Urology News Feeds

Byproduct of intestinal bacteria may jeopardize heart health in kidney disease patients

MedicalNewsToday - 12 hours 23 min ago
Levels that accumulate due to poor urinary clearance may cause atherosclerosis and heart diseaseHighlights Blood levels of TMAO, a byproduct generated from intestinal bacterial as they...
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New research opens the door for treatment of relapsing bacterial infections

MedicalNewsToday - Thu, 07/30/2015 - 10:00
Northeastern University researchers lay the groundwork for customized antibiotic treatmentsIt's one thing to grow bacteria in a test tube, perform a screen in the lab, and find a mutation in the...
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First reports of robotic surgery for advanced vena cava tumor thrombus due to kidney cancer

MedicalNewsToday - Thu, 07/30/2015 - 10:00
Surgeons describe positive outcomes in The Journal of UrologySurgery is required when cancer of the kidney causes a Level III thrombus, or clot, to develop in the major vein leading back to...
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Structures reveal basis of recurring urinary tract infections

MedicalNewsToday - Thu, 07/30/2015 - 04:00
While the best antibiotics can wipe out most of the bacteria that cause notoriously difficult urinary tract infections, a few "sleeper cells" often remain.
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Hypothermia in organ donors could improve kidney transplants

MedicalNewsToday - Thu, 07/30/2015 - 02:00
Researchers have demonstrated that reducing the body temperature of organ donors can reduce the risk of delayed graft function in patients receiving a kidney transplant.
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Conservative Treatment for Benign Prostatic Hyperplasia in Patients With Bladder Stones

Urology (Gold Journal) In Press - Thu, 07/30/2015 - 00:00
To determine whether conservative management of benign prostatic hyperplasia (BPH) is an appropriate option for patients with bladder stones.
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Preoperative Patient-Reported Mental Health is Associated with High-Grade Complications after Radical Cystectomy

Psychological distress has been associated with impaired immune response and poor wound healing. We hypothesized that preoperative patient-reported mental health would be associated with high-grade 30-day complications after radical cystectomy (RC).
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Bladder Cancer Mortality in the United States: A Geographic and Temporal Analysis of Socioeconomic and Environmental Factors

We sought to assess the association of temporal, socioeconomic and environmental factors with bladder cancer mortality in the United States. Our hypothesis was that bladder cancer mortality is associated with distinct environmental and socioeconomic factors, with their effects varying by region, race and gender.
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Reply by Authors

Management of urinary fistulas or chronic hemorrhage can be challenging. We agree that antegrade transrenal ureteral occlusion is ideally suited for patients in whom overall life expectancy is short but who would still derive quality of life benefits when more standard treatment options have been exhausted. We wholeheartedly agree that whenever possible surgical correction provides the best treatment option.
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Editorial Comment

The authors report a technique of managing ureteral leaks or hemorrhage in a subpopulation of patients in whom first line therapy failed but who were not candidates for major reconstructive procedures. While previous techniques have been reported, the failure rate or durability has been less consistent.1,2 This technique appears to be safe and effective, and patient survival was reasonable. Although this technique requires chronic nephrostomy drainage tubes and periodic visits for tube changes, it appears that patient quality of life was acceptable.
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Editorial Comment

Refractory urinary fistulas in the face of significant disease are frustrating to treat for many reasons. Quality of life is significantly diminished in these patients and potential complications can be exceedingly difficult to manage. The authors describe a technique of diverting urine away from the fistula using platinum coils and Gelfoam, similar to that used for vascular occlusion. Although their results show short-term success, it is reported that in the long term such coils could have harmful effects such as stone formation, erosion, migration, abscess formation and infection.
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Scientists discover link between common medications and serious falls in older men

MedicalNewsToday - Wed, 07/29/2015 - 08:00
Serious falls are more than twice as likely in older men who take medicines with anti-cholinergic properties - according to new research from the University of East Anglia.
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Tailored mobile health technologies may help patients take their medications appropriately

MedicalNewsToday - Wed, 07/29/2015 - 04:00
Study reports few errors when applied to patients with chronic kidney diseaseHighlight There was only a 5% error rate when patients with chronic kidney disease used mobile health...
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Editorial Comment

I applaud the authors for describing the histology of testicular biopsies performed in the setting of an experimental fertility preservation protocol for boys undergoing gonadotoxic therapy. This protocol reflects a shift in pediatric oncology from a focus on survivorship to quality of life considerations, including fertility. As stem cell manipulation and other technologies progress, current investigational fertility procedures may evolve into standard of care. CAPITUL (Clinic for Adolescent and Adult Pediatric-Onset Urology) at the Children’s National Health System delivers care to young adults and teenagers with urological conditions requiring lifelong followup.
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Urinary Lignans are Associated with Decreased Incontinence in Postmenopausal Women

Urology (Gold Journal) In Press - Wed, 07/29/2015 - 00:00
To examine the association between urinary phytoestrogens and self-reported urinary incontinence in post-menopausal women in the United States using a large, cross-sectional, population based cohort survey.
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Subsequent Neoplasms in Adult Survivors of Childhood Genitourinary Tumors

Urology (Gold Journal) In Press - Wed, 07/29/2015 - 00:00
Treatment for childhood genitourinary (GU) tumors such as Wilms tumor, rhabdomyosarcoma, and germ cell tumors has progressed to the point that cure can be expected in many cases. However, survivorship is often coupled with a variety of late effects, of which subsequent neoplasms may be the most concerning if not the most life-threatening. Here, we review current literature to assess and report issues relating to subsequent neoplasms in patients with a history of childhood GU tumors, including causative factors, overall risks, the most prevalent subsequent neoplasms, and current recommendations for surveillance and screening.
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Risk of Recurrence for Clinical stage I and II Patients with Teratoma Only at Primary Retroperitoneal Lymph Node Dissection

Urology (Gold Journal) In Press - Wed, 07/29/2015 - 00:00
To evaluate the oncologic outcomes of patients with retroperitoneal teratoma only at primary retroperitoneal lymph node dissection (RPLND) who did not receive adjuvant chemotherapy.
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Diclofenac suppository as a preemptive analgesia in ultrasound guided biopsy of prostate: Randomized controlled trial

Urology (Gold Journal) In Press - Wed, 07/29/2015 - 00:00
To compare pre-procedure Diclofenac suppository and Xylocaine gel with Xylocaine gel only in patients undergoing trans rectal ultrasound (TRUS) guided biopsy of prostate for pain.
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Effects of Patient-Centered Interventions on Persistent Urinary Incontinence After Prostate Cancer Treatment: A Randomized Controlled Trial

To examine whether an intervention combining pelvic floor muscle exercise (PFME) and symptom self-management improves urinary continence and quality of life in prostate cancer patients.
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