Urology News Feeds

AUA, SUO release new clinical practice guideline on the diagnosis and treatment of non-muscle invasive bladder cancer

MedicalNewsToday - Wed, 05/04/2016 - 06:00
The American Urological Association (AUA), together with the Society for Urologic Oncology (SUO), today released a new clinical practice guideline on non-muscle invasive bladder cancer (NMIBC).
Categories: Urology News Feeds

Double-blinded randomized controlled trial of the Xiao procedure in children with spina bifida

MedicalNewsToday - Wed, 05/04/2016 - 06:00
Researchers at Johns Hopkins All Children's Hospital report the results of a double-blinded randomized controlled trial of the "Xiao procedure" in children with spina bifida.
Categories: Urology News Feeds

Patient-physician communication is critical for prostate cancer survivors' health

MedicalNewsToday - Wed, 05/04/2016 - 05:00
For prostate cancer patients who had their prostates surgically removed, patient-physician communication was key for helping them cope with their disease and for improving their health-related...
Categories: Urology News Feeds

Herbal remedies are an overlooked global health hazard

MedicalNewsToday - Wed, 05/04/2016 - 03:00
Millions of people around the world use herbal health remedies, following a tradition that began millennia ago.
Categories: Urology News Feeds

Editorial Comment

The gut microbiome is associated with variations in pain perception, immune responses and even psychological well-being, all parameters associated with the impact of CP/CPPS on a patient’s health and quality of life. The most significant finding from this small pilot study was less microbial diversity in the gut of patients with CP/CPPS vs controls.
Categories: Urology News Feeds

Editorial Comment

Is potency preserving prostatectomy safe for high risk prostate cancer? Recabal et al retrospectively examined 584 men with NCCN high risk disease and found that 88% had some neurovascular bundle preservation. The positive margin rate in these patients was 24% and 47% of men with preoperatively sufficient erections regained erections defined as IIEF-6 score 22 or greater.
Categories: Urology News Feeds

Reply by Authors

The definition of RUTIs remains somewhat controversial. Based on our review of 6 relatively recent and prominent documents from 2008 to 2015 reporting this entity, some favor recurrence as meaning “complete clinical resolution of a previous UTI (reference 4 in article) while others suggest including a negative intervening culture.1 Our study referenced the definition of RUTI as it was available to us at the start of this study as “a threshold of 3 UTIs in 12 months is used to signify RUTI.”2
Categories: Urology News Feeds

Editorial Comment

Recurrent infection requires a positive culture followed by a negative culture. There were no negative cultures in this study and, therefore, unresolved infections were not ruled out. If these were recurring infections and the same strain was seen at close intervals, the source may be bacterial persistence in the urinary tract. Women with persistence never have other bacteria whereas those with reinfection will eventually show different strains.
Categories: Urology News Feeds

Multiparametric Prostate MRI and Cognitively Targeted Transperineal Biopsy in Patients with Previous Abdominoperineal Resection and Suspicion of Prostate Cancer.

Urology (Gold Journal) In Press - Wed, 05/04/2016 - 00:00
To report our experience with a combination of prostate MRI and transperineal ultrasound biopsy for evaluating the prostate in patients with elevated PSA who have previously undergone abdominoperineal resection.
Categories: Urology News Feeds

Utilization of Pre-Operative Laboratory Testing for Low-Risk, Ambulatory Urologic Procedures

Urology (Gold Journal) In Press - Wed, 05/04/2016 - 00:00
To determine the clinical significance of preoperative laboratory testing for low-risk, ambulatory urologic procedures.
Categories: Urology News Feeds

Comparative Effects of Irreversible Electroporation, Radiofrequency Ablation, and Partial Nephrectomy on Renal Function Preservation in a Porcine Solitary Kidney Model

Urology (Gold Journal) In Press - Wed, 05/04/2016 - 00:00
To evaluate kidney function preservation/regeneration and pathological changes post-irreversible electroporation (IRE) in comparison to partial nephrectomy and radiofrequency ablation (RFA) in a solitary kidney porcine model. Tissue ablation using irreversible electroporation (IRE) has been reported to spare critical anatomic structures within or near the ablation zone with associated regeneration of adjacent parenchyma, possibly offering functional preservation.
Categories: Urology News Feeds

Risk Factors and Timing of Early Stricture Recurrence After Urethroplasty

Urology (Gold Journal) In Press - Wed, 05/04/2016 - 00:00
To compare recurrence after urethroplasty, identifying associated risk factors for early recurrence.
Categories: Urology News Feeds

Author Reply

Urology (Gold Journal) In Press - Wed, 05/04/2016 - 00:00
Our study retrospectively included all patients from the 5 European centers. The inclusion criteria were surgically treated patients with benign histology. We found significantly less loss of renal function for patients treated with nephron sparing surgery (NSS) compared with radical nephrectomy (RN). We used American Society of Anesthesiology scoring as an indication of confounding diseases and age, variables with an impact on overall survival (OS). In a multivariate analysis, including these covariates, we found an independent overall survival advantage for patients treated with NSS compared with RN.
Categories: Urology News Feeds

Editorial Comment

Urology (Gold Journal) In Press - Wed, 05/04/2016 - 00:00
As a specialty, we continue to grapple with the vexing question of what to do with the increasing number patients with small, enhancing renal masses. In this article, Dr. Ljungberg and colleagues from 5 medical centers across Europe make an argument for partial nephrectomy based on results in 506 patients with unanticipated benign renal tumors.1 The bottom line: they found a 2.2-fold increased risk of death from any cause associated with radical nephrectomy (RN) versus partial nephrectomy (PN) on multivariate analysis.
Categories: Urology News Feeds

Largest study of patients with early stage II testicular cancer shows radiation therapy is more effective than chemotherapy

MedicalNewsToday - Tue, 05/03/2016 - 11:00
A large study of testicular cancer patients has shown that radiation therapy is a better treatment than chemotherapy for patients with stage IIa disease (where one or more regional lymph nodes...
Categories: Urology News Feeds

Elevated bladder cancer risk in New England and arsenic in drinking water from private wells

MedicalNewsToday - Tue, 05/03/2016 - 09:00
A new study has found that drinking water from private wells, particularly dug wells established during the first half of the 20th century, may have contributed to the elevated risk of bladder...
Categories: Urology News Feeds

Corrigendum re: “Associations Between iCOGS Single Nucleotide Polymorphisms and Upgrading in Both Surgical and Active Surveillance Cohorts of Men with Prostate Cancer” [Eur Urol 2016;69:223–8]

Refers to article:

Associations Between iCOGS Single Nucleotide Polymorphisms and Upgrading in Both Surgical and Active Surveillance Cohorts of Men with Prostate Cancer

James T. Kearns, Brittany Lapin, Edward Wang, Kimberly A. Roehl, Phillip Cooper, William J. Catalona and Brian T. Helfand

Accepted 4 September 2015

Footnotes

Section of Urology, University of Chicago, Chicago, IL, USA

Section of Urology, University of Chicago, 5841 S. Maryland Avenue, MC 6038, Chicago, IL 60637, USA. Tel. +1 864 650 5255; Fax: +1 773 702 1001.

Article information

PII: S0302-2838(16)30130-0
DOI: 10.1016/j.eururo.2016.04.020
© 2015 European Association of Urology, Published by Elsevier B.V.

Categories: Urology News Feeds

Expectant Management for Prostate Cancer: Lessons from the Past, Challenges for the Future

Refers to article:

Long-term Results of Active Surveillance in the Göteborg Randomized, Population-based Prostate Cancer Screening Trial

Rebecka Arnsrud Godtman, Erik Holmberg, Ali Khatami, Carl-Gustaf Pihl, Johan Stranne and Jonas Hugosson

Accepted 31 March 2016

Footnotes

a Royal Melbourne Hospital, Melbourne, Australia

b Peter MacCallum Cancer Centre, Melbourne, Australia

c Epworth Hospital Richmond, Melbourne, Australia

d The Netherlands Cancer Institute, Antoni van Leeuwenhoek Hospital, Amsterdam, The Netherlands

Corresponding author. Department of Urology, Royal Melbourne Hospital, 300 Grattan Street, Parkville, Melbourne, Australia. Tel. +61 4 59945045.

Article information

PII: S0302-2838(16)30134-8
DOI: 10.1016/j.eururo.2016.04.024
© 2016 European Association of Urology, Published by Elsevier B.V.

Categories: Urology News Feeds