Specialty groups make health reform pitch July 01, 2017By Bob GattyAs the Republican-led Congress wrestles with the daunting challenge of developing comprehensive health care legislation to replace the Affordable Care Act, specialty organizations—including those representing urology—are working to influence the ultimate outcome.
In this issue
Pre-RP MRI does not affect surgical outcomesResults of a retrospective case-cohort study show no significant differences in surgical outcomes among men who did and did not have preoperative magnetic resonance imaging of the prostate prior to radical prostatectomy for prostate cancer. Study: Surgery less common for blunt renal trauma June 22, 2017By Randy DotingaA new study suggests that surgical care for renal trauma cases is evolving in two different directions: Endovascular procedures have become more common for blunt trauma, supplanting nephrectomy and laceration repair. Bx-related complications influence decision-making June 22, 2017By Wayne KuznarMen who experience a prostate biopsy-related complication are more likely to seek active treatment for clinically localized prostate cancer than those who do not experience a complication, according to findings from a review of the Surveillance, Epidemiology, and End Results Medicare linked database. Are anticholinergic drugs overused in treating OAB? June 23, 2017By Karen NashUrology Times reached out to three urologists (selected randomly) and asked them each the following: Are anticholinergic drugs overused in treating OAB? Uro Pipeline: Phase IIb study begins for intraprostatic localized PCa drug June 27, 2017By Ben SchwartzOther pipeline developments include a new company formed to develop OAB treatments, a phase III urothelial cancer study meeting its primary endpoint, the formation of a partnership to study RCC treatment, and more. How to create a more balanced portfolioAs some assets appreciate in value and others lose value, your portfolio’s allocation changes. Rebalancing is the remedy for asset drift and an important part of maintaining a healthy investment portfolio. Trauma/Reconstruction: 92% success rate for robotic ureteroplasty
June 28, 2017Other key studies in trauma/reconstruction from AUA 2017 evaluated transcorporal artificial urinary sphincter placement using local tunica albuginea flaps and a model for predicting the risk of urethral stricture recurrence after anterior urethroplasty.
Endourology/Stones: Care utilization for stones growing rapidly in older adults
June 28, 2017The safety and viability of outpatient percutaneous nephrolithotomy and predictors of success after shock wave lithotripsy were among the research highlights in endourology/stones at the AUA annual meeting.
Higher reclassification rate seen with saturation biopsy July 01, 2017By Wayne KuznarTransrectal saturation biopsy resulted in higher rates of disease reclassification compared with magnetic resonance (MR) fusion biopsy plus extended sextant prostate biopsy in patients with low-risk prostate cancer on active surveillance. Prostate Cancer: Studies suggest strategies for marker, mpMRI use
June 29, 2017Findings from the ProtecT trial, the European Randomized study of Screening for Prostate Cancer, and PIVOT were among the other noteworthy studies in prostate cancer presented at the AUA annual meeting.
A promising target for immunotherapy?
June 29, 2017Among the AUA annual meeting take-home messages in basic science is that the immune co-stimulatory molecule B7-H4 is highly expressed in the luminal subtype of bladder urothelial carcinoma and is associated with poor survival.
Prostate Ca immunotherapy induces T-cell responseA study aimed at further elucidating the mechanism of action of sipuleucel-T (Provenge) in advanced prostate cancer provides fairly convincing evidence that the immunotherapy agent induces T-cell responses in humans, says Charles G. Drake, MD, PhD.
Factors in prostate Ca decision-making vary by racePatients newly diagnosed with prostate cancer show race-related differences in what men perceive as important factors in their treatment decision-making process.
BPH/LUTS: OTC alpha-blocker use feasible
July 06, 2017Studies of bipolar plasma vaporization of the prostate and thulium vapoenucleation were among the other noteworthy research in BPH/LUTS presented at the AUA annual meeting in Boston.
Penile/Urethral Ca: Low adherence to lymph staging guidelines seen
July 06, 2017Other take-home messages in penile/urethral cancer included discussion of proposed 2018 AJCC penile cancer guidelines as well as the finding that in women with primary urethral cancer, adenocarcinoma was the most common pathology.
Robotic vs. open cystectomy: How PFS, OS compare
July 10, 2017Evaluation of upper tract surveillance for high-grade, nonmuscle-invasive bladder cancer and evidence suggesting that androgen receptor activity may be related to recurrence and treatment of bladder cancer were among the take-home messages in this area from AUA 2017.
Chemo instillation reduces bladder Ca recurrence July 10, 2017By Lisette HiltonFor suspected low-grade, newly diagnosed, or occasionally recurrent bladder cancer, a single post-transurethral resection of bladder tumor instillation of gemcitabine (Gemzar) reduces bladder cancer recurrence by 47%, according to a recent study.
AUA president: In uncertain times, urologists must unifyIn this interview, newly elected AUA President J. Brantley Thrasher, MD, discusses the organization’s expanded efforts in advocacy, research, and education.
Pediatrics: Less than half of undervirilized males receive molecular Dx
July 10, 2017The finding that the glans is a significant variable in hypospadias complications and an evaluation of external pelvic fixation alone without osteotomy at time of newborn bladder exstrophy closure were among the noteworthy studies in pediatric urology at AUA 2017.
Quality Improvement: Tool identifies drivers of 30-day readmission after RP
July 10, 2017The AUA 2017 Quality Improvement and Patient Safety take-home messages also highlighted a QI project that led to reductions in catheter trauma rates and a QI program for robot-assisted radical prostatectomy that uses video clips.
Larger PSA screening decline observed with patients in ACOs
July 12, 2017A comparison of four methods for evaluating microhematuria and an evaluation of a value-based care pathway for men undergoing surgery for BPH were among other noteworthy AUA 2017 in the area of outcomes.
Imaging: MRI/fusion Bx improves risk stratification
July 12, 2017A prospective evaluation of cancer detection rates with PI-RADS and the finding that use of micro-computed tomography enabled rapid phenotyping of GU anomalies in adult and embryonic mice were among other key imaging studies from the AUA annual meeting.
Sexual Dysfunction: Non-standard shift work predicts low T
July 12, 2017Other AUA 2017 take-home messages in sexual dysfunction included a study indicating that obstructive sleep apnea correlated with increased venous leak as well as a finding that wounded veterans from Iraq and Afghanistan with genitourinary injuries had higher injury severity scores and were more likely to have urinary and sexual dysfunction than those without GU injuries.
How postpartum depression can affect new fathersMaternal postpartum depression (PPD) is a widely studied and discussed phenomenon, whereas much less is known about the concept of paternal PPD. Nonetheless, recent studies have indicated that depression in new fathers is a significant public health concern.
Female Urology: How dynamic MRI compares with physical exam for evaluating POP
July 13, 2017A study that found that age was more strongly associated with selection of colpocleisis than frailty and a comparison of two common wide pore polypropylene Y meshes were among the noteworthy female urology/incontinence research at the AUA annual meeting in Boston.
Pre-Bx rectal swab use reduces costs, lowers number of infections
July 13, 2017Other infection/inflammation take-home messages from the AUA annual meeting include a study of predictors of fluoroquinolone resistance in the rectal vault of men undergoing prostate biopsy and a study of 1,310 patients evaluated over 16 years for CP/CPPS.
Better robotic RP skills linked to better results
July 14, 2017A quasi-randomized trial of open versus robotic radical prostatectomy and an evaluation of robotic inferior vena cava thrombectomy were among other key minimally invasive surgery studies at the AUA annual meeting in Boston.
How kidney Ca management strategies compare
July 14, 2017An updated guideline on localized kidney cancer as well as a look at active surveillance as initial management for renal masses
Men’s health issues often extend beyond the physical"Urology providers and caregivers can serve as the primary venue for positively impacting both the psychological and physical components of men’s health as men trust us with their most intimate and personal issues of life," writes SUNA President Gwendolyn Hooper, PhD, APRN.
Infertility/Andrology: Statins linked to decreased ejaculate volume
July 14, 2017A study documenting that male paternal age is increasing across the U.S. and a finding that men with Sertoli cell-only syndrome have increased damage to seminiferous tubules with aging are among the take-homes in infertility/andrology at the AUA annual meeting in Boston.
Most non-directed kidney donors in upper end of economic spectrum
July 14, 2017A report on the Global Kidney Exchange and the finding that robot-assisted reconstruction of the transplant ureter is feasible were among the noteworthy research in transplantation at the AUA annual meeting in Boston.
Informed consent: A medicolegal guide for urologistsInformed consent in medicine generally refers to one of two things: the process by which a provider obtains consent through discussion of risks, benefits, and alternatives with patients, and the actual form that is signed by the physician and the patient. Both are critical pieces to any medical malpractice litigation where a claim for lack of informed consent has been pled.
Test could help detect bladder cancer recurrence July 21, 2017By Lisette HiltonAn easy-to-administer urine test looking for telomerase reverse transcriptase mutations helps detect recurring urothelial bladder cancer, especially non-muscle-invasive bladder cancer, early on, according to a new study.
Electroacupuncture shows promise for SUIElectroacupuncture involving the lumbosacral region is safe, well-tolerated, and can reduce the amount of urine leakage in women with stress urinary incontinence, researchers reported.
Research reveals possible predictor of PCa germline mutationThe study of men with prostate cancer also found that the majority of the men with a germline cancer predisposition gene mutation did not meet existing criteria for clinical genetic testing.
How do height, adiposity affect prostate Ca risk?Taller men and those with greater adiposity are at increased risk of having high-grade prostate cancer and of dying from their malignancy, according to recently published research.
Cord denervation: Surgeons describe microsurgical techniques in men with scrotal pain
July 31, 2017These videos each represent a different approach to this complex microsurgical procedure.