October 2016 Briefing - Urology

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

Few Changes in Employer-Sponsored Insurance 2013-2014

MONDAY, Oct. 31, 2016 (HealthDay News) -- Private sector employer-sponsored health insurance offerings were similar in 2013 and 2014, with <3.5 percent of employers dropping coverage and 1.1 percent adding coverage, according to a report published online Oct. 26 in Health Affairs.

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Male Contraceptive Effective, but Side Effects Problematic

FRIDAY, Oct. 28, 2016 (HealthDay News) -- A contraceptive injection for men shows some promise, but researchers are still struggling to improve its effectiveness and deal with severe side effects caused by the injections, according to a study published online Oct. 27 in the Journal of Clinical Endocrinology & Metabolism.

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Useful Tips Offered for Addressing Negative Patient Reviews

FRIDAY, Oct. 28, 2016 (HealthDay News) -- In an article published in Medical Economics, five tips are presented to address negative patient reviews.

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FDA Warns of Testosterone, AAS Abuse and Dependence

WEDNESDAY, Oct. 26, 2016 (HealthDay News) -- Supplemental testosterone and related anabolic-androgenic steroids (AAS) can cause heart attacks, personality changes, and infertility, and are easily abused, the U.S. Food and Drug Administration warns, adding that labeling on all prescription testosterone products will be revised.

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Factors ID'd for Recurrence After Radical Cystectomy

TUESDAY, Oct. 25, 2016 (HealthDay News) -- For patients undergoing robot-assisted radical cystectomy, predictors of recurrence include mainly tumor characteristics, according to a study published in the October issue of The Journal of Urology.

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Continued 2 Percent Daily Testosterone Safe, Effective

MONDAY, Oct. 24, 2016 (HealthDay News) -- Once-daily testosterone solution 2 percent (T-sol) is safe and improves sex drive and energy in men with androgen deficiency, according to a study published in the November issue of The Journal of Urology.

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Higher Grade Disease at Prostatectomy With Surveillance

FRIDAY, Oct. 21, 2016 (HealthDay News) -- For men with low-risk prostate cancer, those who enter active surveillance have higher grade of disease at prostatectomy, but no difference in other adverse pathological outcomes, compared to those undergoing immediate surgery, according to a study published in the November issue of The Journal of Urology.

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Surveillance Rates on Rise in Low-Risk Prostate Cancer

THURSDAY, Oct. 20, 2016 (HealthDay News) -- More than 90 percent of men in Sweden who have very low-risk prostate cancer choose close monitoring rather than immediate treatment -- and more American men should use that option, according to a study published online Oct. 20 in JAMA Oncology.

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Superior Morbidity Profile for Robotic Partial Nephrectomy

THURSDAY, Oct. 20, 2016 (HealthDay News) -- Compared with laparoscopic partial nephrectomy, robotic partial nephrectomy is associated with a superior morbidity profile, according to a meta-analysis published in the November issue of The Journal of Urology.

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CDC: STD Rates at Unprecedented High in the United States

WEDNESDAY, Oct. 19, 2016 (HealthDay News) -- Sexually transmitted disease (STD) cases reached a record high in the United States in 2015, according to the annual Sexually Transmitted Disease Surveillance Report released Oct. 19 by the U.S. Centers for Disease Control and Prevention.

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Certain Factors Predict Repeat ER Visits for Ureteral Stones

WEDNESDAY, Oct. 19, 2016 (HealthDay News) -- Among patients with ureteral stones, those who are younger, have proximal stones, and require intravenous narcotics for pain control are more likely to return to the emergency department within 30 days, according to a study published in the November issue of The Journal of Urology.

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Financial Toxicity Is a Relevant Cancer Outcome Measure

WEDNESDAY, Oct. 19, 2016 (HealthDay News) -- Financial toxicity is a clinically relevant outcome for patients receiving treatment for advanced cancer, according to a study published online Oct. 7 in Cancer.

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Urine Concentration Aids UTI Diagnosis in Young Infants

TUESDAY, Oct. 18, 2016 (HealthDay News) -- For infants undergoing microscopic urinalysis as part of urinary tract infection (UTI) evaluation, urine concentration should be included in the interpretation, according to a study published online Oct. 18 in Pediatrics.

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Lower Monthly Premiums for Narrow-Network Plans

MONDAY, Oct. 17, 2016 (HealthDay News) -- Narrow-network health insurance plans have lower monthly premiums than larger-network plans, according to a study published in the October issue of Health Affairs.

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Snus Use Tied to Higher Risk of Prostate Cancer Mortality

FRIDAY, Oct. 14, 2016 (HealthDay News) -- A type of smokeless tobacco called snus may increase a prostate cancer patient's mortality risk, according to a study published online Oct. 12 in the International Journal of Cancer.

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Androgen Deprivation Therapy May Raise Dementia Risk

FRIDAY, Oct. 14, 2016 (HealthDay News) -- The risk of dementia might be doubled for prostate cancer patients who are treated with androgen-deprivation therapy (ADT), according to a study published online Oct. 13 in JAMA Oncology.

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Risk of Nephropathy From Radiocontrast Overestimated

THURSDAY, Oct. 13, 2016 (HealthDay News) -- The risk of radiocontrast-associated nephropathy may be overestimated, according to a study published online Sept. 29 in the Journal of the American Society of Nephrology.

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Doctors Better Diagnosticians Than Symptom-Checker Programs

WEDNESDAY, Oct. 12, 2016 (HealthDay News) -- Physicians are twice as likely to get the right diagnosis on the first try as 23 popular symptom-checking computer programs, according to a research letter published online Oct. 11 in JAMA Internal Medicine.

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Copay Assist Programs Creating Problems in Health Care Markets

TUESDAY, Oct. 11, 2016 (HealthDay News) -- Despite offering assistance to individuals who cannot afford expensive medications, copay assistance programs create broader problems in health care markets, according to an Ideas and Opinions piece published online Oct. 11 in the Annals of Internal Medicine.

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U.S. Health Care System Is One of the Least Efficient Worldwide

MONDAY, Oct. 10, 2016 (HealthDay News) -- The U.S. health care system is one of the least efficient worldwide based on a Bloomberg index that assesses life expectancy, health care spending per capita, and relative spending as a share of gross domestic product, according to a report published by Bloomberg.

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Strategies Presented for Managing Physician Burnout

FRIDAY, Oct. 7, 2016 (HealthDay News) -- Effective strategies for managing physician burnout include mindfulness and stress-management training, according to a review published online Sept. 28 in The Lancet.

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Males Conceived Via ICSI May Have Sperm Abnormalities

FRIDAY, Oct. 7, 2016 (HealthDay News) -- Males who were conceived using intracytoplasmic sperm injection (ICSI) may have lower sperm quantity and quality than those conceived naturally, according to research published online Oct. 5 in Human Reproduction.

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Price Increases Larger for Older Cancer Drugs Than Newer Ones

FRIDAY, Oct. 7, 2016 (HealthDay News) -- After adjusting for inflation, nearly two-thirds of 86 cancer medications had price increases between 2010 and 2015, according to a research letter published online Oct. 6 in JAMA Oncology.

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Botox, InterStim Compared in Female Urinary Incontinence

TUESDAY, Oct. 4, 2016 (HealthDay News) -- For women with refractory urgency urinary incontinence, onabotulinumtoxinA injections may help control leakage better than the implanted nerve stimulation device InterStim, according to a study published in the Oct. 4 issue of the Journal of the American Medical Association.

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Zika Virus Found in Sperm, Not Just Semen

TUESDAY, Oct. 4, 2016 (HealthDay News) -- In correspondence published in the October issue of The Lancet Infectious Diseases, researchers report that the Zika virus has been found inside the sperm of a man who had just returned from French Guyana.

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Men With Zika Exposure to Abstain From Conceiving Longer

TUESDAY, Oct. 4, 2016 (HealthDay News) -- The U.S. Centers for Disease Control and Prevention has released new recommendations on how long men with either Zika infection or exposure should abstain from trying to conceive. The recommendations have been published in the Sept. 30 early-release issue of the CDC's Morbidity and Mortality Weekly Report.

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Doctors Spending in Excess of $32,000 on Health IT

TUESDAY, Oct. 4, 2016 (HealthDay News) -- Doctors are spending more than $32,000 per year on health information technology (IT), according to an article published in Medical Economics.

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New AMA Module Helps Identify Physician Distress

MONDAY, Oct. 3, 2016 (HealthDay News) -- A new resource has been developed to help physicians identify distressed colleagues and help them to access care, according to a report published by the American Medical Association (AMA).

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