Articles tagged with Urology
Researchers at Henry Ford Hospital developed a new technique using ice slush and robotic surgery to remove large kidney stones. The ICE procedure provides kidney protection during blood flow stoppage, allowing for complex surgeries. Three patients were successfully treated without complications.
A Swedish data-sharing campaign led to a significant decrease in unnecessary medical tests for low-risk prostate cancer patients. The study suggests that curtailing unneeded medical tests is achievable and offers insights into the importance of implementing guidelines and providing feedback to practitioners.
A three-year study published in The Journal of Urology finds that tibial nerve stimulation significantly improves symptoms of overactive bladder. Participants experienced a nearly 30% decrease in daytime trips to the bathroom and almost 40% fewer nighttime trips.
A new genomic test helps identify low-risk men suitable for active surveillance, sparing them from unnecessary treatment. The test provides statistically significant and clinically meaningful prognostic information, aiding in determining which men are best suited for active surveillance.
The new guideline provides detailed direction on treatment options for prostate cancer patients, including adjuvant and salvage radiotherapy recommendations. It emphasizes the importance of informed consent and patient education on potential side effects and benefits of radiation therapy.
Researchers at UT Southwestern Medical Center found that a marker panel can predict which patients are more likely to experience cancer recurrence after bladder removal. The study identifies patients who could benefit from follow-up chemotherapy to improve treatment outcomes.
A study by Henry Ford Health found that ER visits for urinary tract infections result in nearly $4 billion in unnecessary costs each year. The research analyzed data from 10.8 million patients with a primary diagnosis of UTI who visited emergency rooms from 2006 to 2009.
A new study reveals that surgical volume significantly affects the outcome of procedures, especially for robotic-assisted surgeries. High-volume hospitals demonstrated superior results in terms of complication rates and blood transfusions, while low-volume centers struggled with inferior outcomes.
The data presented at the AUA Annual Meeting shows that degarelix lowers the risk of cardiovascular events or death when compared to luteinising hormone-releasing agonists. Analysis of disease control-related outcomes from six comparative randomised clinical trials also supports this finding.
Researchers at UCLA have classified kidney cancer into several unique subtypes, which will aid in tailoring treatment to individual patients. The study, conducted over 10 years, identified deletions of chromosomes 3p and 14q in clear cell renal carcinoma tumors, associated with improved survival rates for some patients.
A retrospective multicenter study of 677 patients found that intraoperative, early postoperative, and mesh-related complications are common in pelvic organ prolapse surgery. Mesh-related complications were the most common, with erosion being the most frequent complication.
A new study analyzed 6.2 million patients and found that 74.6% of men with erectile dysfunction remained untreated, highlighting the need for improved treatment access and awareness. The study also showed that treatment frequency varied by co-morbidities, with hypogonadism being a key factor in treatment usage.
A study published in the Journal of Urology analyzed 25 years of data after radiation therapy for prostate cancer patients and found that follow-up evaluations are necessary for 15 years after treatment. The study also confirmed using radiation therapy results in comparable disease-free survival rates to radical prostatectomy.
The EAU has made its patient information available in Spanish and Greek to cater to patients from diverse linguistic backgrounds. This move aims to provide trustworthy information on urological diseases to all European patients, with translations coordinated by national societies.
The European Association of Urology (EAU) is releasing a policy statement on live surgery ethics, prioritizing patient safety. The statement aims to establish uniform standards and monitor outcomes for EAU-approved live surgery events.
A study of 17 clinical trials found that 70% of men taking Cialis for 12 weeks could ejaculate most of the time and reach orgasm, compared to 30% in the placebo group. The benefits were seen across all levels of ED severity.
A Loyola University Medical Center study found that physician review websites are based on scores from an average of only 2.4 patients, highlighting the need for more reviews to make them reliable.
The American Urological Association has released four new clinical practice guidelines aimed at improving the quality of patient care. The guidelines cover diagnosis and treatment of overactive bladder, adult urodynamics, asymptomatic microhematuria, and vasectomy.
A new study by The Journal of Urology reports that outpatient urological surgical procedures performed in ambulatory surgery centers and physician offices are significantly less costly than hospitals. On average, payments for these procedures were up to a third lower when done outside hospital settings.
A recent study by Henry Ford Health found that women are more than twice as likely to suffer infections related to kidney stones and other urinary blockages. The study also showed significantly higher rates of complications following urgent treatments for the condition.
A recent study from Rhode Island Hospital found that nearly seven percent of urologic multi-detector CT scans for hematuria resulted in clinically important incidental findings. The most common findings were lung nodules, aneurysms, and ovarian cysts, with only a small percentage requiring immediate medical attention.
A study found that urology-owned radiation oncology practices in Texas increase patients' travel distances by up to three times due to separate treatment centers. This practice model raises concerns about its impact on healthcare costs and patient care.
A multi-center study found that patients who undergo complete kidney removal are 3.5 times more likely to develop erectile dysfunction compared to those with kidney reconstruction. Researchers suggest that total kidney removal may also increase the risk of metabolic diseases and decrease quality of life.
Mayo Clinic researchers present studies on adjuvant hormonal therapy for prostate cancer patients, finding no negative impact on overall survival. They also release results of a study on safe intervals for PSA screening in young men.
The study found that kidney stone prevalence nearly doubled from 8.8% in 2007-2010 to 17.6% in 1994, with obesity and diabetes being key risk factors. Maintaining a healthy lifestyle and body weight can reduce the risk of kidney stones.
A study presented at the American Urological Association Annual Meeting found that early stage prostate cancer treatment can alleviate lower urinary tract symptoms (LUTS) in a subgroup of men. Radical prostatectomy surgery was shown to improve urinary function, while radiation therapy and brachytherapy had less favorable effects.
The Urologic Diseases in America report documents the significant impact of urologic conditions, such as urinary tract infections and prostate cancer, on the American public. The study reveals that these conditions result in substantial healthcare costs, with estimates suggesting $40 billion annually.
A literature review highlights the need for a tailored approach to improving quality of life in subpopulations, including African Americans, Latin Americans, Asians, and men who have sex with men. The authors emphasize the importance of considering demographic, socioeconomic, and sexual preference factors in treatment decision-making.
The study found that robot-assisted radical prostatectomy (RARP) resulted in superior outcomes compared to open radical prostatectomy (ORP), including reduced need for blood transfusions and complications during or after surgery. RARP patients were also less likely to have prolonged hospital stays.
A study found that biopsy referral rates for men with high PSA levels remained stable despite recent recommendations to lower the threshold. Biopsies became slightly less common over time, likely due to growing awareness of overdiagnosis and overtreatment.
A University of Rochester analysis found that older men are more likely to die from prostate cancer due to late-stage diagnosis. The study's lead author notes that overall health plays a significant role in life expectancy following a cancer diagnosis.
A Kaiser Permanente study found that antidepressants, diuretics, bronchodilators, antihistamines, and sympathomimetics can cause lower urinary tract symptoms (LUTS) in men. The study examined data from over 63,000 ethnically diverse men and found associations between specific medication classes and LUTS severity.
A large-scale study found that saw palmetto extract did not improve lower urinary tract symptoms in men with prostate enlargement. The researchers tested up to three times the standard dose and discovered no measurable benefits or toxicity.
A large study led by Stanford urologist Michael Eisenberg found that childless men are more likely to die from cardiovascular disease than fathers. The study tracked over 135,000 male members and found a 17% increase in mortality risk among childless men compared to fathers.
African-American men are up to 3.5 times more likely to have Vitamin D deficiency than Caucasian men, requiring higher supplementation doses. Skin color and sunlight exposure play a crucial role in Vitamin D production.
A new minimally invasive procedure called hidden incision endoscopic surgery (HIdES) eliminates visible scarring in kidney surgeries. The technique, developed by Dr. Patricio Gargollo, offers greater technical flexibility than laparoscopic surgery and has been shown to provide higher satisfaction rates among patients.
A study published in the Journal of Pediatric Urology found that a surgical technique for repairing hypospadias in boys results in a postoperative success rate better than 95%. The procedure, called tubularized incised plate (TIP) repair, is effective regardless of anatomy, and offers a more natural appearance after surgery.
A new study by Thomas Jefferson University researchers finds that receiving radiation therapy immediately after a radical prostatectomy is a cost-effective treatment for prostate cancer patients. Urologists were less likely than radiation oncologists to recommend adjuvant radiation therapy or believe it improves overall survival.
A new non-invasive wireless near-infrared device has been shown to be as reliable as current invasive tests in determining bladder disease. The device uses light shone through the skin to monitor changes in bladder physiology, revealing consistent patterns of normal oxygen availability and blood supply in healthy subjects during urinat...
A study of 1,455 U.S. men with early-stage prostate cancer found that brisk walking lowers the risk of prostate cancer progression by nearly 60%. Regular physical activity can improve prognosis, and walking must be brisk for benefits to occur.
A decade-long study demonstrates that holmium laser therapy is a safe and durable treatment option for Benign Prostatic Hyperplasia, reducing complications and recurrence rates compared to traditional TURP. Patients treated with HoLEP experience reduced pain, shorter hospital stays, and fewer sexual side effects.
A new study shows that nearly 70% of men with rising PSA levels and subsequent normal biopsies were eventually diagnosed with prostate cancer. Rising PSA velocity over several years should prompt clinicians to follow patients more closely, even with negative biopsy results.
A new alpha-blocker treatment, silodosin, has been shown to reduce symptoms and improve quality of life for men with chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS). The study found that approximately 60% of men reported feeling better after treatment, compared to 30% on a placebo.
Researchers at the University of Washington are developing a semi-automated scan using ultrathin laser endoscope and software to create a full, 3-D panorama of the bladder interior. This technology has the potential to bring endoscopy into a more digital age.
Researchers from NewYork-Presbyterian/Weill Cornell presented studies on the effectiveness of robotic-assisted laparoscopic radical prostatectomy, finding lower perioperative morbidity and improved oncologic outcomes compared to open and laparoscopic approaches. Additionally, they investigated the feasibility and safety of robot-assist...
A study published in PLoS ONE found that a shorter anogenital distance may indicate impaired testicular development and function. The research suggests that this non-invasive measurement could be used to evaluate patients with reduced reproductive potential, potentially linking gestational exposures to adult testicular function.
The landmark event brought together pediatric urologists worldwide to share ideas and advance research. Key findings highlight the growing importance of pediatric urology as a global specialty.
A study of over 3,000 patients found robot-assisted prostate surgery to be safe, with a low major complication rate and no disease recurrence after five years for nearly 87 percent of patients. The study analyzed surgical outcomes from 2005 to 2009 and addressed the lack of standardized reporting in previous literature.
The 20th anniversary of the first laparoscopic nephrectomy celebrates a groundbreaking achievement in surgical technique. Dr. Ralph Clayman's pioneering work paved the way for modern endourology and minimally invasive procedures, revolutionizing urologic surgery.
Patients with large kidney tumors benefit from nephron-sparing surgery, which preserves more kidney tissue and reduces chronic kidney disease risk. Researchers found that this approach resulted in better long-term kidney health outcomes compared to radical nephrectomy.
Demetrius H. Bagley, M.D., a renowned urologist and researcher at Thomas Jefferson University, has received the Karl Storz Lifetime Achievement Award in Endourology for his pioneering work in ureteroscopic management of upper tract pathology.
The NYU Urothelial Biology Team has received a five-year, $8.2 million grant from the NIDDK to investigate bladder biology and diseases such as UTI. The team aims to understand how disease-causing bacteria interact with host urothelial cells, which is crucial for developing novel treatments for recurrent UTI and other urologic diseases.
A new case series in European Urology introduces a purely intrafascial approach for robot-assisted laparoscopic prostatectomy, aiming to avoid damage to critical structures. The study reports promising results with no perioperative major complications, but highlights the need for well-designed studies to evaluate its advantages.
A new study led by researchers at UCSF found that surgery is more effective than radiation and hormone therapies for men with high-risk prostate cancer. The study analyzed data from 7,538 men with localized disease and found a significant difference in survival rates between surgical removal of the prostate and other treatment options.
A new technique preserves periprostatic anatomy by keeping intact the pubovesical complex, achieving a higher rate of urinary continence after radical prostatectomy. The study reports a 25.7% weighted mean continence rate immediately after catheter removal.
A study of 587 women aged 18-95 found that 63% experienced female sexual dysfunction (FSD), with orgasm issues affecting the most people. FSD increased with age, except for orgasm problems, which rose in older age groups.
Researchers found that men with a baseline PSA of less than 4 had a very low risk of death from prostate cancer, while those with scores of 10 or higher were 11 times more likely to die. The study suggests routine screening among healthy men with normal life expectancy can help identify high-risk patients and save lives.
A Mayo Clinic study found that interrupting blood flow for more than 20 minutes during kidney cancer surgery increases the risk of chronic kidney disease. Limiting ischemia time can help avoid this complication.
Ihor S. Sawczuk, M.D., Co-Chief of the Division of Urologic Oncology, presents research on laparoscopic adrenalectomy and robot-assisted radical prostatectomy for recurrent prostate cancer. The John Theurer Cancer Center showcases its expertise in urologic oncology through these innovative treatments.
Physician-scientists from NewYork-Presbyterian Hospital/Weill Cornell Medical Center present several studies at the 2010 American Urological Meeting, including a potential breakthrough in using 5-alpha reductase inhibitors to improve PSA test accuracy for prostate cancer diagnosis. Additionally, they present results on robotic surgery ...