Here are what the editors at HealthDay consider to be the most important developments in Urology for September 2011. 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.
Doctors, Patients Identify Tacit Clues in Their Interactions
FRIDAY, Sept. 30 (HealthDay News) -- Both doctors and patients identify tacit clues as well as judgments based on these clues during video elicitation interviews of health maintenance examinations, according to a study published in the October issue of the Journal of Evaluation in Clinical Practice.
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Increasing Dose of Saw Palmetto No Better Than Placebo in BPH
WEDNESDAY, Sept. 28 (HealthDay News) -- Saw palmetto fruit extract (Serenoa repens) at doses up to three times the standard daily dose has no greater effect than placebo on lower urinary tract symptoms (LUTS) attributable to benign prostatic hyperplasia (BPH), according to a study published the Sept. 28 issue of the Journal of the American Medical Association.
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Prostatic Intraepithelial Neoplasia IDs Lethal Cancer
WEDNESDAY, Sept. 28 (HealthDay News) -- Prostatic intraepithelial neoplasia (PIN) is prognostic of lethal prostate cancer (PCa), according to a study published online Sept. 27 in Cancer Epidemiology, Biomarkers & Prevention.
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U.S. Docs Feel They Give More Patient Care Than Required
TUESDAY, Sept. 27 (HealthDay News) -- Many primary care physicians in the United States believe that their patients are receiving too much medical care, and that the pressure to do more than is necessary could be reduced by malpractice reform, adjusting financial incentives, and spending more time with patients, according to a study published in the Sept. 26 issue of the Archives of Internal Medicine.
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Reasons for Referral to Specific Docs Differ Among Physicians
TUESDAY, Sept. 27 (HealthDay News) -- Primary care physicians (PCPs) and medical and surgical specialists differ in their reasons for selecting specific colleagues for referrals, with PCPs more concerned about physician communication and medical record sharing than specialists, according to a study published online Sept. 16 in the Journal of General Internal Medicine.
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Cardiovascular Death Risk Increased for Childless Men
MONDAY, Sept. 26 (HealthDay News) -- Married childless men have an increased risk of death from cardiovascular disease developing after age 50 compared with men who have two or more offspring, according to a study published online Sept. 26 in Human Reproduction.
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Distinct Prognosis for Gleason Scores 4 + 3 and 3 + 4
MONDAY, Sept. 26 (HealthDay News) -- A Gleason score of 4 + 3 = 7 is correlated with pathological stage and increased risk of biochemical recurrence after radical prostatectomy (RP), according to a study published in the October issue of The Journal of Urology.
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Hospitalization, Complication Risk Up After Prostate Biopsy
FRIDAY, Sept. 23 (HealthDay News) -- Men who undergo prostate biopsy have nearly double the risk of hospitalization within 30 days versus those who do not, and the rate of infectious complications after prostate biopsy has increased in recent years, according to a study published online Sept. 23 in The Journal of Urology.
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Serum Amino Acids Are Potential Biomarkers for Renal Cell Cancer
FRIDAY, Sept. 23 (HealthDay News) -- The levels of certain serum amino acids are significantly different in patients with renal cell carcinoma and show potential as biomarkers with predictive value for tumor recurrence and overall survival, according to a study published in the October issue of The Journal of Urology.
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Mortality Up in Hospitals With More Minority Trauma Patients
WEDNESDAY, Sept. 21 (HealthDay News) -- The odds of in-hospital mortality for trauma patients are associated with the proportion of minority patients in the hospital, according to a study published online Sept. 19 in the Archives of Surgery.
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Model Predicts Erectile Function After Prostate Cancer Therapy
TUESDAY, Sept. 20 (HealthDay News) -- Erectile function two years after prostate cancer treatment can be predicted based on patient and treatment characteristics, according to a study published in the Sept. 21 issue of the Journal of the American Medical Association.
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Tasquinimod Ups Castration-Resistant Prostate CA Survival
TUESDAY, Sept. 20 (HealthDay News) -- In men with castration-resistant prostate cancer (CRPC), treatment with tasquinimod (TASQ) significantly delays disease progression and improves progression-free survival (PFS) with an acceptable adverse event (AE) profile, according to a study published online Sept. 19 in the Journal of Clinical Oncology.
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Work Intensity Similar Across Physician Specialties
MONDAY, Sept. 19 (HealthDay News) -- The level of physician work intensity appears to be similar among specialties, with variations in the specific dimensions of stress, physical demands, performance, and temporal demand, according to a study published online Sept. 3 in Medical Care.
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Racial Disparities in Radical Prostatectomy Decreasing
MONDAY, Sept. 19 (HealthDay News) -- The racial disparity in the utilization rates of minimally invasive radical prostatectomy (MIRP) in the United States is decreasing, according to a study published online Sept. 6 in Cancer.
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Fluoroquinolones Up Risk of Post-Biopsy Acute Prostatitis
FRIDAY, Sept. 16 (HealthDay News) -- In patients who undergo transrectal prostate biopsy, prior use of fluoroquinolones is the most significant risk factor for developing post-procedure acute prostatitis, according to a study published in the September issue of Urology.
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Long-Term Nonaspirin NSAID Use Ups Renal Cell Cancer Risk
WEDNESDAY, Sept. 14 (HealthDay News) -- Use of nonaspirin nonsteroidal anti-inflammatory drugs (NSAIDs), but not aspirin and acetaminophen, is associated with an increased risk of renal cell cancer (RCC), with increased duration of use correlated with an elevated risk, according to a study published in the Sept. 12 issue of the Archives of Internal Medicine.
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Many Mistakenly Believe FDA OKs Only Safe, Effective Drugs
WEDNESDAY, Sept. 14 (HealthDay News) -- A considerable proportion of the U.S. public mistakenly believes that the U.S. Food and Drug Administration approves only effective and safe drugs, but providing consumer explanations can lead to better drug choices, according to a study published in the Sept. 12 issue of the Archives of Internal Medicine.
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Erectile Dysfunction Ups Risk of Cardiovascular Disease
WEDNESDAY, Sept. 14 (HealthDay News) -- Erectile dysfunction (ED) significantly increases the risk of cardiovascular disease (CVD), coronary heart disease, stroke, and all-cause mortality, according to a meta-analysis published in the Sept. 20 issue of the Journal of the American College of Cardiology.
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Fatherhood Decreases Waking, Evening Testosterone Levels
TUESDAY, Sept. 13 (HealthDay News) -- Baseline waking testosterone levels are high in men who are likely to become partnered fathers, and both waking and evening testosterone levels decline significantly after men become fathers, according to a study published online Sept. 12 in the Proceedings of the National Academy of Sciences.
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Ureteral Access Sheaths Safe in Urothelial Carcinoma
MONDAY, Sept. 12 (HealthDay News) -- Ureteral access sheaths (UASs) are safe for use in the diagnosis and treatment of upper tract urothelial carcinoma (UTUC), facilitate acquisition of multiple biopsy specimens adequate for histopathologic evaluation, and minimize the need for repeat diagnostic procedures, according to a study published in the September issue of Urology.
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Comparative Efficacy Proposed for European Drug Approval
WEDNESDAY, Sept. 7 (HealthDay News) -- New drugs should be compared with existing treatments instead of placebo before their approval in Europe, according to a report published online Sept. 6 in the BMJ.
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Many Hospital Staff Uniforms Contaminated With Bacteria
WEDNESDAY, Sept. 7 (HealthDay News) -- More than 60 percent of hospital staff uniforms are contaminated with potentially pathogenic bacteria, including drug-resistant species, according to a study published in the September issue of the American Journal of Infection Control.
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Odds of Board Certification Vary in New Doctors
WEDNESDAY, Sept. 7 (HealthDay News) -- Certification of recent U.S. medical school graduates by the American Board of Medical Specialties (ABMS) varies across specialties by educational and demographic factors, according to a study published in the Sept. 7 medical education-themed issue of the Journal of the American Medical Association.
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Medical Students Show Racial, Cultural Patient Preference
WEDNESDAY, Sept. 7 (HealthDay News) -- Medical students may have a preferential bias toward whites and wealthier patients, but this does not appear to influence their clinical decision making or physician-patient interactions, according to a study published in the Sept. 7 medical education-themed issue of the Journal of the American Medical Association.
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More Urinary Urgency, Frequency in Women Smokers
FRIDAY, Sept. 2 (HealthDay News) -- Smoking is associated with increased urinary urgency and frequency, but not with nocturia and stress urinary incontinence (SUI) in women, according to a study published in the September issue of Obstetrics & Gynecology.
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Fewer Male Infants Being Circumcised in U.S. Hospitals
THURSDAY, Sept. 1 (HealthDay News) -- The practice of circumcising newborn males in U.S. hospitals, which increased from the late 1980s to about 2000, appears to be on the wane, according to a report published in the Sept. 2 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.
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