Articles tagged with Urology
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.
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 ...
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.
PSD502 demonstrates significant time to ejaculation and ejaculatory control improvements, with a 5.5-fold increase in IELT, compared to placebo. Men treated with PSD502 experience reduced premature ejaculation symptoms and increased satisfaction.
The REDUCE trial found dutasteride to be effective in reducing the chance of a positive biopsy by 23% and preventing disease progression. However, more detailed analyses are needed to monitor long-term effects on cardiovascular health and selectively identify aggressive disease.
The European Association of Urology does not recommend mass screening for prostate cancer in Europe, citing the risk of overdiagnosis and overtreatment. Men should be properly informed by their physician about the pros and cons of screening, such as a PSA test.
Several urological experts were awarded prestigious medals and prizes for their groundbreaking work, including Prof. Frans Debruyne and Prof. James Catto. The awards recognized their efforts to advance urology through innovative technologies and research.
The European Association of Urology (EAU) has launched new and updated clinical guidelines for urological conditions, including muscle-invasive and metastatic bladder cancer and prostate cancer. The guidelines provide evidence-based recommendations on diagnosis, staging, treatment options, and follow-up care.
UK researchers found that many urologists fail to diagnose and treat Chlamydia in young men, despite clear guidelines. In a survey of five teaching hospitals, only 7% of cases were tested for Chlamydia, and most received inadequate treatment.
A study found that prostate cancer treatment options differ based on the type of specialist consulted. Men who see a radiation oncologist are more likely to receive radiation therapy, while those who consult with a urologist with or without a medical oncologist are treated more frequently with hormone therapy, watchful waiting, or radi...
A nationwide Swedish study found no increased risk of suicide among men diagnosed with early nonpalpable prostate cancer detected by PSA testing. However, those with locally advanced or metastatic disease faced a twice-higher suicide rate compared to the general male population.
A new study published in The Journal of Urology found that open radical prostatectomy (ORP) and laparoscopic radical prostatectomy (LRP) have similar rates of postoperative mortality and morbidity. LRP was associated with shorter hospital stays and a lower risk of bladder neck or urethral obstruction.
A systematic review found that neonatal and infant circumcision by trained staff rarely results in problems, with relatively minor adverse events being low among infants under one year old. However, complications are more common when performed by inexperienced providers or with subpar equipment.
A systematic review found that neonatal and infant circumcision is relatively safe, with minor adverse events common but severe complications rare. The risk of complications increases with inexperienced providers or inadequate equipment, highlighting the need for improved training and safety measures.
The groundbreaking Videourology journal offers fully peer-reviewed video demonstrations of the latest urologic surgical techniques and technologies. The journal provides comprehensive search options, including videos organized by medical condition, anatomy, and surgical procedure.
A study of 129 patients found high rates of infection and mechanical failure with inflatable prostheses; however, hydraulic devices remain the best option for achieving voiding while standing and sexual intercourse. The choice of device may favor two-piece over three-piece designs.
A systematic review found IAD to be as effective as continuous androgen deprivation while improving survival rates and sexual potency. The approach has been a valid treatment option for nonmetastatic PCa cases, offering key tolerability and quality of life benefits.
A prospective case-control survey found that male factor infertility is associated with a higher rate of medical comorbidities, as objectively scored with the Charlson Comorbidity Index. The study suggests that men with male factor infertility may be less healthy than age-comparable fertile men, regardless of their underlying causes.
A large study found that PSA velocity has little predictive value for determining the outcome of a first prostate biopsy. However, a rapid rise in PSA levels may still suggest prostatitis or prostate cancer, warranting further evaluation. The findings suggest that clinical judgment should be used to guide biopsy decisions.
A new study published in The Journal of Urology found a significant association between psychiatric disorders, sexual trauma, and lower urinary tract symptoms (LUTS) in women. Women with psychiatric comorbidities and history of sexual trauma were more likely to experience LUTS such as incontinence and overactive bladder.
A survey found that 75% of surgical patients would consider allowing a competent unsupervised trainee to perform their entire operation if it meant they could have it done more quickly. Most respondents felt trainees needed to operate under supervision to improve skills, but were willing for supervised trainees to do procedures.
The periurethral suspension technique results in significantly greater continence rates at 3 months after robot-assisted laparoscopic radical prostatectomy (RALP). The median/mean interval to recovery of continence was also statistically significantly shorter in the suspension group.
The European Association of Urology has published an evidence-based guideline for incontinent urostomy, offering expert guidance for nurses. The comprehensive 80-page document covers topics such as cystectomy, pre- and post-operative care, and community follow-up, providing best practices for managing this complex condition.
Researchers identified that even among high-risk groups, only a few individuals had invasive bladder cancer, highlighting the need to find a higher-risk group to benefit from screening. Abstaining from smoking is crucial in preventing bladder cancer.
The July issue of European Urology reviews prostate cancer screening studies, highlighting the need to balance mortality reduction with overdiagnosis risks. The EAU adopts the conclusions of the ERSPC study and recognizes the benefit of screening for mortality reduction.
The AUA Foundation has awarded the 2009 Astellas Rising Stars in Urology to William Roberts, MD and Edward Schaeffer, MD for their groundbreaking research projects on Benign Prostatic Hyperplasia and Phospholipase A2 signaling in prostate development. The award aims to support young urologists in pursuing careers in urologic research.
A new study published in The Journal of Urology found a significant association between lower urinary tract symptoms and metabolic syndrome. Researchers analyzed data from over 1,900 men and discovered that those with mild to severe LUTS were more likely to suffer from MetS.
A new study by Johns Hopkins Medicine finds that Roux-en-Y weight loss surgery nearly doubles the risk of developing kidney stones, with an overall risk of around 8 percent. The researchers suggest that doctors can help prevent kidney stones through calcium supplements and other interventions.
Research reveals that HGPIN carries a high predictive value for future diagnosis of prostate cancer, with a 41.8% risk identified in patients. The study recommends delaying first repeat biopsies at low PSA ranges but shorter intervals for intermediate and higher PSA ranges.
The Phase 3 IMPACT trial found that sipuleucel-T significantly prolonged overall survival by 4.1 months and improved three-year survival by 38 percent compared to placebo. This innovative immunotherapy reduced the risk of death by 22.5 percent.