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Urology

Oral drug is an appropriate option for resistant UTIs

February 17, 2010

In a study, only 3% of ESBL-producing Escherichia coli isolates were resistant to fosfomycin.

Bacterial interference may prevent urinary tract infections

February 17, 2010

A non-pathogenic strain of E. coli lowered the UTI rate in catheterized men with neurogenic bladder.

Managing UTIs in debilitated patients

Anthony J. Schaeffer, MD February 17, 2010

Among this patient population, urinary tract infections are a serious complication--causing significant morbidity and mortality.

ED, rheumatoid arthritis could be linked

January 28, 2010

Erectile dysfunction (ED) is more common in patients with rheumatic disease—especially rheumatoid arthritis (RA)—than in the general population, according to new findings...

Overactive bladder cases woefully underdiagnosed

January 11, 2010

Only 24.4% of patients aged 45 years and older take drugs for the condition, according to researchers.

Coffee may lower risk of aggressive prostate cancer

December 16, 2009

Drinking regular or decaffeinated coffee is associated with a reduced risk of advanced prostate cancer, new research suggests.

AUA Clarifies Position on Prostate Cancer Screening

November 10, 2009

Responding to recent news reports disparaging prostate cancer testing, the American Urological Association clarified its recommendations for this testing.

U.S. healthcare vs. Canadian single payer: Doctors Give Their View

Delicia Honen Yard September 30, 2009

Canada provides coverage for all citizens through a single-payer system, but does quality suffer?

Pomegranate juice may help prostate cancer patients

August 28, 2009

Pomegranate juice may help slow progression of prostate cancer in men who experience rising PSA levels following radical prostatectomy or radiotherapy, data suggest.

Circumcision May Help Stop HIV Spread

August 27, 2009

Protection may stem from a decrease in the number of HIV target cells following the procedure.

UTI symptoms in young women characterized

August 21, 2009

Urinary frequency and urgency are the two predominant presenting urinary symptoms in young women with their first UTI, according to a new prospective study of college-aged women.

Statins may prevent PSA relapse

July 01, 2009

After radical prostatectomy for prostate cancer, men who took the medications had a 30% lower risk.

Fluids prevent recurrent nephrolithiasis

April 23, 2009

Water intake greater than 2 L/day or enough fluids to achieve a urine output greater than 2.5 L/ day reduced stone recurrence risk by 61%, researchers reported.

Finasteride's prostate benefits confirmed

April 14, 2009

New findings from a Finnish study confirm previous research that finasteride use is associated with a decreased risk of prostate cancer.

Prostate cancer possible even if PSA declines

March 25, 2009

Prostate cancer was found in 23% of men whose initially abnormal PSA levels fell to below 4 ng/mL.

Testosterone receptors and prostate cancer

Question by Mike Hutchins, MD, Missoula, Mont.; response by David T. Noyes, MD March 16, 2009

Is all prostate cancer testosterone receptor-positive?

Genital ulcer in a vacationing patient

By Everett Schlam, MD March 13, 2009

A man returns from a trip with an unwanted souvenir.

Persistent Nocturia? Diuretic May Help

March 11, 2009

Adding a diuretic to alpha-blocker therapy may be an effective second-line treatment for nocturia in some men with lower urinary tract symptoms, according to researchers.

Erectile dysfunction common in men with diabetes

February 20, 2009

Nearly 25% of type 2 diabetic men in the Action for Health in Diabetes study reported having complete erectile dysfunction, according to a new article.

Calcium may predict prostate cancer mortality

February 20, 2009

High serum levels of ionized calcium and total calcium are associated with an elevated risk of dying from prostate cancer, according to newly published findings.

Uloric approved for gout patients' hyperuricemia

February 17, 2009

The new drug represents the first new gout treatment option in more than 40 years.

Elevated PSA with a negative biopsy

Question asked by Jack W. Spitzberg, MD, Dallas, and answered by David T. Noyes, MD January 22, 2009

How to proceed when a patient's PSA is >4 ng/mL and the biopsy is negative

Popular drugs lower PSA levels

January 21, 2009

According to a pair of recent studies, two of the most commonly used classes of medication—statins and nonsteroidal anti-inflammatory drugs (NSAIDs)—may compromise already controversial cancer screenings by lowering serum levels of prostate-specific antigen.

Why does the prostate grow with age?

Question asked by Kishan Agarwal, MD, Edison, N.J., and answered by David T. Noyes, MD December 03, 2008

Since most tissues shrink with age, why does the prostate expand as men grow old?

When a doctor snubs PSA screening

By Ann W. Latner, JD November 17, 2008

Must physicians with doubts about the test's usefulness allow fear of liability to override their clinical judgment?

New drug for overactive bladder

November 12, 2008

The FDA has approved a new drug to help patients suffering from overactive bladder (OAB). Fesoterodine fumarate (Toviaz) works by relaxing the smooth muscle tissue of the bladder, thus reducing the urinary frequency, urge to urinate, and sudden urinary incontinence.

Study: Statins lower PSA levels

November 03, 2008

Statin treatment significantly lowers levels of prostate-specific antigen, according to a Duke University study. From HealthDay.

Why do digital rectal exams?

Question submitted by Daniel E. Konold, DO, Canal Winchester, Ohio, and answered by David T. Noyes, MD October 06, 2008

In an audio CME program on preventive care, the lecturer on prostate cancer stated that "prostate-specific antigen (PSA) is recommended for screening; digital rectal examination (DRE) has no real value." The lecturer on colon cancer stated that "DRE with guaiac test in the office is proven ineffective...

WORKUP FOR MICROSCOPIC HEMATURIA

Question raised by Jonathan Marsh, MD, Indianapolis and answered by David T. Noyes, MD September 18, 2008

I'm seeing a lot of patients (mostly male) who have had microscopic hematuria on several urine specimens. After getting negative results on lab work I've submitted, referral to a urologist usually results in CT urogram and cystoscopy. When those...