Urology

A study funded by the National Institute Child Health and Human Development shows that anticholinergic drugs and onabotulinumtoxinA injections produce comparable results in women with urgency urinary incontinence. Choice of therapy, say the researchers, should take into consideration route of administration and adverse effect profiles.

Cranberry-containing products may be more than just a folk remedy for urinary tract infections (UTIs). A systematic review and meta-analysis published in the Archives of Internal Medicine concludes that cranberry-containing products offer women protection against UTIs, particularly those prone to recurrent infections.

Trimethoprim-sulfamethoxazole 480 mg once daily is more effective than cranberry capsules 500 mg twice daily for the prevention of recurrent urinary tract infection in premenopausal women, but it exacerbates the problem of emerging antibiotic resistance.

Overactive bladder and nocturia have a significant impact on the lives of middle-aged American women, affecting sleep patterns, relationships, intimacy, and social and physical activity, according to a recent study.

In an effort to develop an improved blood test for early detection of ovarian cancer, a rigorous landmark validation study of 49 potential markers shows that blood levels of CA-125 protein remain the best bet.

Stress urinary incontinence, defined by the International Continence Society as the complaint of involuntary leakage on effort or exertion or on sneezing and coughing, affects 23% to 38% of the female population in the United States over the age of 20 years.

Urinary tract injuries complicate approximately 1% of all gynecologic procedures, with a ratio of 5 bladder injuries to each ureteral injury. Additionally, urinary tract injuries occur in 0.28% of all cesarean deliveries with a 3-fold risk in repeat cesarean delivery.

Chronic pelvic pain is common in women. The broad differential diagnosis for chronic pelvic pain and overlap in symptoms among etiologies makes diagnosis challenging but underscores the need to conduct a detailed history and careful examination that considers the full spectrum of cases, according to one expert.

Although retropubic and transobturator midurethral slings may be objectively equivalent in their treatment of stress incontinence, women do not find them subjectively so, and complication rates can difer, according to a randomized trial.

Approximately one-quarter of all nonpregnant women older than age 20 report having at least 1 pelvic floor disorder; most of these women also have vitamin D levels below 30 ng/mL, according to new NHANES findings.

Dynamic magnetic resonance imaging (MRI) of the urethra, along with static MRI, may benefit women who are experiencing lower urinary tract symptoms by helping to detect pelvic organ prolapse, according to researchers at New York University Medical Center's Department of Radiology.

A 67-year-old woman who had surgery for ovary removal experiences ureter injury.

A woman undergoes a tension-free vaginal tape (TVT) procedure for stress urinary incontinence and inadvertently the bladder and urethra is injured.

A 1-day regimen of nitrofurantoin is markedly less effective than a 7-day regimen to treat asymptomatic bacteriuria in pregnant women.

Cranberry juice may protect against asymptomatic bacteriuria and symptomatic urinary tract infections in pregnant women, although more research is needed to confirm the findings, according to a report in the October issue of the Journal of Urology.

Dr. Chan argues that repairing all clinically significant varicoceles can at least enhance semen parameters-and at best might enhance fertility. Dr. Schiff, on the other hand, says repair only those of men to benefit the most.

Is waking repeatedly to void robbing your patient of a good night's sleep? An expert discusses causes and treatment options that can banish her daytime fatigue-and lower her risk of nighttime falls.

Is waking repeatedly to void robbing your patient of a good night's sleep? An expert discusses causes and treatment options that can banish her daytime fatigue-and lower her risk of nighttime falls.

Your colleagues share their secrets for defusing hostility, coaxing compliance, and allaying anxiety.

With a treatment algorithm that encourages gynecologists to think 'outside the box,' one expert focuses on approaches originally developed for neuropathic pain, irritable bowel syndrome, and low back pain.

Be careful what you say in the clinical setting. That truism was brought home to me recently by a patient who burst into tears in a preoperative area.

Clinical situations that typically result in litigation and the variation in jury verdicts and awards across the nation.

Although serial amnioreduction is still widely used to treat this dangerous condition, a recent randomized trial found that when compared to amnioreduction at 15 to 26 weeks, overall perinatal survival is higher with laser ablation, which tries to reverse the disease process.

Women with severe ulcerative colitis who undergo colectomy with ileal pouch-anal anastomosis (IPAA) are about three times more likely to experience infertility than women treated with medical management, according to study findings published in the November issue of Gut.

Be frank about the real and potential complications when counseling patients considering assisted reproductive technologies. The list includes the link between multiple gestations and preterm delivery, the possibility of ectopic pregnancies or malformations-and much more.

Be frank about the real and potential complications when counseling patients considering assisted reproductive technologies. The list includes the link between multiple gestations and preterm delivery, the possibility of ectopic pregnancies or malformations-and much more.

Clinical situations that typically result in litigation and the variation in jury verdicts and awards across the nation.

A postmenopausal woman is more likely to develop a urinary tract infection if she has recently had intercourse. Although sexual intercourse is a known risk factor for UTI in younger women, this is the first study to examine postmenopausal women. Using daily diaries, women recorded episodes of vaginal intercourse. Dr. Elya Prystowsky and colleagues from the University of Washington explored the relationship between intercourse and the development of symptoms of culture-proven urinary tract infections. After controlling for diabetes, the risk for UTI was increased 3.4-fold in the 48 hours following intercourse.

Although traditional drugs work for most patients, potential side effects turn some patients off. Examining the evidence, two experts argue for trying approaches like magnetic and electrical stimulation, acupuncture, or Botox.

What's holding you back? Cost? Worries about managing pain or complications? An expert debunks common excuses for not doing more office-based procedures and explains why you need both U/S and diagnostic hysteroscopy-and the rewards you can reap from taking your practice in this direction.