June 2014 Issue of Renal And Urology News

June 2014 Issue of Renal And Urology News

June 2014

Nephrology Cover Articles

Kidney Transplants Less Likely in Overweight, Obese Women

The odds of receiving a kidney decreased with increasing body mass index.

Kidney Stones Raise Cardiac Disease Risk

Stones are associated with an increased risk of CVD, including coronary heart disease.

Urology Cover Articles

Aggressive Bladder Cancer Treatments Underused

Radical cystectomy and chemo-radiation offer significantly better survival than other treatments or no treatment, study shows.

Fluoroquinolone Resistance Ups Post-Biopsy Infection Risk

Detecting fluoroquinolone-resistant organisms may allow for targeted antibiotic prophylaxis and identification of men at risk for infection.

AUA Kidney Stone Guidelines Unveiled

At its annual meeting, the American Urological Association provided details of its first guidelines for the medical management of urolithiasis.

Commentary

"Doc, Did You Check My Cholesterol?"

Many patients still insist that I need to check and manage their cholesterol.

Expert Q&A

Immunosuppression-Free Transplant: Interview with Suzanne Ildstad, MD

Immunologic mismatch may no longer be a barrier between living kidney donors and recipients.

Men's Health Update

Ejaculatory Problems Linked to BPH Drugs

Alpha blockers and 5-alpha reductase inhibitors increase the risk of ejaculatory dysfunction, a systematic review and meta-analysis shows.

Sperm Functionality Declines After Age 35

Sperm function may have an upper age limit.

Erectile Dysfunction (ED) Drugs Used Improperly

Many patients who fail with PDE5is are using the medications improperly.

Female Intuition and Testosterone

Exposure to prenatal testosterone accounts for many of the differences between men and women, particularly in the brain.

'Baby Blues' Occur in Dads, Too

New research from McGill University in Montreal shows that dads get sad, too.

News in Brief

Renal Ablation Safe, Effective for Elderly Patients

Data support the use of percutaneous cryoablation and radiofrequency ablation for small renal tumors.

ESA Use in Dialysis Patients May Increase Their Cancer Risk

Doses higher than 70 μg per week were associated with a 77% greater risk of cancer compared with non-use of the agents.

Lower Cholesterol Has No Effect on Kidney Disease Progression

Cholesterol-lowering therapy is indicated in CKD patients to prevent cardiovascular risk.

Hemodialysis Patients Face Higher Hip Fracture Risk

The risk is more than 13 times greater than with peritoneal dialysis.

Unplanned Visits After Urinary Stone Treatment Defined

Study reveals that 1 in 7 patients present to an emergency department or are hospitalized after a procedure.

VUR Antimicrobial Prophylaxis Beneficial

Antimicrobial prophylaxis for children with VUR after a febrile UT) decreases risk.

Feature

The Challenge of Dialysis at the End of Life

Dialysis is not necessarily in the patient's best interest, clinicians and ethicists say.

General News

Dialysis-Requiring AKI Imposes Long-Term Heart Risks

Patients found to have a 67% increased risk of coronary events or death compared with patients who did not suffer acute kidney injury.

Statins Found to Improve Erectile Function

Men with high cholesterol and ED who used the drugs experienced a significant 3.2-point increase in IIEF score versus controls.

Heart Failure After Dialysis Start Ups Death Risk

Development of heart failure within 1 year of hemodialysis initiation was associated with a 22% increased risk of death.

Gastric Bypass for Diabetes Superior

More obese patients achieved glycemic control with bariatric surgery than intensive medical therapy

Pelvic Floor Exercises May Be Effective for Premature Ejaculation

In a small study, the treatment was associated with a 4-fold increase in average ejaculation time.

Phosphate Binder May Eliminate Need for IV Iron

Iron absorbed from oral ferric citrate boosted iron stores and sustained hemoglobin levels.

Inappropriate ESA Use Reduced by Pharmacy Protocol

Ordering process cut the number of epoetin alfa doses by 71% and medication costs by 69%.

Parathyroidectomy Predictors Identified

Younger age and longer dialysis vintage associated with greater likelihood of having the operation.

Prostate Cancer Upgrading, Upstaging Does Not Differ by Race

African Americans, however, have a significantly higher rate of positive surgical margins than Caucasians and other races.

Carotid Plaque May Predict Coronary Artery Stenosis

Increased maximal carotid artery plaque is associated with a greater likelihood of occlusive coronary disease in patients with and without CKD.

Contrast-Induced Nephropathy Risk Minimal

Researchers found no statistically significant incidence of CIN in a study of 2,277 patients who had a total of 2,583 CT scans with contrast.

MRI Helps Detect Significant PCa

It also may lower the risk of positive surgical margins in men with non-palpable tumors.

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