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April 2013 Briefing - Urology

Here are what the editors at HealthDay consider to be the most important developments in Urology for April 2013. This roundup includes the latest research news from journal articles, as well as the FDA approvals and regulatory changes that are the most likely to affect clinical practice.

Renewed Efforts From AAFP to Repeal OTC Provision in ACA

TUESDAY, April 30 (HealthDay News) -- Members of the American Academy of Family Physicians (AAFP) and other medical associations are urging further consideration of Section 9003 of the Patient Protection and Affordable Care Act (ACA) that requires holders of tax-preferred health care accounts to obtain a physician's prescription to use funds from those accounts to pay for over-the-counter (OTC) medications. The concerns have been laid out in a letter to the chair and the ranking member of the House Committee on Ways and Means.

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High Doses of Saw Palmetto Appear Safe Over 18 Months

MONDAY, April 29 (HealthDay News) -- Extracts of saw palmetto berry used at doses of up to 960 mg daily appear to be safe over an 18-month period, according to a study published in the April issue of The Journal of Urology.

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FDA Announces New Network to Focus Exclusively on Patients

MONDAY, April 29 (HealthDay News) -- The U.S. Food and Drug Administration has announced the launch of a new interactive tool for educating patients, their advocates, and consumers about the processes involved in medication development.

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FDA: Purveyors of Phony Botox Targeting U.S. Practices

MONDAY, April 29 (HealthDay News) -- Medical practices that purchase Botox may unwittingly be purchasing a fraudulent product not approved by the U.S. Food and Drug Administration for sale in the United States, according to an April 26 drug safety alert issued by the agency.

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Explicit Sex Materials Modestly Influence Sexual Behaviors

MONDAY, April 29 (HealthDay News) -- Consumption of sexually explicit material (SEM) has a modest, but significant, effect on sexual behaviors, according to a study published online April 26 in the The Journal of Sexual Medicine.

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Medical Interns Spending Less Time With Patients

FRIDAY, April 26 (HealthDay News) -- Medical interns are spending less time with patients and more time at a computer since new rules limiting total work hours were instituted in 2011, according to a study published online April 18 in the Journal of General Internal Medicine.

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Saturday Marks Sixth Annual Rx Drug Take-Back Day

FRIDAY, April 26 (HealthDay News) -- United States residents across the nation will have an opportunity to safely and anonymously unload expired, unwanted prescription medications on Saturday, April 27, during the sixth annual National Prescription Drug Take-Back Day.

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Collagenase Clostridium Histolyticum OK in Peyronie's

FRIDAY, April 26 (HealthDay News) -- For patients with Peyronie's disease, treatment with collagenase clostridium histolyticum (CCH) intralesional injections is efficacious and tolerable, according to research published online Feb. 1 in The Journal of Urology.

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Physicians Less Empathetic in Talking to Heavy Patients

THURSDAY, April 25 (HealthDay News) -- Primary care physicians (PCPs) are less likely to bond with overweight and obese patients, according to research published online March 20 in Obesity.

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Diagnostic Errors Are the Leading Type of Malpractice Claim

WEDNESDAY, April 24 (HealthDay News) -- In the past 25 years, diagnostic errors have been the leading type of malpractice claim and account for the highest proportion of total payments, according to a study published online April 22 in BMJ Quality & Safety.

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Obesity Tied to Risk of Prostate Cancer After Negative Biopsy

WEDNESDAY, April 24 (HealthDay News) -- In men with an initial benign biopsy or transurethral resection of the prostate, obesity at the time of the procedure is associated with the presence of precancerous lesions in the initial biopsy and a higher risk of developing prostate cancer, according to a study published online April 23 in Cancer Epidemiology, Biomarkers & Prevention.

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Outcomes No Worse With Home Call for Surgical Interns

MONDAY, April 22 (HealthDay News) -- For surgical interns, being on call from home is not associated with increased rates of postoperative morbidity or mortality, according to a study published in the April issue of JAMA Surgery.

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More Than Two-Thirds of Surgeons Are 'Employed'

FRIDAY, April 19 (HealthDay News) -- There is a substantial shift in practice environment occurring among surgeons in the United States, with more surgeons becoming employees, according to a study published in the April issue of JAMA Surgery.

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Patient Satisfaction Poor Indicator of Quality Surgical Care

FRIDAY, April 19 (HealthDay News) -- For surgical patients, satisfaction is not associated with performance on process measures or on overall hospital safety culture scores, according to a study published in the April issue of JAMA Surgery.

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Patient-Centered Decision Making Ups Health Outcomes

FRIDAY, April 19 (HealthDay News) -- Patient-centered decision making (PCDM) is associated with improved health care outcomes, according to a study published in the April 16 issue of the Annals of Internal Medicine.

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Urine Cytology Adds Little to Hematuria Investigation

THURSDAY, April 18 (HealthDay News) -- Urine cytology adds little to the diagnostic value of standard hematuria investigations, according to a study published in the April issue of The Journal of Urology.

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Guidelines Issued Relating to Online Medical Professionalism

THURSDAY, April 18 (HealthDay News) -- Physicians should be aware of the benefits on online media and should recognize the implications for patient confidentiality and public perception, according to a position paper published in the April 16 issue of the Annals of Internal Medicine.

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Family-Centered Teaching Rounds Good for Patients, Students

THURSDAY, April 18 (HealthDay News) -- Teaching and conducting rounds in the presence of patients and their families can be beneficial for patients and learners, according to research published online April 15 in Pediatrics.

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Relative Proportion of MRSA Increasing in S. aureus Isolates

THURSDAY, April 18 (HealthDay News) -- The relative proportion of methicillin-resistant Staphylococcus aureus (MRSA) is increasing in S. aureus isolates, and methicillin-sensitive S. aureus (MSSA) is becoming increasingly resistant to antibiotics, according to a study published in the April issue of JAMA Dermatology.

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Happiness Influenced by One's Own, Others' Sexual Activity

THURSDAY, April 18 (HealthDay News) -- Happiness is positively associated with an individual's sexual frequency and negatively associated with the sexual frequency of others, according to a study published in the February issue of Social Indicators Research.

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For Older Men, Prostate Biopsy Uncommon After Abnormal PSA

THURSDAY, April 18 (HealthDay News) -- For older men with abnormal prostate-specific antigen (PSA) levels, performance of prostate biopsies is uncommon and decreases with advancing age and worsening comorbidity, according to a study published online April 15 in JAMA Internal Medicine.

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Community Benefit Spending Varies for Tax-Exempt Hospitals

WEDNESDAY, April 17 (HealthDay News) -- There is considerable variation in the level of community benefit expenditure by tax-exempt hospitals, according to a study published in the April 18 issue of the New England Journal of Medicine.

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PSA in Midlife Can Predict Later Risk of Prostate Cancer Mets

WEDNESDAY, April 17 (HealthDay News) -- Prostate-specific antigen (PSA) concentrations in midlife can be used to predict the long-term risk of prostate cancer metastasis or death from prostate cancer, according to a study published online April 16 in BMJ.

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Presenting Fee Data to Docs Cuts Number of Tests Ordered

WEDNESDAY, April 17 (HealthDay News) -- Presenting fee data to providers at the time of laboratory test orders is associated with a small reduction in the number of tests ordered, according to a study published online April 15 in JAMA Internal Medicine.

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Similar Outcomes for Robotic, Laparoscopic Prostatectomy

TUESDAY, April 16 (HealthDay News) -- For men undergoing routine surgical treatment for localized cancer of the prostate, robot-assisted radical prostatectomy (RALP) does not result in better functional outcomes compared to laparoscopic radical prostatectomy (LRP), according to a study published in the April issue of Urology.

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Review Addresses Need for 'Sharps' Injury Prevention Efforts

TUESDAY, April 9 (HealthDay News) -- Injuries caused by needles and other sharp instruments are a major occupational hazard for health care providers, particularly surgeons, with significant health risks and cost impact, and there is a need for enhanced preventive efforts, according to a special article published in the April issue of Plastic and Reconstructive Surgery.

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Topical Anesthetics Effective for Premature Ejaculation

FRIDAY, April 12 (HealthDay News) -- Topical anesthetic agents seem to be effective and are generally well tolerated for patients with premature ejaculation (PE), according to a review published in the April issue of Urology.

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ACS: Room for Improvement in Cancer Prevention, Detection

THURSDAY, April 11 (HealthDay News) -- Despite improvements in aspects of cancer prevention and early detection, more systematic efforts to reduce tobacco use and obesity, and expand the use of screening tests could prevent much of the suffering and death of cancer, according to a report published online April 11 by the American Cancer Society.

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Speech Details Practices to Improve U.S. Health Systems

THURSDAY, April 11 (HealthDay News) -- There are specific steps health care providers and policymakers should take to create high-quality, patient-centered care at lower costs, according to remarks made in an April 9 speech to the National Press Club.

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ACP: Men Need to Be Informed of PSA Testing Benefits, Harms

TUESDAY, April 9 (HealthDay News) -- Men between the ages of 50 and 69 years old need to be informed about the limited potential benefits and substantial harms of screening for prostate cancer, according to a guidance statement published online April 8 in the Annals of Internal Medicine.

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"Never Events" Rare After Bladder Cancer Surgery

THURSDAY, April 4 (HealthDay News) -- "Never events", ten hospital-acquired conditions deemed by the Centers for Medicare and Medicaid Services as being reasonably preventable, are rare in patients with bladder cancer who have undergone radical cystectomy, according to a study published in the March issue of Urology.

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Testosterone Changes Precede Type of Rheumatoid Arthritis

THURSDAY, April 4 (HealthDay News) -- Hormonal changes, especially testosterone, precede the onset of rheumatoid arthritis (RA) in men and may influence the type of RA, according to research published online April 3 in Annals of Rheumatic Diseases.

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Androgen Deprivation Tx Compared in Prostate Cancer

WEDNESDAY, April 3 (HealthDay News) -- In patients with metastatic hormone-sensitive prostate cancer, intermittent androgen deprivation is associated with slightly, but not significantly, worse survival than continuous androgen deprivation, according to a study published in the April 4 issue of the New England Journal of Medicine.

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Rate of Nephrectomy at Lymph Node Dissection Is Declining

WEDNESDAY, April 3 (HealthDay News) -- Over the last 30 years, the incidence of nephrectomy at post-chemotherapy (PC) retroperitoneal lymph node dissection (RPLND) has steadily declined, according to research published in the March issue of The Journal of Urology.

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Most Partners of U.S. Docs Satisfied in Their Relationships

MONDAY, April 1 (HealthDay News) -- Most spouses/partners of U.S. physicians report being satisfied with their relationships, with satisfaction linked to time spent together each day, according to research published in the March issue of the Mayo Clinic Proceedings.

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Physician's Briefing