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September 2009 Briefing - Urology

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

Efficacy of Treatments for Overactive Bladder Examined

WEDNESDAY, Sept. 30 (HealthDay News) -- Sacral nerve stimulation and botulinum toxin are effective treatments for overactive bladder, according to two studies in the October issue of the Journal of Urology.

Abstract - White
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Abstract - Giannantoni
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More Research Finds Limited Benefit From PSA Test

WEDNESDAY, Sept. 30 (HealthDay News) -- Men should be aware of their chances of benefits and harms from prostate-specific antigen (PSA) testing before the test, but many are not discussing screening before making the decision, according to the results of two studies in the Sept. 28 Archives of Internal Medicine.

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Abstract - Hoffman
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Bacterial Infections Are a Factor in Many H1N1 Deaths

WEDNESDAY, Sept. 30 (HealthDay News) -- Many patients who have died of H1N1 influenza this year had a bacterial co-infection that likely contributed to their deaths, according to a Sept. 29 early release of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Bladder Cancer Surgery Delay Linked to Poorer Survival

WEDNESDAY, Sept. 30 (HealthDay News) -- In patients with bladder cancer, less delay between transurethral tumor resection and cystectomy may improve the chances of survival, particularly in those with lower stage disease, according to research published in the October issue of the Journal of Urology.

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Biopsy Protocols Compared for Prostate Cancer Detection

TUESDAY, Sept. 29 (HealthDay News) -- Twelve-core and eight-core biopsies have similar prostate cancer detection rates for initial biopsy, but the additional transition cores provided in 12-core biopsy may be helpful in detecting missed cancers in repeat biopsies, according to a study in the October issue of the Journal of Urology.

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Recurrence of Frank Hematuria Requires Careful Assessment

MONDAY, Sept. 28 (HealthDay News) -- In patients who have an initial episode of frank hematuria without a diagnosis, followed by a later recurrence, thorough evaluation is necessary due to a substantial risk of urological cancer, according to research published in the October issue of the Journal of Urology.

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H1N1 Virus's Genetic Makeup Appears to Be Staying Stable

MONDAY, Sept. 28 (HealthDay News) -- The genetic makeup of the H1N1 flu has remained stable, which means the yet-to-be-released vaccine is likely to be a good match for the virus, the U.S. Centers for Disease Control and Prevention announced at a Sept. 25 media briefing.

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Childhood Nephrotic Syndrome Can Cause Lifelong Ills

FRIDAY, Sept. 25 (HealthDay News) -- Children with minimal-change nephrotic syndrome are at increased risk for osteoporosis, hypertension, sperm abnormalities and cataracts if the condition persists beyond puberty, according to a study published online Sept. 24 in the Clinical Journal of the American Society of Nephrology.

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Study Casts Further Doubt on PSA for Cancer Screening

FRIDAY, Sept. 25 (HealthDay News) -- Based on likelihood ratios, prostate specific antigen (PSA) concentrations at any cutoff value didn't meet the criteria needed for a screening test, according to research published online Sept. 24 in BMJ.

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New Paradigm for Progress in Surgery Proposed

FRIDAY, Sept. 25 (HealthDay News) -- In a series of articles in the Sept. 26 issue of The Lancet, a cohort of surgical-thought leaders proposes a new paradigm for innovation, research, and evidence-based advancement in the field of surgery.

Abstract - Barkun
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Abstract - Ergina
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Abstract - McCulloch
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Alcohol Found to Lessen Risk for Enlarged Prostate

THURSDAY, Sept. 24 (HealthDay News) -- A man's risk of developing benign prostatic hyperplasia (BHP) decreases as his consumption of alcohol increases, but not the risk of lower urinary tract symptoms (LUTS), according to a meta-analysis reported in the October issue of the Journal of Urology.

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Widowhood Affects Sexual Infection Risk in Older Men

WEDNESDAY, Sept. 23 (HealthDay News) -- Older men may have an increased risk of sexually transmitted infections after losing a spouse, especially if they take medications for erectile dysfunction, according to a study published online Sept. 17 in the American Journal of Public Health.

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Review Advises Hand Washing, Other Antiviral Measures

WEDNESDAY, Sept. 23 (HealthDay News) -- Hand washing, wearing a mask, and isolating potential cases are all effective in interrupting the spread of viral respiratory infections and should be given greater attention when planning for widespread outbreaks, according to research published Sept. 22 in BMJ.

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Spotlight on Social Networking Use Among Medical Students

TUESDAY, Sept. 22 (HealthDay News) -- A majority of medical schools report instances of medical students posting unprofessional content on social networking Web sites, including some instances of violations of patient confidentiality, according to a report in the Sept. 23/30 issue of the Journal of the American Medical Association.

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Physician Medical Errors Linked to Fatigue and Burnout

TUESDAY, Sept. 22 (HealthDay News) -- The incidence of medical error is associated with a host of factors related to physician fatigue, burnout, and mental and emotional well-being, according to a study in the Sept. 23/30 issue of the Journal of the American Medical Association.

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Taxes on Sugared Sodas Could Cut Consumption

WEDNESDAY, Sept. 16 (HealthDay News) -- Imposing a tax on sugar-sweetened beverages could reduce consumption and generate income for obesity reduction and healthy eating education interventions, according to an article published online Sept. 16 in the New England Journal of Medicine.

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Hispanic/Latino Community Has Unique Cancer Profile

WEDNESDAY, Sept. 16 (HealthDay News) -- Hispanics and Latinos have a unique cancer profile that means they are less likely to get the four most common cancers, but are more likely to develop cancers related to infection, according to a report published Sept. 15 by the American Cancer Society.

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FDA Approves Four Vaccines for H1N1 Influenza

TUESDAY, Sept. 15 (HealthDay News) -- The U.S. Food and Drug Administration has approved four H1N1 influenza vaccines, according to a Sept. 15 news release issued by the agency.

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Conservative Management in Prostate Cancer Feasible

TUESDAY, Sept. 15 (HealthDay News) -- In older men with localized prostate cancer, conservative management is associated with significantly improved 10-year outcomes compared to earlier eras, according to a study published in the Sept. 16 issue of the Journal of the American Medical Association.

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Drug Interaction E-Alerts Show Benefit to Patient Safety

MONDAY, Sept. 14 (HealthDay News) -- Drug interaction alerts from electronic prescribing likely improve patient safety and reduce costs in outpatient care, despite the fact that over 90 percent of the alerts are overridden by physicians, according to a study in the Sept. 14 issue of Archives of Internal Medicine.

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New Prostate Stem Cell May Be a Source of Cancer

MONDAY, Sept. 14 (HealthDay News) -- A new type of prostate stem cell isolated from adult mice may be a source of prostate cancer, according to a study published online Sept. 9 in Nature.

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Mutated H1N1 Virus Resistant to Antiviral Drug Oseltamivir

FRIDAY, Sept. 11 (HealthDay News) -- The discovery of H1N1 mutations resistant to the neuraminidase inhibitor oseltamivir in two adolescent girls sharing a cabin at a North Carolina camp prompted a new recommendation from the U.S. Centers for Disease Control and Prevention on the proper prophylactic use of antiviral drugs, according to a case report in the Sept. 11 issue of the CDC's Morbidity and Mortality Weekly Report.

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Prostate Cancer Patients Seek Several Information Sources

FRIDAY, Sept. 4 (HealthDay News) -- Between diagnosis of local stage prostate cancer and treatment, men access an average of five information sources, according to a study published in the September issue of Urology.

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Study Supports MRI Use for Renal Lesions in Pregnancy

FRIDAY, Sept. 4 (HealthDay News) -- Magnetic resonance imaging (MRI) is acceptable imaging to be performed in women with renal lesions incidentally detected during routine antenatal ultrasonography, according to a study in the September issue of Urology.

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Diabetes Control Can Increase Men's Testosterone Levels

THURSDAY, Sept. 3 (HealthDay News) -- In men with type 2 diabetes who have erectile dysfunction, better glycemic control may significantly increase serum testosterone levels, according to a study published in the September issue of Urology.

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Findings Support Deferred Prostate Cancer Treatment

THURSDAY, Sept. 3 (HealthDay News) -- Some men with prostate cancer may safely defer treatment for years without a higher risk of metastasis or cancer mortality than those who receive initial treatment, according to research published online Aug. 31 in the Journal of Clinical Oncology.

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Diagnoses, Health Costs Rise in Partners of Cancer Patients

THURSDAY, Sept. 3 (HealthDay News) -- Health care use increases in partners of cancer patients following the cancer diagnosis, according to research published online Aug. 31 in the Journal of Clinical Oncology.

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Body Mass, Weight Gain Linked to Prostate Cancer Risk

WEDNESDAY, Sept. 2 (HealthDay News) -- Men's body mass, as well as weight gain in adulthood, may affect their risk of prostate cancer, according to research published online Sept. 1 in Cancer Epidemiology, Biomarkers & Prevention.

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Academic Medical Centers Active and Diverse in Research

TUESDAY, Sept. 1 (HealthDay News) -- Research at academic medical centers is active and diverse, with nearly a quarter of life-science researchers receiving no funding, and relationships with industry more commonly seen among translational and clinical researchers than basic science researchers, according to a study in the Sept. 2 issue of the Journal of the American Medical Association.

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Prostate-Specific Antigen Test May Increase Overdiagnosis

TUESDAY, Sept. 1 (HealthDay News) -- Since the prostate-specific antigen (PSA) test was introduced, many men have been overdiagnosed with prostate cancer, according to a study published online Aug. 31 in the Journal of the National Cancer Institute.

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