July 2011 Briefing - Urology

Here are what the editors at HealthDay consider to be the most important developments in Urology for July 2011. 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.

New Policy Improves Kidney Transplant Rates for Minorities

FRIDAY, July 29 (HealthDay News) -- Changes to the U.S. kidney allocation system in 2003, which eliminated priority for human leukocyte antigen-B (HLA-B) similarity improved deceased-donor kidney transplantation among minorities without affecting the two-year graft survival during the first six years following the policy change, according to a study published online June 14 in the American Journal of Transplantation.

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Kidney Transplantation After Desensitization Ups Survival

WEDNESDAY, July 27 (HealthDay News) -- For patients with human leukocyte antigen (HLA) sensitivity, performing live-donor kidney transplants after HLA desensitization gives a significant survival benefit over waiting for an HLA-compatible kidney, according to a study published in the July 28 issue of the New England Journal of Medicine.

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Better UTI Prevention With TMP-SMX Than Cranberries

TUESDAY, July 26 (HealthDay News) -- Trimethoprim-sulfamethoxazole (TMP-SMX) treatment is more effective than cranberries in preventing recurrent urinary tract infections (rUTIs) among premenopausal women, according to a study published in the July 25 issue of the Archives of Internal Medicine.

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CDC: Sexual Transmission of Hepatitis C Evaluated

FRIDAY, July 22 (HealthDay News) -- HIV-infected men who have sex with men (MSM) should be screened for hepatitis C virus (HCV), especially those who engage in high-risk sexual behavior, according to a report in the July 22 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Medical Students Support Right to Conscientious Objection

THURSDAY, July 21 (HealthDay News) -- Nearly half of medical students in the United Kingdom, especially Muslims, believe in the right of doctors to conscientiously object to or refuse any procedure, according to a study published online July 18 in the Journal of Medical Ethics.

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Unhealthy Lifestyle Factors Linked to Sexual Problems

THURSDAY, July 14 (HealthDay News) -- Unhealthy lifestyle factors are associated with sexual inactivity with a partner in sexually active men and women, with sexual dysfunction significantly more likely in men, according to a study published online May 13 in The Journal of Sexual Medicine.

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Improved Prostate Cancer Survival With Combo Therapy

WEDNESDAY, July 13 (HealthDay News) -- Short-term androgen deprivation therapy (ADT) combined with radiotherapy improves survival in patients with early, localized prostate cancer compared to radiotherapy alone, according to a study published in the July 14 issue of the New England Journal of Medicine.

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FDA: Transvaginal Mesh Placement Tied to Adverse Events

WEDNESDAY, July 13 (HealthDay News) -- The U.S. Food and Drug Administration has warned health care providers and patients that transvaginal surgical placement of mesh to repair pelvic organ prolapse (POP) may be riskier than other surgical approaches, with no greater clinical benefit.

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Metabolic Syndrome Linked to Cavernosal Vasculopathy

WEDNESDAY, July 13 (HealthDay News) -- Patients with erectile dysfunction (ED) who have metabolic syndrome have higher prevalence of cavernosal vasculopathy than those without metabolic syndrome, and the number of metabolic syndrome components is correlated with cavernosal vasculopathy, according to a study published online July 5 in Diabetes Care.

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Associations Found Between Contact Allergy and Cancer

WEDNESDAY, July 13 (HealthDay News) -- An inverse association has been found between contact allergy and non-melanoma skin and breast cancer, and a positive association between contact allergy and bladder cancer, according to a study published online July 11 in BMJ Open.

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Changes in Family Cancer History Impact Screening Needs

TUESDAY, July 12 (HealthDay News) -- Clinically relevant family history changes over time, specifically between the ages of 30 and 50 years, impact screening recommendations for colorectal, breast, and prostate cancer, according to a study published in the July 13 issue of the Journal of the American Medical Association.

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Clinical Practice Guidelines Underused in Bladder Cancer

MONDAY, July 11 (HealthDay News) -- Clinical practice guidelines for management of patients with bladder cancer are not being followed, with provider-level factors contributing to this underuse, according to a study published online July 11 in Cancer.

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Physical Therapy Doesn't Affect Male Urinary Incontinence

FRIDAY, July 8 (HealthDay News) -- One-to-one conservative physical therapy does not improve urinary incontinence in men compared to standard care after prostate surgery, according to a study published online July 8 in The Lancet.

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Transvaginal BNC Effective for Devastated Urethra

TUESDAY, July 5 (HealthDay News) -- Modified transvaginal bladder neck closure (TV BNC) with a urethral flap is effective for devastated urethra, minimizing the risk of upper tract injury and fistula formation, according to a study published in the July issue of Urology.

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