December 2009 Briefing - Urology

Here are what the editors at HealthDay consider to be the most important developments in Urology for December 2009. 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.

Precautions and Training Can Reduce Scalpel Injuries

THURSDAY, Dec. 31 (HealthDay News) -- Although less common than needle-stick injuries, cuts from scalpels also put operating room personnel at risk and can be reduced by closely following safety precautions and taking advantage of new technology, according to a study in the December issue of the AORN Journal.

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Prostate-Specific Antigen Velocity Usefulness Examined

WEDNESDAY, Dec. 30 (HealthDay News) -- Prostate-specific antigen velocity (PSAV) may be useful in identifying men with clinically significant prostate cancer, according to research published in the January issue of The Journal of Urology.

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Gadolinium-Based Contrast Agents Possibly Dangerous

WEDNESDAY, Dec. 30 (HealthDay News) -- In patients with renal function impairment, the use of gadolinium-based contrast agents is risky because it can lead to the development of nephrogenic systemic fibrosis, according to a study in the January issue of The Journal of Urology.

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Prostate-Specific Antigen Lower Among Statin Users

TUESDAY, Dec. 29 (HealthDay News) -- In men preparing to undergo radical prostatectomy for cancer, those using statins have lower prostate-specific antigen (PSA), according to research published in the January issue of The Journal of Urology.

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Review Discusses Anti-HIV Benefits of Male Circumcision

MONDAY, Dec. 28 (HealthDay News) -- Findings from three randomized trials in Africa lend support to the use of adult male circumcision to reduce the incidence of HIV, according to a review published in the January issue of The Journal of Urology.

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Bias in Detecting Bladder Cancer Recurrence Assessed

MONDAY, Dec. 28 (HealthDay News) -- Patients with bladder cancer and a positive urine test result are more likely to have a recurrence detected by cystoscopy if the urologist is aware of the positive result, according to a study in the January issue of The Journal of Urology.

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Longer Maternity Leave Found Beneficial for Working Mothers

FRIDAY, Dec. 25 (HealthDay News) -- Female urologists who take nine weeks or more of maternity leave are more likely to report satisfaction with leave arrangements than their counterparts who take less time off; however, they often take a shorter postnatal break due to financial and peer-group pressures, according to a study in the January issue of The Journal of Urology.

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Uric Acid Concentrations May Affect Pregnancy Outcomes

WEDNESDAY, Dec. 23 (HealthDay News) -- In normotensive pregnant women, high uric acid concentrations in mid-pregnancy are associated with insulin resistance and lower birth weights, according to a study in the December issue of the American Journal of Obstetrics & Gynecology.

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Cycling Not Linked to Effect on Prostate-Specific Antigen

WEDNESDAY, Dec. 23 (HealthDay News) -- Bicycle riding at a professional level doesn't influence serum levels of total and free prostate-specific antigen (PSA), according to research published in the December issue of Urology.

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Thromboembolism Uncommon After Sling Surgery in Women

TUESDAY, Dec. 22 (HealthDay News) -- The rate of thromboembolism following an isolated sling procedure for stress urinary incontinence in women is low, but the rate is higher when prolapse repair is also performed, according to research published in the December issue of Urology.

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Medical Expulsive Therapy Uncommon in Stone Disease

MONDAY, Dec. 21 (HealthDay News) -- Though the use of medical expulsive therapy (MET) increased for urinary stones in a recent period, it remained a seldom-used treatment, according to research published in the December issue of Urology.

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Animals and Food May Be a Reservoir for E. coli

THURSDAY, Dec. 17 (HealthDay News) -- Animals and food may be a reservoir for pathogenic Escherichia coli bacteria, according to two studies in the January issue of Emerging Infectious Diseases.

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Glucose Marker Helps Measure Prostate Surgery Fluid Uptake

WEDNESDAY, Dec. 16 (HealthDay News) -- Adding glucose to an electrolyte-containing irrigation fluid helps detect absorption in bipolar transurethral resection of the prostate, according to a study in the December issue of Anesthesia & Analgesia.

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Spinal Surgeries May Improve Back Pain and Sexual Function

FRIDAY, Dec. 11 (HealthDay News) -- Total disc replacement and posterior fusion both lead to improvements in not only lower back pain but also sexual function, according to a study in the December issue of The Spine Journal.

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No Strong Ties Found Between Body Mass Index, PSA Level

FRIDAY, Dec. 11 (HealthDay News) -- A man's body mass index (BMI) does not appear significantly associated with his level of prostate specific antigen (PSA), and need not be considered in evaluating PSA tests for the possibility of prostate cancer, according to a study in the December issue of The Journal of Urology.

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Urinary Symptoms Tied to Psychiatric Issues in Women

FRIDAY, Dec. 11 (HealthDay News) -- Female veterans who have lower urinary tract symptoms (LUTS) have high rates of psychiatric comorbidity and history of sexual trauma compared to women in the general population, according to a study in the December issue of The Journal of Urology.

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Prostate Cancer Detection Via Biopsy Varies by Operator

FRIDAY, Dec. 11 (HealthDay News) -- The detection rate for prostate cancer by transrectal ultrasound guided prostate biopsies varies by operator performing the procedure, but it is not clear what factors lead to the difference, according to a study in the December issue of The Journal of Urology.

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Patients Often Lack Knowledge of Their Own Medications

THURSDAY, Dec. 10 (HealthDay News) -- Patients routinely under-report, or even over-report, their outpatient and inpatient medications, and should be included in hospital medication management to improve safety, according to a study published online Dec. 10 in the Journal of Hospital Medicine.

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Daytime Incontinence Linked to Nighttime Bedwetting

WEDNESDAY, Dec. 9 (HealthDay News) -- Children are at increased risk of nocturnal incontinence if they also experience encopresis or daytime incontinence, according to a study published in the December issue of The Journal of Urology.

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Quality Varies on Internet Urological Cancer Information

WEDNESDAY, Dec. 9 (HealthDay News) -- The quality of Web sites providing information about urological cancers may have improved in recent years, but many sites offer reason for concern, according to research published in the November issue of Urology.

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Celecoxib Benefits Not Seen in Acute Renal Colic Patients

WEDNESDAY, Dec. 9 (HealthDay News) -- In patients with ureteral stones and acute renal colic, the use of celecoxib was not associated with time until stone passage or decreased pain, according to research published in the November issue of Urology.

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Study Finds Vasectomy Use Differs Between Races

TUESDAY, Dec. 8 (HealthDay News) African-American and Hispanic men appear less likely to undergo vasectomy than Caucasian men, according to research published in the November issue of Urology.

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Medroxyprogesterone Found Helpful in Prostate Cancer

TUESDAY, Dec. 8 (HealthDay News) -- In men receiving hormone therapy for prostate cancer, medroxyprogesterone should become the new standard treatment for preventing hot flushes, according to a study published online Dec. 7 in The Lancet Oncology.

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Research Finds Exercise Helps Men With Prostate Cancer

FRIDAY, Dec. 4 (HealthDay News) -- An exercise program improves muscle mass and strength, function, and well-being in men with prostate cancer undergoing androgen suppression treatment, according to a study published online Nov. 30 in the Journal of Clinical Oncology. In another study published at the same time in the same journal, researchers identify risk factors for impaired fertility in male survivors of childhood cancers.

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Insect Repellent Associated With Hypospadias Risk

FRIDAY, Dec. 4 (HealthDay News) -- The use of insect repellent during the first trimester of pregnancy may be associated with a higher risk of hypospadias in infants, according to research published online Dec. 1 in Occupational and Environmental Medicine.

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Women Researchers Lag Behind Men in Grant Awards

TUESDAY, Dec. 1 (HealthDay News) -- Female physicians with a proven interest in research are less likely to receive prestigious research grants from the National Institutes of Health (NIH) than are male physicians, according to a study in the Dec. 1 issue of the Annals of Internal Medicine.

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