Urology

Some Elders With Rectal Cancer Don't Receive Tx

Some Elders With Rectal Cancer Don't Receive Tx

Worse overall survival was seen in association with male sex, older age, worsening comorbidities, and receiving no treatment or undergoing surgery alone.

Interval Training Reduces CVD Risk in Testicular Cancer Patients

Interval Training Reduces CVD Risk in Testicular Cancer Patients

Compared with usual care, HIIT correlated with a 20% reduction in the prevalence of modifiable CVD risk factors.

Subpar Use of Hospice, Imaging in End-of-Life Cancer Care

Subpar Use of Hospice, Imaging in End-of-Life Cancer Care

The researchers found that among 6568 commercially insured patients, 56.3% were hospitalized and 48.6% underwent one or more imaging scans in the last month of life.

Penile Anaerobes May Be HIV Risk Factor

Penile Anaerobes May Be HIV Risk Factor

Modifying the penile microbiome could potentially reduce HIV acquisition in both men and women.

Post-op Pain Assessment Often Inaccurate

Post-op Pain Assessment Often Inaccurate

The researchers found that within the first 24 hours on the ward, pain scores were significantly lower in routine pain measurements than in PAIN OUT questionnaires.

FDA Extends Cooling Cap Use to Patients With Solid Tumors

FDA Extends Cooling Cap Use to Patients With Solid Tumors

The cap should not be used on children, patients with certain cancers, and those having specific kinds of chemotherapy.

High CRP Before and After Surgery Linked to Delirium

High CRP Before and After Surgery Linked to Delirium

The researchers found that postoperative delirium occurred in 24% of participants and that 12% had 2 or more delirium days.

AUA: Managing Nonneurogenic Chronic Urinary Retention

AUA: Managing Nonneurogenic Chronic Urinary Retention

High risk chronic urinary retention was defined as hydronephrosis on imaging, stage 3 chronic kidney disease or recurrent culture proven urinary tract infection or urosepsis.

Young Cancer Survivors Skip Meds Due to Costs

Young Cancer Survivors Skip Meds Due to Costs

The likelihood of reporting not being able to afford medication, asking for lower-cost medication, and using alternative therapies to save money in the previous year was higher among survivors.

Outpatient IPP Surgery on the Rise

Outpatient IPP Surgery on the Rise

By

The Southeast region performed the highest proportion of outpatient surgeries (46.7%), followed by the Midwest, Southwest, West, and Northeast.

Postop HsTnT Tied With Increased Death Risk After Noncardiac Surgery

Postop HsTnT Tied With Increased Death Risk After Noncardiac Surgery

Elevated postoperative hsTnT without an ischemic feature was also associated with 30-day mortality.

Opioid Addiction May Be a Surgical Complication

Opioid Addiction May Be a Surgical Complication

New persistent opioid use represents a common but previously underappreciated surgical complication that warrants increased awareness.

Thrombolytic Did Not Reduce Mortality in Intermediate-Risk PE

Thrombolytic Did Not Reduce Mortality in Intermediate-Risk PE

Approximately 33% of patients report some degree of persistent functional limitation after intermediate-risk PE, but CTEPH is infrequent.

Urinary Retention Frequent After Spinal Stenosis Surgery

Urinary Retention Frequent After Spinal Stenosis Surgery

Improper management of transient POUR leads to bladder overdistension and permanent bladder detrusor damage.

Obstructive Sleep Apnea May Increase Nocturia Risk

Obstructive Sleep Apnea May Increase Nocturia Risk

Researchers found that nocturia was reduced in sleep apnea patients when a CPAP mask was used.

Rivaroxaban Reduces Recurrent VTE Better Than Aspirin

Rivaroxaban Reduces Recurrent VTE Better Than Aspirin

Among patients with venous thromboembolism, the risk of a recurrent event was significantly lower with rivaroxaban than with aspirin, without a significant increase in bleeding rates.

Neurofeedback Effective for Chemo-Induced Nerve Damage

Neurofeedback Effective for Chemo-Induced Nerve Damage

The NFB group demonstrated greater improvement than the controls on the Brief Pain Interval program.

First Drug Approved to Treat Nocturnal Polyuria

First Drug Approved to Treat Nocturnal Polyuria

Noctiva is taken 30 minutes before bed and is designed to increase absorption of water through the kidneys.

Safe Use of MRI Possible for Pacemaker, ICD Users

Safe Use of MRI Possible for Pacemaker, ICD Users

No deaths, lead failures, losses of capture, or ventricular arrhythmias occurred during MRI.

Cancer Survivors Modify Prescription Drug Use to Save Money

Cancer Survivors Modify Prescription Drug Use to Save Money

Recently diagnosed and previously diagnosed cancer survivors were more likely to report any change in prescription drug use for financial reasons.

Testicular Cancer Surgery Recovery Better With Alvimopan

Testicular Cancer Surgery Recovery Better With Alvimopan

Patients receiving alvimopan had a mean hospital length of stay of 4 days compared with 6 days and a median time to return of flatus at 2 days compared with 4 days.

Patient Complaints of Surgeon Attitude Tied to Complications

Patient Complaints of Surgeon Attitude Tied to Complications

Patients whose surgeons have large numbers of unsolicited patient observations in the 24 months prior to the patient's operation are at increased risk of surgical and medical complications.

Bacteria,Fungi Discovered in Medical Marijuana

Bacteria,Fungi Discovered in Medical Marijuana

A patient developed a rare and incurable fungal infection after using aerosolized marijuana and ultimately died.

Radiation Therapy Reduces Pain From Bone Metastases

Radiation Therapy Reduces Pain From Bone Metastases

A single 8-Gy radiotherapy dose for bone metastases should be offered to all patients, even those with poor survival.

Factors Predicting Urologic Cancer in Females With Microhematuria

Factors Predicting Urologic Cancer in Females With Microhematuria

In this female population, >60 years old and a history of smoking and/or gross hematuria were the strongest predictors of urologic cancer.

Fewer Major Bleeds With Once-Daily Enoxaparin for VTE

Fewer Major Bleeds With Once-Daily Enoxaparin for VTE

On propensity analysis, patients on enoxaparin once daily had fewer major bleeds and deaths at 15 and at 30 days than those on enoxaparin twice daily.

Cancer Patients Reduce Exercise After Diagnosis

Cancer Patients Reduce Exercise After Diagnosis

Surveys revealed that 75% of patients said they had reduced their physical activity since being diagnosed with cancer.

Caprini Score IDs Benefits of VTE Prophylaxis in Surgery Pts

Caprini Score IDs Benefits of VTE Prophylaxis in Surgery Pts

Patients with Caprini scores of 7 to 8 had significant VTE risk reduction after surgery with chemoprophylaxis.

US Service Men Incurred Genitourinary Injuries at High Rate

US Service Men Incurred Genitourinary Injuries at High Rate

The majority of injuries involved the external genitalia, including the scrotum, testes, penis, and/or urethra.

Adjuvant Chemo After Nephroureterectomy May Aid Survival in UTUC

Adjuvant Chemo After Nephroureterectomy May Aid Survival in UTUC

Adjuvant chemo is associated with overall survival benefit in patients with locally advanced and/or positive regional lymph node disease.

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