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Around 2.3 billion adults worldwide could potentially suffer from at least 1 less urinary tract symptom by 2018, new research suggests. The study, to be presented in the October issue of the British Journal of Urology International (BJUI), demonstrates how the number of people aged 20 and over that are affected by urinary and bladder symptoms represents an 18% jump in the last 10 years. Europe, however, will report the lesser increase in number of cases compared with other regions around the globe.
Cordis - Community Research and Development Information Service (Urologia) - Mar, 4 Ottobre 2011
http://cordis.europa.eu
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The aim of the review is to discuss the mechanisms of diuresis regulation which may help interpreting the urine output in critically ill patients and the appropriate treatment to be initiated in face of changes in urine output.
SpringerOpen Journal (Urologia) - Lun, 30 Maggio 2011
http://www.springeropen.com
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Hemorrhagic episodes are a frequent side effect in older patients treated with warfarin, and the interaction between warfarin and other drugs can increase bleeding risk. With a recent case-control trial, performed using some databases from Ontario, Canada, the bleeding risk at the upper gastrointestinal tract in patients treated with urinary antibiotics and under continuative therapy with warfarin has been examined. The sample was made up of 134,637 patients ≥ 66 years of age taking warfarin for at least 180 continuative days. In this cohort, 45,972 subjects had received the prescription of at least one antibiotic.
MedNews (Urologia) - Lun, 23 Maggio 2011
http://mn.medsurfnews.com/
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When there are slightly higher PSA values, some clinicians treat the patient with antibiotics, aiming at acting against a possible prostatitis which increases those values and also to obtain a reassurance “ex juvantibus”: the decrease of PSA would show the absence of cancers. In order to verify that this approach can be shared, a randomized trial has been performed in Brazil: 98 asymptomatic males (between 50 and 75 years of age) with PSA levels between 2.5 and 10 ng/dl, affected by probable prostatitis (increase in leukocytes in urines after prostatic massage or presence of urethral secretion) and with a normal rectal exploration have been enrolled.
MedNews (Urologia) - Lun, 4 Aprile 2011
http://mn.medsurfnews.com/
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The levels of testosterone decrease with age, but the usefulness of an integrative administration is still under discussion. With this randomized trial, some English researchers have enrolled 274 74-year-old males, with plasmatic testosterone levels ≤ 345 ng/dl (or with free testosterone levels ≤ 7.2 ng/dl). For a period of 6 months, they have been treated with a transdermal testosterone-based gel or placebo.
MedNews (Urologia) - Lun, 7 Marzo 2011
http://mn.medsurfnews.com/
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Catheterization of the Urethra in Male Children Indications Urethral catheterization permits direct drainage of the urinary bladder, and is often performed in pediatric practice. It may be used for diagnostic purposes, such as collection of an uncontaminated urine specimen for culture and urinalysis, when it is essential to obtain a urine specimen from a young child who cannot void on command.
New England Journal of Medicine (Urologia) - Mar, 5 Ottobre 2010
http://www.nejm.org
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Since independently from the use of PSA the number of diagnosed prostate cancers is increasing, there is the problem to choose the least possible radical surgical approach; so, the interest towards laparoscopic techniques, robot-assisted or not, which should ensure a lower incidence of secondary effects than traditional retropubic surgery, is increasing.
MedNews (Urologia) - Mar, 31 Agosto 2010
http://mn.medsurfnews.com/
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Since independently from the use of PSA the number of diagnosed prostate cancers is increasing, there is the problem to choose the least possible radical surgical approach; so, the interest towards laparoscopic techniques, robot-assisted or not, which should ensure a lower incidence of secondary effects than traditional retropubic surgery, is increasing.
MedNews (Urologia) - Lun, 26 Luglio 2010
http://mn.medsurfnews.com/
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Anticholinergics are usually prescribed in the treatment of vesical hyperactivity, but since in males there is often an extra-vesical obstacle to the downflow of urine, their use can favour an acute urinary retention. The data of a wide English database of primary care have been used, comparing about 2000 males with acute retention and 10,000 controls stratified according to age.
MedNews (Urologia) - Lun, 5 Luglio 2010
http://mn.medsurfnews.com/
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Urinary incontinence is a common geriatric syndrome that affects at least 1 in 3 older women and can greatly diminish quality of life. Incontinence has been associated with increased social isolation, falls, fractures, and admission to long-term care facilities. Often unreported and thus untreated, it is important to include incontinence as part of the review of systems for all older women. Using the case of Mrs F, we highlight the chronicity of incontinence and discuss the evidence base for evaluation of incontinence in older women, with proper initial diagnosis of the type of incontinence—stress, urgency, or mixed—in order to prescribe optimal treatment. We present an evidence-based discussion of available incontinence treatments including pelvic floor muscle exercises, stress strategies, urge-suppression strategies, fluid management, medications, intravaginal pessaries, intravesical injection of botulinum toxin, percutaneous tibial nerve stimulation, sacral neuromodulation, and surgical procedures for stress incontinence. Special considerations in evaluation and treatment of patients with dementia are presented. Urinary incontinence treatments yield high levels of patient satisfaction and improvements in quality of life.
Journal of the American Medical Association (Urologia) - Mar, 8 Giugno 2010
http://jama.ama-assn.org/