AVERAGE WAIT

Wait times are an average and provided for informational purposes only. What does this mean?

October 2012 Briefing - Urology

October 2012 Briefing - Urology

Here are what the editors at HealthDay consider to be the most important developments in Urology for October 2012. 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.

Interstitial Cystitis Pain Linked to SNP in Sodium Channel

TUESDAY, Oct. 30 (HealthDay News) -- For a subset of patients with interstitial cystitis/bladder pain syndrome (IC/BPS), pain perception may be influenced by the presence of a nonsynonymous single nucleotide polymorphism (SNP) in the SCN9A voltage-gated sodium channel, according to a study published online Oct. 25 in Urology.

Abstract (http://www.goldjournal.net/article/S0090-4295(12)00978-8/abstract )Full Text (subscription or payment may be required) (http://www.goldjournal.net/article/S0090-4295(12)00978-8/fulltext )

U.S. Medicare Spending on Elderly Has Outpaced Canada's

TUESDAY, Oct. 30 (HealthDay News) -- U.S. Medicare spending on the elderly has grown nearly three times faster than its Canadian counterpart, according to a study published online Oct. 29 in the Archives of Internal Medicine.

Full Text (subscription or payment may be required) (http://archinte.jamanetwork.com/article.aspx?articleid=1387588 )

High Reliability for Hypersexual Disorder Diagnostic Criteria

FRIDAY, Oct. 26 (HealthDay News) -- Proposed criteria for hypersexual disorder (HD) show high reliability and validity, according to results of a field trial conducted by the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) Work Group on Sexual and Gender Identity Disorders, published online Oct. 4 in The Journal of Sexual Medicine.

Abstract (http://onlinelibrary.wiley.com/doi/10.1111/j.1743-6109.2012.02936.x/abstract )Full Text (subscription or payment may be required) (http://onlinelibrary.wiley.com/doi/10.1111/j.1743-6109.2012.02936.x/full )

Prevalence, Risks for Sexual Dysfunction Vary by Veteran Age

FRIDAY, Oct. 26 (HealthDay News) -- For Iraq/Afghanistan veterans, the prevalence and risk factors for sexual dysfunction (SD) vary with age, according to a study published online Oct. 22 in The Journal of Sexual Medicine.

Abstract (http://onlinelibrary.wiley.com/doi/10.1111/j.1743-6109.2012.02978.x/abstract )Full Text (subscription or payment may be required) (http://onlinelibrary.wiley.com/doi/10.1111/j.1743-6109.2012.02978.x/full )

Laser + Bipolar Resection Helpful for Large Prostates

THURSDAY, Oct. 25 (HealthDay News) -- Bipolar transurethral resection of the prostate (TURP) in combination with high-intensity diode laser (DL + b-TURP) is feasible for treatment of benign prostatic hyperplasia (BPH) in large prostates, according to research published in the November issue of Lasers in Surgery and Medicine.

Abstract (http://onlinelibrary.wiley.com/doi/10.1002/lsm.22081/abstract )Full Text (subscription or payment may be required) (http://onlinelibrary.wiley.com/doi/10.1002/lsm.22081/full )

Outpatient Urological Services Costs Up When Done in a Hospital

THURSDAY, Oct. 25 (HealthDay News) -- Outpatient urological procedures are performed at lower cost in ambulatory surgery centers and physician offices compared to hospitals, according to a study published online Oct. 24 in The Journal of Urology.

Abstract (http://www.jurology.com/article/S0022-5347(12)04488-6/abstract )Full Text (subscription or payment may be required) (http://www.jurology.com/article/S0022-5347(12)04488-6/fulltext )

Signaling in Prostate Tumors Indicates Responsiveness

TUESDAY, Oct. 23 (HealthDay News) -- A test of the androgen responsiveness of circulating tumor cells in men with metastatic prostate cancer before and after androgen-deprivation therapy may help determine the best subsequent treatment, according to a study published online Oct. 23 in Cancer Discovery.

Abstract (http://cancerdiscovery.aacrjournals.org/content/early/2012/10/17/2159-8290.CD-12-0222.abstract )Full Text (subscription or payment may be required) (http://cancerdiscovery.aacrjournals.org/content/early/2012/10/17/2159-8290.CD-12-0222.full.pdf+html )Editorial (subscription or payment may be required) (http://cancerdiscovery.aacrjournals.org/content/early/2012/10/17/2159-8290.CD-12-0432.abstract )

Genuine Very Large Effects in Trials Rare in Medicine

TUESDAY, Oct. 23 (HealthDay News) -- Large treatment effects are most likely to be found in small studies, with the effect diminishing with additional trials, according to research published in the Oct. 24 issue of the Journal of the American Medical Association.

Abstract (http://jama.jamanetwork.com/article.aspx?articleid=1386610#Abstract )Full Text (subscription or payment may be required) (http://jama.jamanetwork.com/article.aspx?articleid=1386610 )Editorial (subscription or payment may be required) (http://jama.jamanetwork.com/article.aspx?articleid=1386596 )

Metabolic Factors Impact Risk of Death From Prostate Cancer

MONDAY, Oct. 22 (HealthDay News) -- Metabolic factors are not associated with the risk of prostate cancer, but high levels are associated with increased risk of death from prostate cancer, according to research published online Oct. 22 in Cancer.

Abstract (http://onlinelibrary.wiley.com/doi/10.1002/cncr.27677/abstract )Full Text (subscription or payment may be required) (http://onlinelibrary.wiley.com/doi/10.1002/cncr.27677/full )

Sling Offers Lasting Benefit for Stress Urinary Incontinence

MONDAY, Oct. 22 (HealthDay News) -- Stress urinary incontinence treatment with a distal urethral polypropylene sling procedure is associated with excellent long-term efficacy and durability, according to research published in the November issue of The Journal of Urology.

Abstract (http://www.jurology.com/article/S0022-5347(12)04212-7/abstract )Full Text (http://www.jurology.com/article/S0022-5347(12)04212-7/fulltext )

Return to Work Difficult for Doctors on Sick Leave

THURSDAY, Oct. 18 (HealthDay News) -- Returning to work after a prolonged sick leave for physical or mental health problems, or drug or alcohol problems, is difficult for doctors, who describe self-stigmatization and fear a negative response on their return to work, according to a study published online Oct. 15 in BMJ Open.

Abstract (http://bmjopen.bmj.com/content/2/5/e001776.abstract )Full Text (subscription or payment may be required) (http://bmjopen.bmj.com/content/2/5/e001776.full )

Fathers Independently Influence Teen Sexual Behavior

MONDAY, Oct. 15 (HealthDay News) -- In addition to mothers, fathers also have an independent influence on adolescent sexual behavior, according to research published online Oct. 15 in Pediatrics.

Abstract (http://pediatrics.aappublications.org/content/early/2012/10/10/peds.2011-2066.abstract )Full Text (subscription or payment may be required) (http://pediatrics.aappublications.org/content/early/2012/10/10/peds.2011-2066.full.pdf+html )

Prognosis After Cystectomy Not Affected by Smoking

MONDAY, Oct. 15 (HealthDay News) -- Despite the link between cigarette smoking and the development of bladder cancer, the prognosis of people with bladder cancer after undergoing a cystectomy is not affected by cigarette smoking, according to research published online Oct. 8 in Urology.

Abstract (http://www.goldjournal.net/article/S0090-4295(12)00941-7/abstract )Full Text (subscription or payment may be required) (http://www.goldjournal.net/article/S0090-4295(12)00941-7/fulltext )

Fluoro-Less Ureteral Stent Placement Deemed Feasible

MONDAY, Oct. 15 (HealthDay News) -- The placement of ureteral stents following uncomplicated ureteroscopic stone removal, without fluoroscopy for image guidance, is feasible and has comparable accuracy and complication rates to that of conventional ureteral stent placement with fluoroscopy, according to research published online in the October issue of Urology.

Abstract (http://www.goldjournal.net/article/S0090-4295(12)00707-8/abstract )Full Text (subscription or payment may be required) (http://www.goldjournal.net/article/S0090-4295(12)00707-8/fulltext )

Tadalafil Effective, Safe in Complete Erectile Dysfunction

FRIDAY, Oct. 12 (HealthDay News) -- In men with complete erectile dysfunction (ED), tadalafil 2.5 and 5 mg once-daily result an in intercourse success rate of 32.4 and 46.4 percent, respectively, according to research published online Oct. 4 in The Journal of Sexual Medicine.

Abstract (http://onlinelibrary.wiley.com/doi/10.1111/j.1743-6109.2012.02898.x/abstract )Full Text (subscription or payment may be required) (http://onlinelibrary.wiley.com/doi/10.1111/j.1743-6109.2012.02898.x/full )

Social Media Influences Youth Sexual Behavior in Short Term

THURSDAY, Oct. 11 (HealthDay News) -- Social media can be an efficacious vehicle for delivering messages regarding the prevention of sexually transmitted infections (STIs), according to a study published online Oct. 9 in the American Journal of Preventive Medicine.

Full Text (http://www.ajpmonline.org/webfiles/images/journals/amepre/AMEPRE_3533[3]-stamped.pdf )Editorial (http://www.ajpmonline.org/webfiles/images/journals/amepre/AMEPRE_3559-stamped.pdf )

Gene Signatures Predict Outcome in Prostate Cancer

TUESDAY, Oct. 9 (HealthDay News) -- Gene expression signatures can identify men with low- or high-risk advanced prostate cancer, according to two studies published online Oct. 9 in The Lancet Oncology.

Abstract - Ross (http://www.thelancet.com/journals/lanonc/article/PIIS1470-2045%2812%2970263-2/abstract )Full Text (subscription or payment may be required) (http://www.thelancet.com/journals/lanonc/article/PIIS1470-2045%2812%2970263-2/fulltext )Abstract - Olmos (http://www.thelancet.com/journals/lanonc/article/PIIS1470-2045%2812%2970372-8/abstract )Full Text (subscription or payment may be required) (http://www.thelancet.com/journals/lanonc/article/PIIS1470-2045%2812%2970372-8/fulltext )Editorial (subscription or payment may be required) (http://www.thelancet.com/journals/lanonc/article/PIIS1470-2045%2812%2970398-4/fulltext )

Anal Cancer Increase Linked to HIV Infection Only in Men

FRIDAY, Oct. 5 (HealthDay News) -- The rising incidence of anal cancer since 1980 in the United States is strongly impacted by HIV infection in men but not women, according to a study published online Oct. 5 in the Journal of the National Cancer Institute.

Abstract (http://jnci.oxfordjournals.org/content/early/2012/10/03/jnci.djs371.abstract )Full Text (subscription or payment may be required) (http://jnci.oxfordjournals.org/content/early/2012/10/03/jnci.djs371.full )

Limiting the Problem of Missing Data Urged for Clinical Trials

WEDNESDAY, Oct. 3 (HealthDay News) -- Missing data compromise inferences from clinical trials, and due to the problematic nature of compensation with analysis methods, the importance of avoiding missing data in clinical trials is paramount, according to a special report published in the Oct. 4 issue of the New England Journal of Medicine.

Full Text (subscription or payment may be required) (http://www.nejm.org/doi/full/10.1056/NEJMsr1203730 )

Observation Units Could Save $3.1 Billion Nationally Per Year

TUESDAY, Oct. 2 (HealthDay News) -- The addition of observation units to U.S. hospitals which do not currently have them in place could save $3.1 billion nationally per year in health care costs, according to a study published online Sept. 26 in Health Affairs.

Abstract (http://content.healthaffairs.org/content/early/2012/09/20/hlthaff.2011.0926 )Full Text (http://content.healthaffairs.org/content/early/2012/09/20/hlthaff.2011.0926.full )

Patients Benefit From Access to Physician Notes

MONDAY, Oct. 1 (HealthDay News) -- Patients report clinically relevant benefits and minimal concerns, while doctors do not experience negative consequences, from allowing patient access to visit notes, according to a study published in the Oct. 1 issue of the Annals of Internal Medicine.

Abstract (http://annals.org/article.aspx?articleid=1363511#Abstract )Full Text (http://annals.org/article.aspx?articleid=1363511 )Editorial (http://annals.org/article.aspx?articleid=1363515 )

Endorectal MRI Can Aid With Prostate Cancer Treatment Plan

MONDAY, Oct. 1 (HealthDay News) -- Endorectal magnetic resonance imaging (MRI) can help to predict upgrading on confirmatory biopsy and to identify which prostate cancer patients may benefit from active surveillance, according to a study published online Sept. 26 in The Journal of Urology.

Abstract (http://www.jurology.com/article/S0022-5347(12)04203-6/abstract )Full Text (subscription or payment may be required) (http://www.jurology.com/article/PIIS0022534712042036/fulltext )Editorial (subscription or payment may be required) (http://www.jurology.com/article/S0022-5347(12)04520-X/fulltext )