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American Urological Association May 16-21

The American Urological Association's 2014 Annual Meeting

The annual meeting of the American Urological Association was held from May 16 to 21 in Orlando, Fla., and attracted more than 12,000 participants from around the world, including clinicians, academicians, allied health professionals, and others interested in urology. The conference highlighted recent advances in the prevention, detection, and treatment of urologic conditions, with presentations focusing on the advancement of urologic patient care.

In one study, Marc Bjurlin, M.D., of the New York University Langone Medical Center in New York City, and colleagues found that seat belts and airbags were associated with a decrease in renal injury. However, only seat belts and the combination of seat belt and airbag use reached statistical significance.

"This associated reduction in renal injury rates translated into a statistically significant decrease in nephrectomy rate across all protective devices," said Bjurlin. "Patients without a protective device underwent nephrectomy in nearly 56 percent of cases, while those wearing a protective device dropped to 20 percent or less."

In addition, Bjurlin noted that "the reduction appears most pronounced with the combination of seat belts and airbags. Understanding the impact of seat belts and airbags on renal injuries and nephrectomy rates provides additional evidence to support the role of these protective devices."

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In another study, Alex Pastuszak, M.D., Ph.D., of the Baylor College of Medicine in Houston, and colleagues found no association between semen parameters (sperm concentration, motility, volume, total motile, and total sperm count) and the rate of congenital birth defects. In addition, there were no significant associations between paternal and maternal characteristics, although maternal and paternal age approached significance, and birth plurality and preterm birth were significantly associated.

"Prior to this study, we understood that couples undergoing assisted reproduction in the form of in vitro fertilization/intra-cytoplasmic sperm injection were at risk for having children with an increased likelihood of congenital defects, but it wasn't clear whether this was due to the assisted reproductive techniques themselves or whether it was related to the male factor infertility," said Pastuszak. "With our study demonstrating a lack of association between semen parameters and birth defects, this suggests that the assisted reproductive techniques may be a risk factor for congenital defects. We are currently working to determine whether there is a relationship between birth defects and mode of conception (natural versus artificial) in this cohort."

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In terms of overall quality of life after mesh removal, Diana Kang, M.D., of the University of California in Los Angeles, and colleagues found that 75 percent of patients were improved after removal of mesh. However, 25 percent of patients stated that they had no change or had a worsened overall quality of life.

"The key conclusion of this study is that mesh patients comprise a population that is notoriously difficult to treat. This study can help us counsel our patients that, although 75 percent of patients feel overall that their quality of life is improved after mesh removal, there still remains 25 percent of patients who are not improved or are worse," said Kang. "I think that the impact on clinical practice is to help physicians make sure that patient expectations are reasonable when they are considering surgery for mesh removal."

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AUA: Physical Activity Linked to Reduction in Bladder CA Mortality

WEDNESDAY, May 21, 2014 (HealthDay News) -- According to two new studies, physical activity is associated with a reduction in bladder cancer-specific mortality and female Medicare beneficiaries are less likely to receive a complete hematuria evaluation. These findings were presented at the annual meeting of the American Urological Association, held from May 16 to 21 in Orlando, Fla.

Abstract - Liss
Abstract - Bassett
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AUA: Removal of Vaginal Mesh or Tape Can Reduce Patient Pain

WEDNESDAY, May 21, 2014 (HealthDay News) -- According to two new studies, removal of vaginal mesh or tape can reduce pain, and the use of vaginal mesh can have long-term consequences, even after removal. These findings were presented at the annual meeting of the American Urological Association, held from May 16 to 21 in Orlando, Fla.

Abstract - Hou
Abstract - Kang
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AUA: BTX-A Alternative to Surgery for Neurogenic Bladder

MONDAY, May 19, 2014 (HealthDay News) -- According to two new studies, botulinum toxin-A (BTX-A) is an alternative to urinary reconstruction for patients with anticholinergic refractory neurogenic detrusor over activity (NDO), and BTX-A can reduce urinary frequency in refractory overactive bladder. These findings were presented at the annual meeting of the American Urological Association, held from May 16 to 21 in Orlando, Fla.

Abstract - Aberger
Abstract - Chuang
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AUA: Testicular Self-Examination Found Cost-Effective

MONDAY, May 19, 2014 (HealthDay News) -- According to two new studies, testicular self-examination is cost-effective and non-Caucasians with testicular cancer have worse outcomes. These findings were presented at the annual meeting of the American Urological Association, held from May 16 to 21 in Orlando, Fla.

Abstract - Aberger
Abstract - Jeldres
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