August 2016 Briefing - Urology

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Here are what the editors at HealthDay consider to be the most important developments in Urology for August 2016. 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.

Ebola Virus Lingers in Semen Longer Than Expected

WEDNESDAY, Aug. 31, 2016 (HealthDay News) -- Ebola virus stays present in semen longer than previously thought, and is more likely to be found in older men, according to a study published online Aug. 30 in The Lancet Global Health.

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ACA Is Helping More Americans Afford Prescriptions

WEDNESDAY, Aug. 31, 2016 (HealthDay News) -- Though a growing number of Americans are able to afford prescription medications, millions still have difficulty, according to a study published online Aug. 23 in the American Journal of Public Health.

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IARC: Absence of Excess Body Fat Lowers Risk of Many Cancers

THURSDAY, Aug. 25, 2016 (HealthDay News) -- Excess weight is linked to risk of developing at least eight types of cancer, according to a report published in the Aug. 25 issue of the New England Journal of Medicine.

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Cancer Replaces CVD As Leading Cause of Death in 22 States

THURSDAY, Aug. 25, 2016 (HealthDay News) -- The gap between heart disease and the second-leading cause of death, cancer, has been narrowing since 1968, according to an August data brief published by the U.S. Centers for Disease Control and Prevention's National Center for Health Statistics (NCHS).

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Trans-Obturator Tape Cost-Effective for Urinary Incontinence

THURSDAY, Aug. 25, 2016 (HealthDay News) -- For women with stress urinary incontinence, use of trans-obturator tape (TOT) is cost-effective compared with tension-free vaginal tape (TVT), according to a study published online Aug. 10 in BJOG: An International Journal of Obstetrics and Gynaecology.

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Higher Incidence of Edema With Bacteriuria in C1-INH-HAE

THURSDAY, Aug. 25, 2016 (HealthDay News) -- For patients with hereditary angioedema due to C1-inhibitor deficiency (C1-INH-HAE), those with bacteriuria have a higher number of edematous attacks, according to a study published online Aug. 22 in Allergy.

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Steep Rise in U.S. Drug Prices Tied to Patent Monopolies

WEDNESDAY, Aug. 24, 2016 (HealthDay News) -- Prescription drug prices are skyrocketing in the United States due in large part to government regulations, according to a study published in the Aug. 23/30 issue of the Journal of the American Medical Association.

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CDC Urges Prevention, Early Recognition of Sepsis

WEDNESDAY, Aug. 24, 2016 (HealthDay News) -- Many cases of life-threatening sepsis could be recognized and treated long before they cause severe illness or death, according to an Aug. 23 Vital Signs report from the U.S. Centers for Disease Control and Prevention.

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Pudendal Nerve Entrapment Can Lead to Eating Disorder

TUESDAY, Aug. 23, 2016 (HealthDay News) -- Pudendal nerve entrapment (PNE) leading to avoidant/restrictive food intake disorder (ARFID) has been described in a case report published online Aug. 19 in the International Journal of Eating Disorders.

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Not Enough Female Urologists to Meet Growing Patient Demand

MONDAY, Aug. 22, 2016 (HealthDay News) -- There are far too few female urologists to meet a growing demand, according to a report published online recently in The Journal of Urology.

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Testosterone Solution Found Safe, Effective for Hypogonadal Men

MONDAY, Aug. 22, 2016 (HealthDay News) -- Once-daily 2 percent testosterone solution (T-sol) is safe and effective for sex drive and energy in hypogonadal men, according to a study published online in The Journal of Urology.

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ACA Has Increased Rx Drug Use, Cut Out-of-Pocket Spending

MONDAY, Aug. 22, 2016 (HealthDay News) -- The Affordable Care Act (ACA) has increased prescription use and reduced out-of-pocket spending, according to a report published online Aug. 17 in Health Affairs.

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Decision Regret Uncommon After Radical Prostatectomy, IMRT

MONDAY, Aug. 22, 2016 (HealthDay News) -- For patients with prostate cancer treated with radical prostatectomy (RP) and post-prostatectomy image-guided intensity-modulated radiotherapy (IG-IMRT), decision regret (DR) is uncommon and occurs more often after RP, according to research published online Aug. 16 in the Journal of Medical Imaging and Radiation Oncology.

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Novel Technique Feasible for Clean-Catch Urine in Infants

FRIDAY, Aug. 19, 2016 (HealthDay News) -- A new noninvasive bladder stimulation technique can obtain clean-catch urine (CCU) in infants aged younger than 90 days, according to a study published online Aug. 19 in Pediatrics.

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Post-Op Doctor Shopping for One in Four With Nephrolithiasis

FRIDAY, Aug. 19, 2016 (HealthDay News) -- Postoperative doctor shopping occurs in about one-quarter of patients with nephrolithiasis undergoing ureteroscopy, according to research published in the September issue of The Journal of Urology.

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USPSTF Ruling Followed by Fall in Early Prostate Cancer Diagnoses

FRIDAY, Aug. 19, 2016 (HealthDay News) -- Diagnoses of early prostate cancer continue to decline in the United States, following the U.S. Preventive Services Task Force recommendation against routine screening, according to a research letter published online Aug. 18 in JAMA Oncology.

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Sociodemographic Factors Affect Prostate CA Treatment Initiation

THURSDAY, Aug. 18, 2016 (HealthDay News) -- For men with low-risk prostate cancer undergoing active surveillance, sociodemographic factors are associated with initiation of active treatment, according to a study published in the September issue of The Journal of Urology.

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Legal Issues Impact Delivery of Telehealth

THURSDAY, Aug. 18, 2016 (HealthDay News) -- Telehealth technologies can allow delivery of high-quality care at a lower cost, especially in underserved areas, but there is currently no uniform legal approach to telehealth, hampering its provision, according to a Health Policy Brief published online Aug. 15 in Health Affairs.

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Minority of Surgical Studies Include Men, Women Equally

WEDNESDAY, Aug. 17, 2016 (HealthDay News) -- Few surgical studies include men and women equally, and only about one-third perform data analysis by sex, according to research published online Aug. 17 in JAMA Surgery.

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Residents Often Order Perceived Unnecessary Lab Tests

WEDNESDAY, Aug. 17, 2016 (HealthDay News) -- Residents frequently order perceived unnecessary inpatient laboratory tests, according to a study published online Aug. 13 in the Journal of Hospital Medicine.

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OnabotulinumtoxinA Effect Lasts in Overactive Bladder

WEDNESDAY, Aug. 17, 2016 (HealthDay News) -- OnabotulinumtoxinA treatment is safe and effective for long-term treatment of overactive bladder syndrome, according to a study published in the September issue of The Journal of Urology.

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U.S. Female Doctors Reimbursed Significantly Less Than Males

TUESDAY, Aug. 16, 2016 (HealthDay News) -- Female doctors in the United States make much less than their male colleagues, according to a study published online Aug. 15 in the Postgraduate Medical Journal.

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Pre-Op Urine Culture Doesn't Predict Stone Culture

MONDAY, Aug. 15, 2016 (HealthDay News) -- For patients undergoing percutaneous stone removal, preoperative urine culture does not predict intraoperative stone culture results, according to a study published in the September issue of The Journal of Urology.

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Polyethylene Glycol 3350 Doesn't Cut Time to Bowel Movement

THURSDAY, Aug. 11, 2016 (HealthDay News) -- For women undergoing urogynecologic surgery, addition of polyethylene glycol 3350 (PEG3350) to docusate sodium does not reduce the time to first bowel movement, according to a study published in the September issue of Obstetrics & Gynecology.

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Risk of Post-Op Opioid Abuse Deemed Low for Elderly Patients

WEDNESDAY, Aug. 10, 2016 (HealthDay News) -- Opioid abuse arises in only a very small fraction -- less than half of 1 percent -- of cases involving surgical patients aged 65 or older, according to a research letter published online Aug. 10 in JAMA Surgery.

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Many U.S. Hospitals Offer Language Services

WEDNESDAY, Aug. 10, 2016 (HealthDay News) -- Overall, 68.8 percent of hospitals offer language services, with the proportion increasing with level of need, according to research published in the August issue of Health Affairs.

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Hydroxycitrate Promising for Kidney Stone Prevention

TUESDAY, Aug. 9, 2016 (HealthDay News) -- Hydroxycitrate, a natural fruit extract available as a dietary supplement, may dissolve a key component of kidney stones, potentially offering a new prevention tool against the condition, according to a study published online Aug. 8 in Nature.

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USPSTF Recommends Against Screening for Genital Herpes

TUESDAY, Aug. 2, 2016 (HealthDay News) -- The U.S. Preventive Services Task Force (USPSTF) recommends against routine serologic screening for genital herpes simplex virus (HSV) infection in adolescents and adults who are asymptomatic, including pregnant women. These findings form the basis of a draft recommendation statement published online Aug. 2 by the USPSTF.

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Urinary Biomarkers Can Predict Response in Lupus Nephritis

TUESDAY, Aug. 2, 2016 (HealthDay News) -- Low abundance biomarker panels can predict lupus nephritis outcomes, according to research published online July 27 in Arthritis & Rheumatology.

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Predictors ID'd for Switching to Active Tx in Prostate Cancer

TUESDAY, Aug. 2, 2016 (HealthDay News) -- For men with low-risk prostate cancer, factors such as ethnicity influence patient decision to pursue active treatment during active surveillance, according to a study published online in The Journal of Urology.

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European Countries Implementing Cost-Sharing

MONDAY, Aug. 1, 2016 (HealthDay News) -- European health systems are requiring an increase in cost-sharing measures for patients 50 years of age and older, according to research published in the July issue of Health Affairs.

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Increasing Prevalence of Obesity in Cancer Survivors

MONDAY, Aug. 1, 2016 (HealthDay News) -- From 1997 to 2014 the estimated rate of annual increase in obesity prevalence was higher for adults with a history of cancer, according to a study published online July 25 in the Journal of Clinical Oncology.

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