Cover Articles

Novel BPH Procedure Eases Symptoms, Preserves Sexual Function

Novel BPH Procedure Eases Symptoms, Preserves Sexual Function

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Prostatic urethral lift is minimally invasive and, according to a new study, the procedure's beneficial effects are durable out to 3 years.

Gout Increases Risk of Erectile Dysfunction

Gout Increases Risk of Erectile Dysfunction

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Gout is associated with an elevated likelihood of both organic and psychogenic ED.

Sexual Intercourse May Clear Distal Ureteral Stones

Sexual Intercourse May Clear Distal Ureteral Stones

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Having sex 3-4 times a week was associated with a significantly greater stone passage rate than tamsulosin or standard medical therapy.

Two-Drug Combo Effective for Severe OAB in Elderly

Two-Drug Combo Effective for Severe OAB in Elderly

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Among seniors with severe overactive bladder, a combination of solifenacin and mirabegron decreased incontinence by an average 3.5 episodes a day.

Chronic Kidney Disease Raises Fracture Risk in Children

Chronic Kidney Disease Raises Fracture Risk in Children

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Fracture rates are 2.4- to 3-fold higher than rates found in the general population of children and adolescents.

Chronic Kidney Disease Risk Higher in Female Diabetics

Chronic Kidney Disease Risk Higher in Female Diabetics

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In a study, CKD was 35% more likely to develop in female than male diabetics in adjusted analyses that took into account death as a competing risk.

Targeted Prophylaxis Prior to Prostate Biopsy May Cut Antibiotic Use

Targeted Prophylaxis Prior to Prostate Biopsy May Cut Antibiotic Use

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Pre-biopsy rectal swabs can be used to guide selection of a single antibiotic.

Elevated NLR Linked to Worse Post-RP Outcomes

Elevated NLR Linked to Worse Post-RP Outcomes

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Neutrophil-lymphocyte ratio could have a prognostic role in localized prostate cancer.

FDA Approves Peyronie's Disease Drug

FDA Approves Peyronie's Disease Drug

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It is the first medication approved by the agency for treating this erectile problem.

Dialysis Patients Are At Higher Stroke Risk

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Hemodialysis and peritoneal dialysis patients are more likely than non-dialysis patients to suffer an ischemic or hemorrhagic stroke.

Kidney Cancer Prognosis Linked to Blood Type

Kidney Cancer Prognosis Linked to Blood Type

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Patients with blood group O have a lower risk of lymph node metastases but a higher risk of bilateral disease.

PCa Raises Melanoma Risk

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Men with a history of prostate cancer are at increased risk of melanoma.

Microalbuminuria, Retinopathy Predict AF

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The two conditions together are associated with a 20-fold increased risk of atrial fibrillation.

Urology Workforce Lagging Behind Population Growth

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Trend suggests that the U.S. may not have enough urologists in coming years to keep pace with projected demand.

Renal Artery Stenting No Better than Medical Therapy

Renal Artery Stenting No Better than Medical Therapy

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Both approaches are associated with similar outcomes in patients with renal artery stenosis and CKD or hypertension.

High Dietary Acid Load Predicts ESRD

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Compared with subjects in the lowest tertile of net acid excretion, those in the middle and highest tertiles had a 3.0 times and 9.9 times increased risk.

Fasting Phosphorus Levels Are a Stronger Mortality Predictor

Fasting Phosphorus Levels Are a Stronger Mortality Predictor

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Serum levels vary throughout the day, and higher phosphorus intake exaggerates the early afternoon rise in serum phosphorus.

Testosterone Therapy May Raise Cardiovascular Risk

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In a study, it was associated with a 29% increased risk of death and/or heart attack or stroke.

Urology Groups Condemn IMRT Study

Urology Groups Condemn IMRT Study

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The study, sponsored by a group representing radiation oncologists, concluded that urologists use IMRT more if their practices offer it.

Nephrology Society Objects to Call Against Kidney Screening

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The American College of Physicians came out against chronic kidney disease screening in asymptomatic adults who do not have risk factors.

Dialysis Patient Bloodstream Infections Linked to CVCs

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Vascular access-related bloodstream infections were 13 times more likely to develop in patients with than without central venous catheters.

Dialysis Patients Hospitalized on Weekends Have Worse Outcomes

Dialysis Patients Hospitalized on Weekends Have Worse Outcomes

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They have a higher inpatient mortality risk and longer lengths of stay compared with those admitted on weekdays.

New Clues to Optimizing mCRPC Regimens

New Clues to Optimizing mCRPC Regimens

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Data suggest that sipuleucel-T is effective despite comcomitant abiraterone treatment and cabazitaxel may have advantages over abiraterone for second-line therapy.

Post-Radiation Erectile Dysfunction Linked to Comorbidities

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The risk of ED is increased by about 75% if hypertension, diabetes, and hyperlipidemia are present concomitantly.

Reduced Kidney Function Hikes Cancer Death Risk

Reduced Kidney Function Hikes Cancer Death Risk

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The highest risks of cancer-related mortality were in individuals with urinary tract and breast cancers.

Expulsive Therapy for Stones May Cut Costs

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Patients missed fewer days of work after undergoing medical expulsive therapy than after having early endoscopic stone removal.

PSADT May Give Wrong Prostate Cancer Prognosis

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Relying on PSA doubling time from just one year of active surveillance can result in as many as one in five prostate cancer patients being advised to undergo curative treatment that may be unnecessary.

Drug May Work For Resistant CMV Infections in Transplant Recipients

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Cidofovir cleared cytomegalovirus that was resistant to ganciclovir.

Low Estrogen Explains Some Hypogonadal Symptoms in Men

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New findings could improve the evaluation and management of men with hypogonadism.

HIV Patients at Higher Risk of Needing Renal Replacement Therapy

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Their risk of being placed on chronic renal replacement therapy is three times higher than in the background population.

SUI Outcomes After Sling Placement Unaffected By Age

SUI Outcomes After Sling Placement Unaffected By Age

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New study reveals no difference in failure rates for women younger than 70 years and those aged 70 and older.

Kidney Donors Show Signs of Mild CKD

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Donors had a decrease in GFR and an increase in parathyroid hormone and uric acid six months after nephrectomy.

Heavy Smoking Raises Prostate Cancer Risk in Blacks

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Researchers find no association in whites.

Hemodialysis Patient Outcomes Linked to Nephrologist Caseloads

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Nephrologists with fewer patients had lower patient mortality rates.

Diabetes Drug's Prostate Cancer Benefit Unclear

Diabetes Drug's Prostate Cancer Benefit Unclear

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Studies come to different conclusions about the effect of metformin on prostate cancer outcomes.

Lifetime CKD Risk High in the U.S.

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Chronic kidney disease stage 3 or worse will develop in an estimated 59% of people born today.

In-Hospital Complications After Cystectomy Common

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Risk of post-operative problems is linked to urinary diversion type.

Healthy Diet Lowers Risk of Invasive Bladder Cancer in Women

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Women in the highest quartile of total fruit and vegetable consumption had a 65% decreased risk compared with those in the lowest quartile.

CRRT Offers Better Acute Kidney Injury Outcomes

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Dialysis dependence found to be less likely with continuous rather than intermittent renal replacement therapy.

Coronary Heart Disease Linked to Kidney Stones in Women

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In adjusted analyses, women with a history of kidney stones had an 18%-48% increased risk of coronary heart disease.

FDG-PET Scans May Improve Prostate Cancer Management

FDG-PET Scans May Improve Prostate Cancer Management

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Increased prostatic uptake of FDG is associated with a higher risk of Gleason 8 or higher disease.

Dialysis Patient CAD Burden Rising, Mortality Declining

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Falling death rate could be explained in part by better cardiovascular care in the general population prior to dialysis.

Study: Testosterone Therapy Takes off Pounds

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BMI and waist circumference declined in hypogonadal men treated with parenteral testosterone undecanoate.

IgA Nephropathy Patients Have Higher Death Rate

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Study shows, however, that they are three times more likely to progress to end-stage renal disease than die.

Nomogram Helps Predict Lithotripsy Success

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Kidney stone area and density and skin-to-stone distance predicted successful treatment.

Model Simplifies mCRPC Patient Prognoses

Model Simplifies mCRPC Patient Prognoses

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It is based on factors associated with survival in men previously treated with abiraterone acetate.

Discharge eGFR in AKI Patients Can Be Misleading

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Calculations may fail to take into account the expected fall in creatinine due to loss of muscle mass.

Obesity Often Thwarts Living Kidney Donation

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New findings could explain, at least in part, why live kidney donation has stagnated in the U.S.

Medications Found to Relieve CKD-Related Itching

Medications Found to Relieve CKD-Related Itching

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Patients experience relief with the use of gabapentin and pregabalin.

Longer CMV Prophylaxis May Be Better

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Cytomegalovirus viremia less likely with 200 rather than 100 days of valganciclovir after kidney transplantation.

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