have undergone prostate cancer surgery. The device, marketed under the brand name RestoreX, works by applying gentle, dynamic pressure to stretch and shape the penis.
A study found patient satisfaction scores differed significantly among patients with different types of insurance coverage, with Medicare scoring the highest and Medicaid the lowest. The researchers call for further studies to explore the underlying reasons for this payor-specific bias.
A new AI-based scoring model for testis images has been developed to assess patients with severe male infertility, simplifying the diagnosis process. The model achieved high accuracy in classifying histological images of the testis, with an average precision of 82.6% and recall of 60.96%, without requiring programming expertise.
A new study found a substantial decrease in minimally invasive surgery use for cervical cancer after the publication of a major study in 2018. The study assessed 2,437 patients and showed that surgeons changed their methods, but still saw room for improvement at non-academic medical centers.
Dr. Lindsay Hampson, a UCSF researcher, has received the AGS' Jeffrey H. Silverstein Memorial Award for her work on improving patient-centered decision-making for older adults with urologic conditions. Her study found that multimorbidity, frailty, and mortality risk are common among older men with stress urinary incontinence.
A diet high in pro-inflammatory foods may be associated with increased odds of developing testosterone deficiency among men. Men who consume refined carbohydrates and sugar, as well as polyunsaturated fats, are more likely to experience low libido, decreased energy, and depression.
Dr. Jaeger's designation recognizes her high degree of experience with GreenLight Laser Therapy, providing effective relief from BPH symptoms like frequent urination and weak urine flow. The procedure is a minimally invasive outpatient solution with no incisions or impact on sexual function.
A new study by researchers at the University of Pennsylvania School of Medicine found that more than 60% of opioid tablets prescribed for patients undergoing orthopaedic or urologic procedures went unused. The study used an automated text messaging system to track patient pain and opioid use, revealing that most opioids are taken withi...
A study suggests that a change in vasectomy guidelines has resulted in fewer repeat semen analyses, potentially reducing unnecessary tests and costs. The updated guideline recommended less stringent criteria for confirming the success of vasectomy.
A new study from Keck Medicine of USC shows that men over 50 who undergo a vasectomy reversal achieve the same rate of pregnancy as those under 50. The study analyzed data from 3,000 men and found that age was not a factor in success rates.
A study of 514 men undergoing active surveillance for early-stage prostate cancer found that those with negative biopsies had more favorable clinical characteristics and excellent long-term outcomes. Negative biopsies indicated low-volume disease with lower rates of disease progression, supporting continued active surveillance.
A recent study found that men undergoing active surveillance for low-risk and intermediate-risk prostate cancer have very low rates of cancer spread and death from prostate cancer. The study analyzed 1,450 patients and identified three factors that affect the risk of metastases: Gleason grade, PSA velocity, and multiparametric MRI.
A phase 3 clinical trial found that ipilimumab improved progression-free survival by two to three times in patients with metastasized, castration-resistant prostate cancer. The treatment also showed overall survival benefits compared to the placebo arm.
Cryoablation, a less-invasive treatment technique, offers a promising alternative to surgery for prostate cancer control. According to the study, cryoablation provided a high rate of effective prostate cancer control in 82% of patients at 18-month follow-up.
A European survey found that a majority of men and women aged 20-70 do not know what erectile dysfunction (ED) is, with one in four having never heard of ED treatments. The study emphasizes the need for open communication about ED to break the taboo and improve treatment outcomes.
During the pandemic, an online urology lecture series has provided invaluable training opportunities for resident physicians, with thousands of views and overwhelmingly positive reviews. The multi-institutional collaboration, Urology COViD, has been a smashing success, offering a sense of community connectedness during social isolation.
A new study suggests that focal high-intensity focused ultrasound (HIFU) ablation is an effective alternative to surgery or radiation for treating prostate cancer. The procedure carries a low risk of complication and helps preserve quality of life, with no significant decrease in sexual function or urinary incontinence.
A new US study finds that HIFU provides adequate control of prostate cancer while avoiding significant side effects, with nearly 90% of men able to avoid or delay radical treatment. The non-invasive therapy also preserves sexual function and urinary symptoms, with no serious complications reported.
A global methodology has been developed to help decide when to treat prostate cancer, providing a single standard for estimating tumour aggressiveness. The GAP3 consortium's analysis of 14,380 patients reveals that certain factors can predict cancer development, enabling more informed treatment decisions.
Researchers found that men are now more likely to visit clinics for Peyronie's disease and low sexual desire, while erectile dysfunction cases have declined. The study suggests a growing awareness of these conditions, possibly driven by increased openness and access to treatments.
A major study conducted by patients themselves reports significant numbers struggling with continence and sexual problems after prostate cancer treatment. The Europa Uomo Patient Reported Outcomes Study found that any treatment apart from active surveillance negatively affects quality of life.
A study of 3267 men found that watching porn is associated with greater erectile dysfunction and lower satisfaction with sex. The research suggests that the type of porn watched may contribute to impaired erectile function, with 23% of men under-35 experiencing some level of erectile dysfunction.
A new toolkit has been developed to help medical organizations rapidly adopt telemedicine as an alternative option. The guide uses a common electronic medical record system and widely available video portals to overcome social distancing edicts, allowing for successful adoption in three days.
Researchers found African-American men are less likely to use a more targeted biopsy option for prostate cancer, which could lead to overdiagnosis and underdiagnosis of the disease. The study suggests that socioeconomic or cultural biases may be influencing this disparity.
A new study published in The Journal of Urology found that a low-fat diet may be associated with lower testosterone levels in men. The study analyzed data from over 3,100 men and found that those on a low-fat diet had lower serum testosterone levels compared to those on an unrestricted diet.
A recent UCSF study reveals a significant spike in e-scooter-related injuries and hospital admissions, mainly among young adults. The number of scooter-related injuries increased by 222 percent between 2014 and 2018, with nearly 40,000 injuries reported.
A study published in Lancet Oncology reveals that online popularity of health awareness campaigns does not always lead to increased interest in related health behaviors. Researchers analyzed Google Trends data for specific keywords associated with each campaign and found that only breast cancer-related searches were influenced by the P...
The updated guideline recommends adjuvant radiotherapy for patients with adverse pathologic findings, such as seminal vesicle invasion and positive surgical margins. Hormonal therapy is also recommended for patients who receive salvage radiotherapy, based on evidence from randomized controlled trials.
Guidelines issued by North American specialty societies recommend health services linked to their specialties, differing from European guidelines. This phenomenon, known as 'specialty bias,' may exacerbate healthcare costs and worsen patient outcomes.
Researchers found that night shift workers reported a higher rate of overactive bladder and poorer quality of life compared to day shift workers. The study highlights the importance of addressing increased urinary frequency in nightshift workers, particularly those under 50 years old.
A new risk model developed by researchers can predict the survival of non-metastatic prostate cancer patients and the effect of different treatment approaches on survival. The PREDICT Prostate model uses data from over 10,000 men diagnosed with non-metastatic prostate cancer and has been validated in an external cohort.
The Polsky Urologic Cancer Institute will provide personalized, integrated, and innovative care to individuals with urologic cancers through a disease-centric program of research, education, and discovery. The institute aims to transform how urologic cancers are treated in Chicago and worldwide.
A new study found that antibiotics are being overused in up to 50% of patients undergoing common urological procedures, with extended use following the procedure being the main issue. This excessive use can promote antibiotic resistance and expose patients to potential harm.
A 20-year study from Northwestern Medicine found men with inflammatory bowel disease have four to five times higher risk of prostate cancer and elevated PSA values. Researchers are now investigating the mechanism behind gut inflammation leading to prostate cancer.
A new report highlights the common challenges faced by large health systems when implementing telehealth programs, including engaging leadership, prioritizing areas for support, and educating patients. Despite these hurdles, investing in telehealth can lead to significant cost savings and improved patient access.
The new guideline recommends moderate hypofractionation (240-340 cGy) as an alternative to conventional fractionation for men with early-stage prostate cancer. Hypofractionated radiation therapy can be completed in four to five weeks, compared to eight to nine weeks for conventional radiation.
A new study finds that baseline PSA levels measured at midlife strongly predict total and aggressive prostate cancer in black men years later. The research suggests targeted screening based on a midlife PSA might identify black men at high risk while minimizing screening in those at low risk.
Women who drank an additional 1.5 liters of water daily experienced 48% fewer repeat bladder infections than those who drank their usual volume of fluids, according to the study. This finding is significant as over half of women report having bladder infections, which are one of the most common infections in women.
A large-scale study in Germany found that nearly ten percent of gay men had engaged in vaginal sex with women in the past three months, challenging traditional notions of sexual orientation. Additionally, a significant percentage of heterosexual men were found to have had non-traditional sex practices, including oral and anal sex.
A controlled trial found that women who drank an additional 1.5 liters of water daily experienced 48 percent fewer repeat bladder infections compared to those who drank their usual volume of fluids. This increased fluid intake may help reduce the use of antibiotics and combat antibiotic resistance.
A survey of over 2,500 respondents found low awareness of urological conditions, particularly among men. Men are less knowledgeable about urological symptoms than women, and many do not take early signs seriously, leading to delayed diagnosis and potentially life-threatening consequences.
A six-year California records analysis found that vaginal mesh use is not associated with an increased risk of repeat surgery for recurrent prolapse. Careful patient selection is key to achieving good outcomes. The study suggests using strategies to balance surgical complication risks versus the risk of surgery for recurrent prolapse.
A new study from UT Southwestern researchers highlights the importance of diagnosing and treating stress urinary incontinence in men, who often wait years before seeking help. The study recommends a standing cough test as a routine part of male patients' physicals to accurately diagnose and treat this condition.
Researchers explore the role of diverse bacteria in common urologic diseases affecting children, including urinary tract infections and urge urinary incontinence. Probiotics and dietary modifications show potential to prevent or treat these conditions.
A study of 2014 Medicare data found that urologists who saw more patients had lower online patient ratings, while those who saw fewer patients received higher ratings. This association may be linked to factors such as wait times and overall patient satisfaction.